AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	07-20-2023
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$551.25
Paid Alowance Balance:	$551.25
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20093
Name:	MANUEL A.
Last name:	CORDERO
Department:	Maintenance
Allowance Balance:	$36.84

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 06366



Received	In Process	Shipped	Delivered

Shipping Address:

MANUEL A. CORDERO

104 Gatewood Lake

Cibolo, TX 78108

United States

Phone: 2102657282

Product List:

RED KAP INSULATED TWILL COVERALL

Brand: Red Kap

Size: Medium

Quantity: 1

Color: Navy

$65.72

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$9.79

UNDER ARMOUR SS TSHIRT

Brand: Under Armour

Size: Medium

Quantity: 1

Color: Navy

$22.59

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 34

Lenght: 30

Quantity: 5

Color: Navy

$22.22

LINED TEAM JACKET

Brand: Red Kap

Size: Medium

Quantity: 1

Color: Navy

$36.59

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: Medium

Quantity: 1

Color: Navy

$43.22

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Medium

Quantity: 1

Color: HI VIS/BLACK

$69.70

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Medium

Quantity: 1

Color: Navy

$12.28

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: Medium

Quantity: 1

Color: Navy

$28.47

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: Medium

Quantity: 5

Color: Navy

$12.47

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: Medium

Quantity: 1

Color: Yellow and Black

$89.44

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 06366

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Company Information

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