AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U22-1230
Placed:	01-15-2022
Order Status:	Delivered
Total for Addons:	$4.00
Total Order:	$337.12
Paid Alowance Balance:	$337.12
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21155
Name:	AUBRY J.
Last name:	FONTENOT
Department:	Bus Operators
Allowance Balance:	$454.63

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00887



Received	In Process	Shipped	Delivered

Shipping Address: Change

AUBRY J. FONTENOT

846 Celestial View

San Antonio, TX 78260

United States

Phone: 210-7890010

Product List:

Infinity Footwear Mens Fly in Black on Black

Brand: Infinity by Cherokee

Size: 9.5

Quantity: 1

Color: Black

$70.00

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 33

Lenght: 33

Quantity: 1

Color: Navy

$66.40

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: Medium

Quantity: 1

Color: Royal

$29.61

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 33

Lenght: 33

Quantity: 1

Color: Navy

$36.75

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Medium

Quantity: 3

Color: Navy

$11.82

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: One Size

Quantity: 1

Color: Navy

$10.69

Harriton Men Easy Blend™ Long-Sleeve Twill Shirt with Stain-Release

Brand: Harriton

Size: Medium

Quantity: 1

Color: French Blue

$22.11

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Medium

Quantity: 2

Color: Royal

Flag Addon: US Flag

$25.05

New Era® Performance Dash Adjustable Cap

Brand: New Era

Size: Adjustable

Quantity: 1

Color: Navy

$12.00

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00887

store information

Company Information

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