AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	12-09-2023
Order Status:	Delivered
Total for Addons:	$16.00
Total Order:	$575.81
Paid Alowance Balance:	$575.81
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20678
Name:	JESUS
Last name:	FABIAN III
Department:	Maintenance
Allowance Balance:	$287.04

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 08455



Received	In Process	Shipped	Delivered

Shipping Address: Change

JESUS FABIAN III

8750 Yellow Knife St.

San Antonio, TX 78242

United States

Phone: 2109000944

Product List:

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

Brand: Sport-Tek

Size: 4XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$36.87

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 2

Color: Navy

$13.91

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 44

Lenght: 26

Quantity: 3

Color: Navy

$22.89

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: 5XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$44.52

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 44

Lenght: 26

Quantity: 3

Color: Navy

$27.23

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 4XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$22.27

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 4XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

$14.88

Mens DuraKap® Industrial Pant

Brand: Red Kap

Waist: 44

Lenght: 26

Quantity: 3

Color: Navy

$19.39

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 4XL

Quantity: 10

Color: Navy

$12.84

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 2

Color: Navy

$8.50

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 08455

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