AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	12-01-2023
Order Status:	Delivered
Total for Addons:	$14.00
Total Order:	$851.70
Paid Alowance Balance:	$851.70
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	22086
Name:	SAMUEL V.
Last name:	RODRIGUEZ III
Department:	Bus Operators
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 08359



Received	In Process	Shipped	Delivered

Shipping Address: Change

SAMUEL V. RODRIGUEZ III

1826 Romero

San Antonio, TX 78237

United States

Phone: 2102545371

Product List:

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$22.27

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 4

Color: Royal

Flag Addon: Texas Flag

$29.22

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 2

Color: Navy

$8.50

ESSENTIAL V-NECK ACRYLIC VEST

Brand: Edwards

Size: Large

Quantity: 1

Color: Navy

$29.34

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: Large

Quantity: 1

Color: Yellow and Black

Flag Addon: Texas Flag

$92.12

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

Brand: Sport-Tek

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$36.87

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 40

Lenght:

Quantity: 4

Color: Navy

$48.38

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 40

Lenght: 30

Quantity: 4

Color: Navy

$68.39

ESSENTIAL V-NECK ACRYLIC SWEATER

Brand: Edwards

Size: Large

Quantity: 1

Color: Navy

$30.84

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Large

Quantity: 2

Color: Navy

$12.65

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 08359

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