AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	03-17-2023
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$687.74
Paid Alowance Balance:	$687.74
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	4536
Name:	RICHARD
Last name:	SEGOVIA
Department:	ParaTransit Operators
Allowance Balance:	$155.09

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 05411



Received	In Process	Shipped	Delivered

Shipping Address: Change

RICHARD SEGOVIA

827 Hammond Ave

San Antonio, TX 78210

United States

Phone: 2105345152

Product List:

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: 3XL

Quantity: 1

Color: Yellow and Black

$89.44

OGIO® Metro Ballistic Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$72.00

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 5

Color: Black

$3.91

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: XL

Quantity: 1

Color: Black

$43.22

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: L/XL

Quantity: 1

Color: Midnight Navy

$11.75

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: 2XL

Quantity: 1

Color: Navy

$35.80

GARRISON BELT

Brand: Dutyman

Size: 42

Quantity: 2

Color: Black

$25.48

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 10

Color: Navy

$12.28

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 38

Lenght:

Quantity: 3

Color: Navy

$39.23

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: L/XL

Quantity: 1

Color: Navy

$11.05

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: XL

Quantity: 4

Color: Royal

$28.37

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 05411

store information

Company Information

My account