AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-17-2022
Order Status:	Delivered
Total for Addons:	$20.00
Total Order:	$699.44
Paid Alowance Balance:	$699.44
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	6663
Name:	LORENZO
Last name:	VIDALES JR.
Department:	Maintenance
Allowance Balance:	$617.42

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 03468



Received	In Process	Shipped	Delivered

Shipping Address: Change

LORENZO VIDALES JR.

6102 pleasant lake

San antonio, TX 78222

United States

Phone: 2103006720

Product List:

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 44

Lenght: 30

Quantity: 5

Color: Navy

$22.22

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 44

Lenght: 31

Quantity: 1

Color: Navy

$26.44

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 5

Color: Black

$3.91

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$36.90

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: 3XL

Quantity: 1

Color: HI VIS/BLACK

$69.70

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: 3XL

Quantity: 2

Color: Navy

$35.80

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: 3XL

Quantity: 5

Color: Navy

Flag Addon: US Flag

Patch Addon: Union Patch

$16.81

Nautica Bucket Cap

Brand: Nautica

Size: One Size

Quantity: 2

Color: Navy

$33.00

JERZEES L/S HEAVYWEIGHT BLEND TSHIRT

Brand: Jerzees

Size: 3XL

Quantity: 5

Color: Navy

$13.65

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 3XL

Quantity: 5

Color: Navy

$12.47

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Navy

$8.25

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: L/XL

Quantity: 5

Color: Navy

$11.05

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 03468

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