AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U22-1233
Placed:	01-16-2022
Order Status:	Delivered
Total for Addons:	$28.00
Total Order:	$578.43
Paid Alowance Balance:	$578.43
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	9359
Name:	DONALD E.
Last name:	SPRINGSTEAD
Department:	Bus Operators
Allowance Balance:	$746.32

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00890



Received	In Process	Shipped	Delivered

Shipping Address: Change

DONALD E. SPRINGSTEAD

10815 Bearwolf Bay

San Antonio, TX 78245

United States

Phone: 2105027907

Product List:

Mens Softshell Jacket

Brand: Red Kap

Size: Large

Quantity: 1

Color: Black

Flag Addon: US Flag

Patch Addon: Union Patch

$66.70

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 3

Color: Royal

Flag Addon: US Flag

Patch Addon: Union Patch

$25.05

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist:

Lenght:

Quantity: 1

Color: Navy

$44.09

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: Large

Quantity: 1

Color: Yellow and Black

Flag Addon: US Flag

Patch Addon: Union Patch

$83.35

Mens New Generation® Stretch 4-Pocket Trouser

Brand: Horace Small

Waist: 36

Lenght: 30

Quantity: 1

Color: Navy

$66.15

New Generation 3 Jacket

Brand: Horace Small

Size: Large

Quantity: 1

Color: Black

Flag Addon: US Flag

Patch Addon: Union Patch

$126.97

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Black

Flag Addon: US Flag

Patch Addon: Union Patch

$21.62

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 36

Lenght: 30

Quantity: 1

Color: Navy

$66.40

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00890

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