AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	02-09-2023
Order Status:	Delivered
Total for Addons:	$48.00
Total Order:	$762.09
Paid Alowance Balance:	$762.09
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	5488
Name:	ROGELIO G.
Last name:	RUBIO
Department:	Maintenance
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 05080



Received	In Process	Shipped	Delivered

Shipping Address: Change

ROGELIO GUTIERREZ RUBIO

4626 BELINDA LEE ST.

SAN ANTONIO, TX 78220

United States

Phone: 2107820969

Product List:

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 2

Color: Navy

$12.00

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 40

Lenght: 26

Quantity: 1

Color: Navy

$22.22

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 20

Color: White

$3.91

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 20

Color: Black

$3.91

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 2

Color: Black

$36.90

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 3XL

Quantity: 12

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$14.45

Mens DuraKap® Industrial Pant

Brand: Red Kap

Waist: 40

Lenght: 26

Quantity: 1

Color: Navy

$18.83

Belt, 1 1/2

Brand: Dutyman

Size: 44

Quantity: 2

Color: Black

$18.38

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 3XL

Quantity: 12

Color: Navy

$12.47

Belt, 1 1/4

Brand: Dutyman

Size: 44

Quantity: 2

Color: Black

$18.38

REDKAP CELL PHONE POCKET PANT

Brand: Red Kap

Waist: 40

Lenght: 26

Quantity: 1

Color: Navy

$22.28

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 05080

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Company Information

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