AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-30-2022
Order Status:	Delivered
Total for Addons:	$8.00
Total Order:	$515.70
Paid Alowance Balance:	$515.70
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	7018
Name:	ROBERT B.
Last name:	JAUREQUI
Department:	Bus Operators
Allowance Balance:	$891.33

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 03688



Received	In Process	Shipped	Delivered

Shipping Address: Change

ROBERT B. JAUREQUI

1424 West Summit

San Antonio, TX 78201

United States

Phone: 2108674074

Product List:

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$21.62

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: L/XL

Quantity: 1

Color: Midnight Navy

$11.75

ESSENTIAL V-NECK ACRYLIC VEST

Brand: Edwards

Size: Large

Quantity: 1

Color: Navy

$28.49

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$19.59

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 4

Color: Navy

$12.28

JOURNEY FOR MEN

Brand: SAS

Size: 8.5

Quantity: 1

Color: Black

$185.22

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$28.37

New Generation 3 Jacket

Brand: Horace Small

Size: Large

Quantity: 1

Color: Black

Flag Addon: US Flag

$135.17

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 03688

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Company Information

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