AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-29-2022
Order Status:	Delivered
Total for Addons:	$16.00
Total Order:	$716.58
Paid Alowance Balance:	$716.58
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20685
Name:	RICARDO
Last name:	DE HOYOS
Department:	ParaTransit Operators
Allowance Balance:	$2.45

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 03682



Received	In Process	Shipped	Delivered

Shipping Address: Change

RICARDO DE HOYOS

9103 Mustang Pass

San Antonio , TX 78254

United States

Phone: 2108066863

General Observations:

Product List:

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: Large

Quantity: 1

Color: Yellow and Black

Flag Addon: US Flag

$89.44

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 5

Color: Black

$3.91

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 5

Color: Royal

Flag Addon: US Flag

$29.61

Terra Paladin Metguard Composite Toe Shoe

Brand: Terra

Size: 11

Quantity: 1

Color: Black

$190.00

Rothco Forced Entry Tactical Waterproof Boot

Brand: Rothco

Size: 11

Quantity: 1

Color: Black

$68.59

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 36

Lenght: 31

Quantity: 3

Color: Navy

$39.23

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Navy

$8.25

Harriton Ladies Easy Blend™ Long-Sleeve Twill Shirt with Stain-Release

Brand: Harriton

Size: Large

Quantity: 2

Color: French Blue

Flag Addon: US Flag

$24.61

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 11

Quantity: 1

Color: Black

$9.79

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 03682

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Company Information

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