AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-22-2022
Order Status:	Delivered
Total for Addons:	$36.00
Total Order:	$477.69
Paid Alowance Balance:	$477.69
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	23698
Name:	BRANDON
Last name:	PEQUENO
Department:	Maintenance
Allowance Balance:	$695.90

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 02795



Received	In Process	Shipped	Delivered

Shipping Address: Change

BRANDON *** PEQUENO

1442 West Hollywood Ave

San Antonio, TX 78201

United States

Phone: 2105059393

Product List:

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: 4XL

Quantity: 1

Color: Yellow and Black

Flag Addon: Texas Flag

Patch Addon: Union Patch

$89.44

Enhanced Visibility Industrial Work Shirt

Brand: Red Kap

Size: 4XL

Quantity: 2

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$40.20

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 50

Lenght: 30

Quantity: 4

Color: Navy

$26.44

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 5XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$21.62

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: 4XL

Quantity: 2

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$16.81

Enhanced Visibility Shirt

Brand: Red Kap

Size: 4XL

Quantity: 3

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$36.95

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 02795

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