AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-10-2023
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$758.12
Paid Alowance Balance:	$758.12
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	7160
Name:	ALFRED E.
Last name:	VAN DE PUTTE
Department:	Maintenance
Allowance Balance:	$205.79

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 07639



Received	In Process	Shipped	Delivered

Shipping Address: Change

ALFRED E. VAN DE PUTTE

1806 Beechaven Dr

San Antonio, TX 78207

United States

Phone: 2105892369

Product List:

Sport-Tek® Sport-Wick® Fleece Full-Zip Hooded Jacket

Brand: Sport-Tek

Size: 2XL

Quantity: 2

Color: Navy

$36.87

OGIO® Metro Ballistic Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$74.16

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 3

Color: Navy

$13.91

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 5

Color: Black

$4.03

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: 2XL

Quantity: 1

Color: HI VIS/BLACK

$71.79

Rothco Rapid Trek Hydration Pack - Black

Brand: Rothco

Size: One Size

Quantity: 1

Color: Black

$114.32

Rothco Midweight Thermal Knit Bottom

Brand: Rothco

Size: 2XL

Quantity: 2

Color: Black

$20.18

Rothco Midweight Thermal Knit Top

Brand: Rothco

Size: 2XL

Quantity: 2

Color: Black

$20.18

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: 3XL

Quantity: 5

Color: Navy

$29.32

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 12

Quantity: 2

Color: Black

$10.08

REDKAP CELL PHONE POCKET PANT

Brand: Red Kap

Waist: 40

Lenght: 30

Quantity: 5

Color: Navy

$22.95

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 07639

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Company Information

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