AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1171
Placed:	10-07-2021
Order Status:	Delivered
Total for Addons:	$12.00
Total Order:	$610.31
Paid Alowance Balance:	$610.31
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21478
Name:	JON E.
Last name:	CASTILLO
Department:	Bus Operators
Allowance Balance:	$347.28

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00061



Received	In Process	Shipped	Delivered

Shipping Address: Change

JON E. CASTILLO

12 Breakers Pt.

San Antonio, TX 78238

United States

Phone: 2105441042

Product List:

3-N-1 Jacket

Brand: Horace Small

Size: Medium

Quantity: 1

Color: Midnight

Flag Addon: US Flag

$257.80

GARRISON BELT

Brand: Dutyman

Size: 38

Quantity: 1

Color: Black

$25.48

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Medium

Quantity: 1

Color: Black

$19.59

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: S/M

Quantity: 1

Color: Midnight Navy

$11.75

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Medium

Quantity: 2

Color: Royal

Flag Addon: US Flag

Patch Addon: Union Patch

$25.05

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 9

Quantity: 1

Color: Black

$9.79

Mens New Generation® Stretch 4-Pocket Trouser

Brand: Horace Small

Waist: 34

Lenght: 27

Quantity: 2

Color: Navy

$66.15

Rothco Military Uniform Oxford Leather Shoes

Brand: Rothco

Size: 9.5

Quantity: 1

Color: Black

$58.79

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Medium

Quantity: 1

Color: Black

Flag Addon: US Flag

$21.62

Sport-Tek® Flexfit® Cool & Dry Poly Block Mesh Cap

Brand: Sport-Tek

Size: S/M

Quantity: 1

Color: Navy

$11.09

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00061

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