AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1689
Placed:	11-20-2021
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$314.21
Paid Alowance Balance:	$314.21
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	9199
Name:	JAMES E.
Last name:	BROWN
Department:	Bus Operators
Allowance Balance:	$447.71

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00549



Received	In Process	Shipped	Delivered

Shipping Address: Change

JAMES E. BROWN

6455 De Zavala Rd apt 10421

san Antonio, TX 78249

United States

Phone: 2103033473

Product List:

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 26

Lenght:

Quantity: 1

Color: Navy

$44.09

Mens Softshell Jacket

Brand: Red Kap

Size: 2XL

Quantity: 1

Color: Black

$66.70

Rothco Athletic Crew Socks

Brand: Rothco

Size: 12 - 15

Quantity: 3

Color: Black

$3.91

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Medium

Quantity: 1

Color: Black

$19.59

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$19.59

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Small

Quantity: 1

Color: Black

$19.59

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 13

Quantity: 1

Color: Black

$9.79

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 2XL

Quantity: 1

Color: Black

$21.62

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: One Size

Quantity: 2

Color: Navy

$10.69

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: 3XL

Quantity: 1

Color: Navy

$40.23

BAGedge Tech Backpack

Brand: Bagedge

Size: One Size

Quantity: 1

Color: Black

$39.90

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00549

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