AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1428
Placed:	10-25-2021
Order Status:	Delivered
Total for Addons:	$10.00
Total Order:	$432.26
Paid Alowance Balance:	$432.26
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20560
Name:	JORGE A.
Last name:	BARRAGAN
Department:	Bus Operators
Allowance Balance:	$263.02

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00315



Received	In Process	Shipped	Delivered

Shipping Address: Change

JORGE A. BARRAGAN

8906 Scenic Creek

Converse, TX 78109

United States

Phone: 2108969334

Product List:

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: 2XL

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$41.22

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 24

Lenght:

Quantity: 2

Color: Navy

$44.09

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: 2XL

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$29.61

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 3

Color: Black

$3.91

GARRISON BELT

Brand: Dutyman

Size: 52

Quantity: 1

Color: Black

$25.48

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Navy

$8.25

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 3

Color: Navy

$11.82

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 2XL

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$21.62

Mens New Generation® Stretch 4-Pocket Trouser

Brand: Horace Small

Waist: 44

Lenght: 28

Quantity: 1

Color: Navy

$66.15

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: 2XL

Quantity: 1

Color: Royal

Flag Addon: Texas Flag

$25.05

BAGedge Tech Backpack

Brand: Bagedge

Size: One Size

Quantity: 1

Color: Black

$39.90

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00315

store information

Company Information

My account