AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-11-2022
Order Status:	Delivered
Total for Addons:	$16.00
Total Order:	$619.69
Paid Alowance Balance:	$619.69
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	6868
Name:	MICHAEL
Last name:	SANTOS
Department:	Maintenance
Allowance Balance:	$47.68

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 02632



Received	In Process	Shipped	Delivered

Shipping Address:

MICHAEL SANTOS

14396 Benton City Rd.

Von Ormy, TX 78073

United States

Phone: 2105353699

Product List:

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 42

Lenght: 32

Quantity: 6

Color: Navy

$26.44

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 2XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$21.62

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 3XL

Quantity: 6

Color: Navy

Flag Addon: Texas Flag

$14.45

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: 2XL

Quantity: 3

Color: Navy

$35.80

Rothco Midweight Thermal Knit Bottom

Brand: Rothco

Size: 2XL

Quantity: 1

Color: Black

$19.59

Rothco Midweight Thermal Knit Top

Brand: Rothco

Size: 2XL

Quantity: 1

Color: Black

$19.59

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 3XL

Quantity: 6

Color: Navy

$12.47

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: L/XL

Quantity: 5

Color: Navy

$11.05

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 12

Quantity: 2

Color: Black

$9.79

New Era ® Perforated Performance Cap

Brand: New Era

Size: Adjustable

Quantity: 3

Color: Navy

$13.50

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 02632

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