AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1525
Placed:	11-04-2021
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$533.26
Paid Alowance Balance:	$533.26
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	5137
Name:	ENRIQUE
Last name:	CADENA
Department:	Maintenance
Allowance Balance:	$660.33

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00402



Received	In Process	Shipped	Delivered

Shipping Address: Change

ENRIQUE CADENA

3802 Miho St.

San Antonio, TX 78223

United States

Phone: 2106834484

Product List:

UNDER ARMOUR SS TSHIRT

Brand: Under Armour

Size: Medium

Quantity: 3

Color: Navy

$22.59

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Medium

Quantity: 1

Color: HI VIS/BLACK

$66.70

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 9

Quantity: 1

Color: Black

$9.79

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: Medium

Quantity: 1

Color: Navy

$41.22

New Era® Performance Dash Adjustable Cap

Brand: New Era

Size: Adjustable

Quantity: 1

Color: Navy

$12.00

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: Small

Quantity: 1

Color: Navy

$30.43

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: Large

Quantity: 1

Color: Navy

$18.67

Nautica Bucket Cap

Brand: Nautica

Size: One Size

Quantity: 1

Color: Navy

$33.00

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: One Size

Quantity: 1

Color: Navy

$10.69

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: Large

Quantity: 5

Color: Navy

$11.82

BAGedge Tech Backpack

Brand: Bagedge

Size: One Size

Quantity: 1

Color: Black

$39.90

REDKAP CELL PHONE POCKET PANT

Brand: Red Kap

Waist: 33

Lenght: 26

Quantity: 7

Color: Navy

$20.57

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00402

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