Order Form Idaho DOC Winter – Spring Ordering Dates: January 6 – June 30, 2020 Please Complete All Info on Reverse (Print Clearly)

Order Form Idaho DOC Winter – Spring Ordering Dates: January 6 – June 30, 2020 Please complete all info on reverse (print clearly).

TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE DRINKS Breakfast Cactus Annie’s 9.5 oz. Hot! Hot! Hot! Cheese $2.53 / EA 7992 Crunchy K H C Coffee OvaEasy 2 oz. Egg Crystals K H $5.55 / EA 80001639 Folgers 4 oz. 100% Colombian Coffee K H C R $7.18 / EA 10961 Cheetos 8.5 oz. Flamin Hot Limon Crunchy $7.75 / EA 80006329 Toaster Pastries Tea Kellogg’s 14.1 oz Frosted Strawberry Milkshake Pop $4.95 / EA 80006980 Cheetos 8 oz. Flamin Hot Cheese Puffs $7.55 / EA 80006331 Tarts (8 Pk.) Bigelow 1.1 oz. Variety Pack Assorted Teas (18 Ct.) $5.72 / BX 428 K H G Domingo’s 3.5 oz Chile Lime Cracklins $5.26 / EA 80006968 Pastries & Snack Cakes Bigelow 1.73 oz. Spiced Chai Black Tea (1 Pk.) $0.33 / EA 80000680 Cloverhill 4.25 oz. Apple Danish $1.08 / EA 80006847 Domingo’s 3.5 oz Habanero Pork Cracklins $5.26 / EA 80006970

Lipton 1.1 oz. Green Tea Lemon Ginseng (20 Ct.) K $5.82 / BX 6627 Cloverhill 4.25 oz. Strawberry Cheese Danish $1.08 / EA 80006850 Doritos 8 oz. Cool Ranch Chips C $5.17 / EA 10354

Creamer Cloverhill 4.75 oz. Jumbo Chocolate Iced Honey $1.08 / EA 6540 Doritos 8 oz. Nacho Cheese Chips C $3.95 / EA 10514 Bun K C Nestle Coffee-Mate 15 oz. Creamer - Hazelnut K $6.96 / EA 7083 El Sabroso 3.5 oz. Taco-Litos Spicy Chili n Lime $1.89 / EA 80003511 Dolly Madison 2.7 oz. Golden Creme Cakes (2 Pk.) $1.72 / EA 80006321 Rolled Tortilla Chips Nestle Coffee-Mate 15 oz. Creamer - Vanilla $6.96 / EA 10132 Caramel K Duchess 4 oz. Cinnamon Roll $1.08 / EA 80005739 El Sabroso 3 oz. Guacamole Flavored Tortilla Chips $1.84 / EA 7089 Drink Mixes Golden Valley 4 oz. Cinnamon Raisin Bagel K H C $0.85 / EA 80000496 El Sabroso 4 oz. Blazin’ Hot Cheese Crunchies $1.73 / EA 2295 A&W 0.53 oz. Root Beer Sugar Free Drink Mix $2.26 / BX 80002917 (6 Pk.) Golden Valley 4 oz. Plain Bagel K H C $0.71 / EA 80000495 Hawaiian 7.5 oz. Sweet Maui Onion Potato Chips $5.67 / EA 80006318 Crush 0.59 oz. SF Cherry Limeade Drink Mix (6 Pk.) $2.26 / BX 80002921 Hostess 16 oz. Glazed Blueberry Jumbo Donettes $7.66 / EA 80006876 Kellogg’s 0.78 oz. Birthday Cake Rice Krispies Treats $0.35 / EA 80006361 Jolly Rancher 0.57 oz. SF Singles To Go Cherry $2.00 / BX 80000723 (6 Pk.) Hostess 16 oz. Glazed Strawberry Jumbo Donettes $7.66 / EA 80006877 Lay’s 5.5 oz. Sour Cream & Onion Potato Chips K $3.07 / EA 80000895

Welch’s 0.45 oz. Grape Drink Mix (6 Pk.) $2.26 / BX 80002919 Hostess 3.82 oz. Strawberry Zingers Snack Cakes $1.55 / EA 80006954 Lay’s 5.75 oz. Stax Original Potato Chips K $3.23 / EA 80003577

Welch’s 0.46 oz. Cherry Pomegranate Drink Mix $2.26 / BX 80002918 Hostess 4.5 oz. Apple Fruit Pie $1.52 / EA 80005968 M&M’s 7.7 oz. Milk Chocolate Sweet and Salty $7.89 / EA 80006291 (6 Pk.) Snack Mix Hostess 8 oz. Blueberry Mini Muffins (5 Pk.) $4.84 / EA 80006512 Welch’s 0.55 oz. Strawberry Peach Drink Mix (6 Pk.) $2.26 / BX 80002920 M&M’s 7.7 oz. Peanut Sweet & Salty Snack MIx $7.89 / EA 80006290 Hostess 9.5 oz. Cinnamon Sugar Crunch Donettes $4.51 / EA 80005962 FOOD & SNACKS Mac’s 3 oz. Salt & Pepper Pork Skins $4.35 / EA 80007270 Cereal & Oatmeal Krispy Kreme 5 oz. Jumbo Glazed Honey Bun K $2.43 / EA 80005877 Moon Lodge 6 oz. Barbeque Potato Chips K H V $2.70 / EA 5112 Chips Ahoy! 12 oz. Original Cereal $9.53 / EA 80006509 Marinela 3.53 oz. Gansito Strawberry Snack Cakes $2.32 / EA 6437 (2 Pk.) Moon Lodge 6 oz. Stuffed Jalapeno Potato Chips $2.70 / EA 5110 Golden Valley 20 oz. Frosted Shredded Wheat $4.84 / EA 10363 K H Cereal R Market Square Bakery 4 oz. Cream Cheese Pound $1.24 / EA 6538 Cakes (2 Pk.) K C Ruffles 6.5 oz. Queso Cheese Potato Chips $6.96 / EA 80007286 Golden Valley 20 oz. Chocolate Frosted Flakes $4.31 / EA 80002971 Cereal K R Market Square Bakery 3 oz. Powdered Lemon $1.02 / EA 80007325 Snyder’s 2.25 oz. Hot Buffalo Wing Pretzel Pieces K $1.24 / EA 6108 Donuts Malt-O-Meal 12.5 oz. Apple Zings Cereal R $4.71 / EA 10564 Snyder’s 2.25 oz. Jalapeno Pretzel Pieces K $1.24 / EA 2299 Mrs. Freshley’s 3.5 oz. Carrot Cake K C $1.94 / EA 7218 Malt-O-Meal 12 oz. Marshmallow Mateys Cereal $2.96 / EA 10561 K R Taco Bell 3.5 oz. Diablo Chips $3.75 / EA 80007728 Chips & Snacks Quaker 1.3 oz. Instant Oatmeal Fruit & Cream (1 Pk.) $0.76 / EA 80000856 Bugles 3 oz. Churros Cinnamon & Sugar Corn $3.63 / EA 80006953 Takis 4 oz. Fuego $2.70 / EA 80004780 Snacks TGI Fridays 1 oz. Cheddar and Bacon Potato Skins $0.92 / EA 80003515 Cactus Annie’s 10 oz. Cheese Puffs K H C G $2.96 / EA 931 Snacks K

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TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE TGI Fridays 1 oz. Cheddar and Sour Cream Potato $0.92 / EA 80003514 Keebler 8.5 oz. Coconut Dreams K $6.51 / EA 80000240 Gilman 3.5 oz. Shredded Cheddar Cheese $2.53 / EA 80007372 Skins Snacks K Keebler 8.63 oz. Whoopsy! Fudge Stripes Cookies $4.16 / EA 80006289 Gilman 3.5 oz. Shredded Cheese Mozzarella $2.53 / EA 80007371 The Whole Shabang 2 oz. Pork Rinds $1.72 / EA 80003053 Market Square Bakery 6 oz. Orange Pineapple $0.97 / EA 10056 Velveeta 4 oz. Nacho Cheese Dip w/Jalapenos $1.62 / EA 9398 The Whole Shabang 6 oz. Snack Mix K H C $2.21 / EA 80003008 Creme Cookies K H C Snack Spread Tub C R G

Tim’s 7.5 oz. Jalapeno Potato Chips $5.67 / EA 80006315 Market Square Bakery 6 oz. Peanut Butter Creme $0.97 / EA 10055 Velveeta 8 oz. Sharp Cheddar Cheese Snack Spread $2.70 / EA 9396 Cookies K H C Tub C R G Tostitos 12 oz. Cantina Traditional Tortilla Chips K $6.35 / EA 80002584 Mother’s 11 oz. Original Iced Circus Animal Cookies $6.26 / EA 80006442 Meat Snacks K Popcorn Bridgford 3.5 oz. Sliced Pepperoni $4.79 / EA 7905 Moon Lodge 5 oz. Jalapeno Cheddar Popcorn $2.95 / EA 80006283 Mrs. Fields 2.1 oz. Chocolate Chip Cookies $1.91 / EA 6027 Double Barrel 1.125 oz. Spicy Meat & Jalapeno $2.21 / EA 80001205 Cheese Moon Lodge 5 oz. White Cheddar Popcorn $2.70 / EA 80006271 Mrs. Fields 2.1 oz. White Chunk Macadamia Cookies $1.91 / EA 6028 Jack Link’s 0.9 oz. Original Beef Steak Strip $3.45 / EA 80006504 Nuts Nabisco 13 oz. Chips Ahoy! Chewy Chocolate Chip $6.35 / EA 4488 Cookies K Kings Nut 2.5 oz. Honey Roasted Peanuts K H $1.08 / EA 80003351 Jack Link’s 2.85 oz. Extra Tender Peppered Sea- $10.00 / EA 80006323 soned & Smoked Beef Steak Strips Candy Kings Nut 7 oz. Salted Peanuts K H $1.94 / EA 80003376 Milky Way 10.65 oz. Fun Size Candy Bars K $6.56 / EA 80003273 Jack Link’s 2.85 oz. Extra Tender Teriyaki Seasoned $10.00 / EA 80006324 & Smoked Beef Steak Strips The Whole Shabang 1.75 oz. Peanuts K H C $0.86 / EA 80002177 Old Fashion Mix 9 oz. Hard Candy C $2.10 / EA 733 Tapatio 3 oz. Original Beef Jerky $10.75 / EA 80007729 Zachary 5 oz. Double Dipped Chocolate Peanuts $2.10 / EA 3975 Sathers 4 oz. Sour Neon Night Crawlers Candy $1.58 / EA 80005556 Tapatio 3 oz. Spicy Teriyaki Beef Jerky $10.75 / EA 80007730 Crackers Sauces Keebler 5.25 oz. Original Club Crackers K $2.10 / EA 80000896 Seafood La Victoria 15 oz. Mild Green Taco Sauce $7.27 / EA 80006994 Chicken of the Sea 2.5 oz. Pink Salmon in Lemon $2.91 / EA 80003005 Cookies Pepper K Spreads Chewy Chips Ahoy! 9.5 oz. Brownie Filled Cookies K $8.22 / EA 80005852 Nutella 13 oz. Hazelnut Spread with Skim Milk and $8.51 / EA 6546 Chicken of the Sea 2.5 oz. White Albacore Tuna K $3.29 / EA 10356 Cocoa K Chips Ahoy! 11.75 oz. White Fudge Chunky Cookies $8.22 / EA 80006433 Chicken of the Sea 3 oz. Smoked Salmon K $4.68 / EA 10340 Spices & Seasonings Classic Cookie 3 oz. Soft Baked Chocolate Chip $2.10 / EA 80006956 Cookie with Hershey’s Mini Kisses Desert Gardens 3.5 oz. Chipotle Seasoning $5.49 / EA 80003509 Fresh Catch 3.53 oz. Mackerel Flakes in Chili Oil $1.84 / EA 80000211 with Jalapenos H Classic Cookie 3 oz. Soft Baked Cinnabon Cookies $2.10 / EA 80006958 Lawry’s 1.5 oz Burrito Spices & Seasonings Mix $2.63 / EA 80006998 with Cinnabon Cinnamon & Cream Cheese Chips Starkist 2.6 oz. Mexican Style Tuna $3.50 / EA 80001636 Lawry’s 1.62 oz Enchilada Sauce Spices & Sea- $2.63 / EA 80007144 Classic Cookie 3 oz. Soft Baked Peanut Butter $2.10 / EA 80006960 sonings Mix StarKist 2.6 oz. Salmon Creations Mango Chipotle $5.80 / EA 80007291 Cookie with Reese’s Peanut Butter Chips Pouch Sevilla 1.5 oz. Sazon con Culantro Y Achiote K H C $1.13 / EA 6034 Grandma’s 2.5 oz. Chocolate Chip Cookies $0.78 / EA 80001046 Starkist 2.6 oz. Tuna Creations Bold Hot Buffalo $4.06 / EA 80005893 Style Cheese Grandma’s 2.5 oz. Oatmeal Raisin Cookies $0.78 / EA 2616 City Cow 4 oz. Hot Pepper Cheese Stick C G S $2.32 / EA 178 StarKist 2.6 oz. Tuna Creations Sweet & Spicy $4.43 / EA 80000916 Keebler 11.5 oz. Whoopsy! Cookies & Creme Fudge $5.21 / EA 80006797 Stripes Cookies City Cow 4 oz. Mozzarella Cheese Stick C G $2.32 / EA 5645 Ready-To-Eat Meals Brushy Creek 11.25 oz. Beef in Barbecue Sauce $5.60 / EA 1722 Keebler 11.5 oz. Fudge Stripes Cookies K $4.04 / EA 229 City Cow 4 oz. Provolone Cheese Stick C G $2.32 / EA 2131 Brushy Creek 5 oz. Pulled Chicken in Buffalo Style $4.63 / EA 6476 Keebler 12.5 oz. Deluxe Grahams Cookies K $3.89 / EA 80003283 City Cow 4 oz. Sharp Cheddar Cheese Stick K C G $2.32 / EA 175 Sauce G

Total Total Total

TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE ITEM DESCRIPTION PRICE ITEM # QTY PRICE Brushy Creek 7 oz. Chunk Ham with Natural Juices $4.63 / EA 80002117 HEALTH & BEAUTY Black Radiance Perfect Tone Lip Gloss - Cashmere $3.98 / EA 80004711 Shampoo Brushy Creek 8 oz. Southwestern Style Black Beans $3.77 / EA 80000266 Black Radiance Perfect Tone Lip Gloss - Coco $3.98 / EA 80004710 and Beef Neutrogena 4.4 oz. T-Gel Shampoo $12.22 / EA 22362 Black Radiance Retractable Eyeliner - Beautiful $3.98 / EA 80004701 Hormel 9 oz. Compleats Salisbury Steak $5.87 / EA 80002999 Body Wash Black Softsoap 15 oz. Macadamia & Peony Luminous Oils $8.29 / EA 80003066 Pace 9 oz. Santa Fe Style Steak with Black Beans $5.65 / EA 80003089 Body Wash Black Radiance Retractable Eyeliner - Sparkling $4.21 / EA 80004702 & Rice Black Suave 15 oz. Essentials Cocoa Butter & Shea Body $5.22 / EA 80003070 Rip N Ready 6 oz. Shredded Beef Brisket w/Broth & $6.41 / EA 80004163 Wash Cover Girl .7 oz. Professional Translucent Loose $10.15 / EA 24602 Smoke Flavoring Face Powder - Honey Suave 15 oz. Essentials Wild Cherry Blossom Body $5.22 / EA 80003071 Rip N Ready 6 oz. Shredded Beef Brisket with BBQ $6.41 / EA 80004162 Wash Cover Girl .7 oz. Professional Translucent Loose $7.43 / EA 24601 Sauce Face Powder - Light Zest 16.5 oz Indulgence Cocoa Butter & Shea Body $7.25 / EA 80007751 Taco Bell 13.86 oz. Cheesy Double Decker Taco $6.41 / EA 80004674 Wash Cover Girl Cheekers Blush - Iced Cappuccino $8.15 / EA 80004729 Dinner Soap Cover Girl Eye Shadow - Shimmering Sands $6.30 / EA 22173 Vegetables Ambi 3.5 oz. Cocoa Butter Soap (1 bar) $3.35 / EA 80000594 Idahoan 4 oz. Applewood Smoked Bacon Mashed $3.29 / EA 80001605 Cover Girl Eyeshadow - Urban Basics $9.02 / EA 80004719 Potatoes Dial 4 oz Mountain Fresh Soap (1 bar) $1.85 / EA 80006857 Cover Girl Professional Mascara - Very Black $9.53 / EA 80001175 Beans Old Spice 5 oz. Timber Fresher Collection Bar Soap $1.65 / EA 80004757 Velveeta 4 oz. Cheesy Refried Beans K H C $1.79 / EA 4939 (1 bar) Cover Girl Smoothers Hydrating Makeup - Classic $15.44 / EA 24155 Ivory Ramen Lotion Cover Girl Smoothers Hydrating Makeup - Creamy $15.44 / EA 24066 Tapatio 3.7 oz. Beef Ramen Noodle Soup $2.49 / EA 80006841 Balm Barr 8 oz. Cocoa Butter Lotion $4.33 / EA 80001667 Natural

Tapatio 3.7 oz. Chicken Ramen Noodle Soup $2.49 / EA 80006842 Dial 12 oz. Advanced Therapy Hand & Body Lotion $5.27 / EA 26045 Cover Girl Smoothers Hydrating Makeup - Natural $15.44 / EA 24157 Beige Tapatio 3.7 oz. Shrimp Ramen Noodle Soup $2.49 / EA 80006843 Vaseline 10 oz. Total Moisture Lotion $7.69 / EA 21876 Cover Girl Smoothers Hydrating Makeup - Warm $15.44 / EA 24065 Beige Noodles Deodorant Maruchan 3.37 oz. Taste of Asia Hearty Pork Flavor $1.89 / EA 80004646 Secret 2.6 oz. Scent Expressions Cocoa Butter $6.46 / EA 80003489 Wet n Wild Mega Protein Mascara - Very Black $3.85 / EA 26178 Tonkotsu Ramen Bowl Clear Gel Deodorant Wet n Wild Megaslicks - Crystal Clear $3.25 / EA 80002868 Maruchan 3.38 oz. Taste of Asia Miso Chicken $1.89 / EA 80004645 Speed Stick Irish Spring 2.7 oz. Deodorant $4.74 / EA 80006472 Flavor Spicy Miso Ramen Bowl Wet n Wild Megaslicks Lip Gloss - Sweet Glaze $3.25 / EA 80002878 Dental Care Maruchan 3.66 oz. Taste of Asia Beef Flavor Sukiya- $1.89 / EA 80004644 ki Ramen Bowl Aquafresh 5.6 oz. Extreme Clean Pure Breath $6.80 / EA 26060 Toothpaste Maruchan 3.97 oz. Yakisoba Spicy Teriyaki Beef $2.15 / EA 80003012 Flavor Colgate 6 oz. Peroxide Whitening Baking Soda $4.92 / EA 80002784 Toothpaste Maruchan 3.98 oz. Yakisoba Teriyaki Chicken Flavor $2.15 / EA 80003013 Cosmetics Prego 9 oz. Creamy Three Cheese Alfredo Rotini $5.65 / EA 80003002 Black Radiance Artisan Color Baked Blush - $6.45 / EA 80004708 Raspberry Protein Bars Black Radiance Artisan Color Baked Blush - Toasted $6.45 / EA 80004709 Promax 2.64 oz. Double Fudge Brownie Energy $2.42 / EA 26294 Almond Bar K Black Radiance Artisan Color Baked Blush - Warm $6.45 / EA 80004707 Berry

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K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Idaho DOC Winter – Spring Ordering Dates: January 6 – June 30, 2020 Please complete all info (print clearly). PROGRAM DATES: LIMITS: Maximum $160 of product per inmate. Multiple We cannot send orders from one inmate to another. SHIP TO: Ordering Begins: January 6, 2020 packages can be ordered, and we will consolidate orders not to Ordering Ends: June 30, 2020 exceed the maximum $160 of product per program. Inmate’s Name ID# Postmark date for mail orders: June 23, 2020 Delivery to facility: Facilities will receive weekly shipments CATALOG CHANGES: Every effort has been made to show Institution/Dorm/Housing# and describe the merchandise as accurately as possible. Because WAYS TO ORDER: many manufacturers change an item’s design, color, package size Online: idahopackages.com and style after our catalog is produced, we reserve the right to Phone: 1-800-546-6283 discontinue or change product specifications without prior notice. Street Address Mail: Access Securepak (ID) We regret any changes that might occur and will make every effort

City State Zip P.O. Box 50028 to minimize these occurrences. Inadvertent errors in product Sparks, NV 89435 descriptions, pricing and special offers are not binding on Access SENDER: REQUIRED for order fulfillment. Securepak, and we may make adjustments at any time. Additionally, ACCEPTABLE FORMS OF PAYMENT: many of our food items may contain common allergens such as • Credit/Debit Cards—VISA, MasterCard, Discover milk, eggs, wheat and peanuts. Before consuming a food item, Sender’s Name • Prepaid cards that have a verifiable United States address please consult the product packaging for specific information on its • Cashier’s check ingredients. Prices and offers are subject to change and available Street Address • Money order while supplies last. Always consult the idahopackages.com website

City State Zip We do not accept personal checks and will return them to the for the latest updates on this package program. sender. Credit/debit and prepaid cards will be charged on the day Phone Number the order is placed. Refunds or credits will be applied to the card In the event of a back order, may we substitute like items of equal or used for the order (allow additional time for refunds/credits on greater value? Note: unless you choose “NO,” we may substitute for Email (You will receive confirmation emails when the order is placed and shipped.) prepaid cards). Access Securepak reserves the right to remove one out-of-stock or restricted items. or more items from the order due to insufficient payment. _YES _NO CALCULATE AMOUNT DUE: Merchandise Sales Tax TOTALS SALES TAX: Access Securepak® is required by the state of CUSTOMER SERVICE: Merchandise: x 1.06 = Idaho to collect 6% sales tax on products. idahopackages.com Processing Fee: $6.95 = $6.95 Automated system is available 24 hours a day, seven days a week TOTAL AMOUNT DUE: Tax calculation example: 1-800-546-6283 63.52 merchandise total x .06 tax rate= $3.81 tax total Live bilingual representatives are available Monday through Friday, $63.52 merchandise total + $3.81 tax total + $6.95 processing fee = 6:30 a.m.–10:00 p.m. MST, and Saturday, 9 a.m.–3 p.m. MST. SELECT PAYMENT METHOD: $74.28 total due ¨ Cashier’s Check ¨ Money Order Make check or money order payable to ACCESS SECUREPAK ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable. ¨ VISA ¨ MasterCard ¨ Discover

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