AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	03-24-2023
Order Status:	Delivered
Total for Addons:	$24.00
Total Order:	$1022.80
Paid Alowance Balance:	$1022.80
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21329
Name:	JOSHUA
Last name:	GARZA
Department:	Maintenance
Allowance Balance:	$870.83

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 05482



Received	In Process	Shipped	Delivered

Shipping Address: Change

JOSHUA GARZA

7410 West Payne Rd

Somerset , TX 78069

United States

Phone: 2109822434

Product List:

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: XL

Quantity: 1

Color: Yellow and Black

Flag Addon: Texas Flag

$89.44

Enhanced Visibility Industrial Work Shirt

Brand: Red Kap

Size: XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

$40.20

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 36

Lenght: 29

Quantity: 5

Color: Navy

$22.22

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: XL

Quantity: 1

Color: HI VIS/BLACK

$69.70

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: XL

Quantity: 1

Color: Navy

$35.80

Enhanced Visibility Shirt

Brand: Red Kap

Size: XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

$36.95

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 5

Color: Navy

$12.28

RED KAP HEAVYWEIGHT PARKA

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$103.26

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: XL

Quantity: 5

Color: Navy

$28.47

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 05482

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