AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-26-2022
Order Status:	Delivered
Total for Addons:	$22.00
Total Order:	$454.98
Paid Alowance Balance:	$454.98
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20719
Name:	CHRISTOPHER P.
Last name:	HERNANDEZ
Department:	Bus Operators
Allowance Balance:	$138.58

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 03613



Received	In Process	Shipped	Delivered

Shipping Address: Change

CHRISTOPHER P. HERNANDEZ

106 Weatridge Dr

San Antonio , TX 78237

United States

Phone: 2105568299

Product List:

Infinity Footwear Mens Fly in Black on Black

Brand: Infinity by Cherokee

Size: 12

Quantity: 1

Color: Black

$70.00

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 40

Lenght: 10

Quantity: 1

Color: Navy

$46.97

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$12.00

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: 2XL

Quantity: 5

Color: Royal

Flag Addon: Texas Flag

Patch Addon: Union Patch

$29.61

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: 2XL

Quantity: 1

Color: Black

Patch Addon: Union Patch

$43.22

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: L/XL

Quantity: 2

Color: Midnight Navy

$11.75

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$19.59

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: 2XL

Quantity: 5

Color: Navy

$12.28

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Navy

$8.25

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 03613

store information

Company Information

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