AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	01-10-2024
Order Status:	Delivered
Total for Addons:	$24.00
Total Order:	$505.19
Paid Alowance Balance:	$505.19
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	5945
Name:	BOBBY
Last name:	FERNANDEZ
Department:	Maintenance
Allowance Balance:	$115.62

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 08713



Received	In Process	Shipped	Delivered

Shipping Address: Change

BOBBY FERNANDEZ

430 East AMBER

San Antonio, TX 78221

United States

Phone: 2102642442

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

$92.12

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 2

Color: Navy

$12.36

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 2XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$14.88

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: 2XL

Quantity: 2

Color: Navy

$17.31

Belt, 1 1/2

Brand: Dutyman

Size: 42

Quantity: 2

Color: Black

$18.93

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 2XL

Quantity: 8

Color: Navy

$12.84

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 # 08713

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