AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-07-2023
Order Status:	Delivered
Total for Addons:	$24.00
Total Order:	$519.75
Paid Alowance Balance:	$519.75
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	5887
Name:	MICHAEL M.
Last name:	MARTINEZ
Department:	Maintenance
Allowance Balance:	$226.52

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 06661



Received	In Process	Shipped	Delivered

Shipping Address: Change

MICHAEL M. MARTINEZ

1809 Standish St. #18

Floresville, TX 78114

United States

Phone: 2107586818

Product List:

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: 2XL

Quantity: 1

Color: Yellow and Black

Flag Addon: Texas Flag

Patch Addon: Union Patch

$89.44

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.50

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$12.00

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 42

Lenght: 30

Quantity: 5

Color: Navy

$26.44

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$36.90

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: 2XL

Quantity: 1

Color: HI VIS/BLACK

$69.70

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 2XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$14.45

Nautica Bucket Cap

Brand: Nautica

Size: One Size

Quantity: 1

Color: Navy

$33.00

Belt, 1 1/2

Brand: Dutyman

Size: 42

Quantity: 1

Color: Black

$18.38

Belt, 1 1/4

Brand: Dutyman

Size: 42

Quantity: 1

Color: Black

$18.38

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 06661

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Company Information

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