AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	03-30-2023
Order Status:	Delivered
Total for Addons:	$14.00
Total Order:	$431.92
Paid Alowance Balance:	$431.92
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	25167
Name:	JUAN E.
Last name:	ORANTES
Department:	Maintenance
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 05541



Received	In Process	Shipped	Delivered

Shipping Address: Change

ORANTES JUAN E.

25375 US HIGHWAY 281 S.

SAN ANTONIO, TX 78264

United States

Phone: 7264371848

Product List:

Enhanced Visibility Shirt

Brand: Red Kap

Size: Large

Quantity: 4

Color: Navy

Flag Addon: Texas Flag

$36.95

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$14.45

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$43.22

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$21.62

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 32

Lenght: 30

Quantity: 4

Color: Navy

$26.44

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 9

Color: Black

$3.91

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: Large

Quantity: 4

Color: Navy

$12.47

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 05541

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