AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	11-21-2022
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$526.57
Paid Alowance Balance:	$526.57
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20033
Name:	ALLEN L.
Last name:	GOODWIN
Department:	Bus Operators
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 04014



Received	In Process	Shipped	Delivered

Shipping Address: Change

ALLEN L. GOODWIN

7327 mystery ridge

Converse, TX 78109

United States

Phone: 2107108242

Product List:

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 3XL

Quantity: 1

Color: Black

$21.62

Rothco Forced Entry Tactical Waterproof Boot

Brand: Rothco

Size: 13

Quantity: 1

Color: Black

$68.59

ESSENTIAL V-NECK ACRYLIC SWEATER

Brand: Edwards

Size: 4XL

Quantity: 2

Color: Navy

$29.94

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 44

Lenght: 32

Quantity: 2

Color: Navy

$39.23

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

Brand: Harriton

Size: 4XL

Quantity: 3

Color: French Blue

$24.61

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 2

Color: Navy

$8.25

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: 4XL

Quantity: 1

Color: Navy

$40.23

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 5

Color: Black

$3.91

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: 3XL

Quantity: 3

Color: Navy

$12.28

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 2

Color: Black

$19.59

Mens Softshell Jacket

Brand: Red Kap

Size: 4XL

Quantity: 1

Color: Black

$71.89

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 04014

store information

Company Information

My account