AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	11-23-2022
Order Status:	Delivered
Total for Addons:	$34.00
Total Order:	$437.81
Paid Alowance Balance:	$437.81
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21332
Name:	JOSE JR
Last name:	GUTIERREZ
Department:	Maintenance
Allowance Balance:	$740.34

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 04051



Received	In Process	Shipped	Delivered

Shipping Address: Change

JOSE JR GUTIERREZ

23334 Emerald Pass

San Antonio, TX 78258

United States

Phone: 2107766506

Product List:

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.50

LINED TEAM JACKET

Brand: Red Kap

Size: Large

Quantity: 1

Color: Navy

Flag Addon: US Flag

$36.59

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 33

Lenght: 29

Quantity: 4

Color: Navy

$26.44

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 2

Color: Black

$36.90

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: Large

Quantity: 4

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$14.45

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: Large

Quantity: 4

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$16.81

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Large

Quantity: 4

Color: Navy

$12.28

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 04051

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