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Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please Complete All Info on Reverse (Print Clearly)

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Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please Complete All Info on Reverse (Print Clearly) Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please complete all info on reverse (print clearly). TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE NON-TAXABLE ITEMS The Whole Shabang 2 oz. Extreme Cheese Crunchy K H $0.96 / EA 80002292 DRINKS Snacks & Nuts Coffee Corn Nuts 1.4 oz. Chile Picante Con Limon Crunch Corn Snack $1.10 / EA 40713 Keefe 3 oz. 100% Colombian Coffee K H C R S $4.79 / EA 7022 Kar’s 2 oz. All Energy Trail Mix K $1.26 / EA 5866 Maxwell House 4 oz. Select Roast Coffee Pouch K H C R $5.50 / EA 2974 Kellogg’s 2.1 oz. Rice Krispie Treats Blasted with M&M’s $1.50 / EA 80002298 FOOD & SNACKS Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels $1.15 / EA 80003356 Cereal & Cereal Bars K H G S Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.55 / EA 6045 Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $0.70 / EA 7551 Toaster Pastries Moon Lodge 1.75 oz. Salted Peanuts K C G $0.70 / EA 7550 Kellogg’s 3.5 oz. Brown Sugar Cinnamon Pop Tarts (2 Pk.) $0.99 / EA 10742 Snyder’s 2.25 oz. Hot Buffalo Wing Pretzel Pieces K $1.25 / EA 6108 Kellogg’s 3.5 oz. Frosted Blueberry Pop-Tarts (2 Pk.) $0.99 / EA 10741 Snyder’s 2.25 oz. Jalapeno Pretzel Pieces K $1.25 / EA 2299 Kellogg’s 3.5 oz. Frosted Strawberry Pop-Tarts (2 Pk.) $0.99 / EA 10547 The Whole Shabang 1.75 oz. Peanuts K H C $0.75 / EA 80002177 Pastries & Snack Cakes Hostess 2.55 oz. Ding Dongs (2 Pk.) $1.45 / EA 80000345 The Whole Shabang 6 oz. Snack Mix K H C $2.55 / EA 80003008 Hostess 2.7 oz. Chocolate Twinkie Cake (2 Pk.) $1.35 / EA 80003797 Crackers Hostess 2.7 oz. Twinkies (2 Pk.) $1.35 / EA 80000347 Austin 1.38 oz. Cheese on Cheese Sandwich Crackers (8 Pk.) K $3.90 / BX 80000116 Hostess 3.17 oz. Chocolate CupCakes (2 Pk.) $1.30 / EA 80000343 Austin 1.38 oz. Peanut Butter on Cheese Sandwich Crackers $3.90 / BX 80000114 (8 Pk.) K Market Square Bakery 16 oz. Oatmeal Creme Pies (12 Pk.) K $3.20 / BX 6053 Austin 1.45 oz. Peanut Butter & Jelly Crackers (8 Pk.) K $3.90 / BX 80000108 Chips Cheetos 2 oz. Cheese Crunchy C G $1.05 / EA 7689 Cheez-It 1.5 oz. Cheddar Crackers K $0.90 / EA 9590 Doritos 1.75 oz. Cool Ranch Chips $1.08 / EA 80003280 Keebler .49 oz. Original Grahams (2 Ct.) K $0.25 / EA 117 Doritos 1.75 oz. Nacho Cheese Chips $0.82 / EA 10513 Keebler 5.25 oz. Club Crackers $2.95 / EA 80000896 Fritos 2 oz. Chili Cheese Corn Chips $0.85 / EA 10446 Nabisco Ritz 1.38 oz. Sandwich Crackers with Peanut Butter $0.66 / EA 4492 K C Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese Potato Chips $0.90 / EA 80000963 K H Cookies Market Square Bakery 6 oz. Chocolate Chip Cookies K H C $1.10 / EA 6072 Moon Lodge 1.5 oz. Hot!Hot!Hot! Barbeque Chips K H $0.85 / EA 6026 Market Square Bakery 6 oz. Duplex Creme Cookies K H C $1.10 / EA 10058 Moon Lodge 1.5 oz. Sour Cream and Onion Potato Chips K H S $0.85 / EA 6024 Market Square Bakery 6 oz. Orange Pineapple Creme Cookies $1.10 / EA 10056 The Whole Shabang 1.5 oz. Extreme Ripple Potato Chips K H $0.85 / EA 80002293 K H C The Whole Shabang 1.5 oz. Potato Chips K H $0.85 / EA 6025 Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please complete all info on reverse (print clearly). TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE Market Square Bakery 6 oz. Peanut Butter Creme Cookies $1.10 / EA 10055 Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $2.35 / EA 4391 K H C Fresh Catch 3.53 oz. Sardines in Soybean Oil K H G $1.45 / EA 4388 Market Square Bakery 6 oz. Vanilla Creme Cookies K H C $1.10 / EA 10057 Fresh Catch 3.53 oz. Smoked Baby Clams H G $2.65 / EA 4389 Condiments & Spreads Squeez-Ums .15 oz. Mustard (12 Pk.) K H G $1.00 / STR 6513 Fresh Catch 3.53 oz. Smoked Oysters in Cottonseed Oil H G $2.95 / EA 4392 Squeez-Ums .31 oz. Ketchup (12 Pk.) K H G $1.00 / STR 6514 Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G $1.97 / EA 4317 Pickles Ready-To-Eat Meals Van Holten’s 9.6 oz. Dill Pickle K C G S $1.15 / EA 381 Brushy Creek 11.25 oz. Chili No Beans $3.00 / EA 1710 Van Holten’s 9.6 oz. Hot & Spicy Pickle K C G $1.15 / EA 383 Brushy Creek 11.25 oz. Chili with Beans G $3.00 / EA 1711 Van Holten’s 9.6 oz. Zesty Garlic Pickle K H C G S $1.15 / EA 382 Brushy Creek 5 oz. Chicken Vienna Sausage G S $2.40 / EA 80002944 Cheese Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.40 / EA 80002945 Philly 2 oz. Cream Cheese w/Jalapenos $1.10 / EA 10911 Brushy Creek 5 oz. Jerk Pork G S $5.65 / EA 6300 Velveeta 2 oz. Jalapeno Spread G $0.70 / EA 7738 Brushy Creek 6 oz. Spicy Seasoned Beef Crumbles H $5.15 / EA 4917 Velveeta 2 oz. Sharp Cheddar Spread G $0.70 / EA 7739 Brushy Creek 7 oz. Chunk Ham with Natural Juices $5.50 / EA 80002117 Brushy Creek 8 oz. Chicken Chili w/White Beans $3.11 / EA 80001465 Meat Snacks Bridgford 3.5 oz. Chorizos G $4.05 / EA 7906 Hormel 2.5 oz. Spam Single G S $3.00 / EA 80001495 Bridgford 3.5 oz. Sliced Pepperoni G $4.35 / EA 7905 Rice & Beans Sevilla 4.4 oz. HOT Chili Flavor Refried Beans & Rice K H C $1.50 / EA 5940 Brushy Creek 1.625 oz. Hot Summer Sausage G $1.45 / EA 80001716 Ramen Brushy Creek 5 oz. Hot Beef Summer Sausage G S $3.83 / EA 80001721 Maruchan 3 oz. Cajun Chicken Flavor Ramen C $0.58 / EA 18 Brushy Creek 5 oz. Hot Summer Sausage Made with Beef and $3.83 / EA 80001722 Chicken G Maruchan 3 oz. Chili Flavor Ramen C $0.58 / EA 10 Brushy Creek 5 oz. Original Summer Sausage Made with Beef $3.83 / EA 80001720 Maruchan 3 oz. Lime Chili with Shrimp Flavor Ramen C $0.58 / EA 1347 and Chicken G Maruchan 3 oz. Low Sodium Beef Ramen C $0.63 / EA 6645 Brushy Creek 5 oz. Turkey Summer Sausage Honey Brown $3.83 / EA 80001724 Sugar G Maruchan 3 oz. Low Sodium Chicken Flavor Ramen C $0.63 / EA 6644 Seafood Maruchan 3 oz. Low Sodium Chili Flavor Ramen C $0.63 / EA 6646 Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean Oil K H G $1.59 / EA 4385 Maruchan 3 oz. Low Sodium Hot & Spicy Vegetable Flavor $0.63 / EA 80000891 Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce K H G $1.30 / EA 4397 Ramen Fresh Catch 3.53 oz. Mackerel in Sriracha Hot Chili Sauce $1.35 / EA 9703 Maruchan 3 oz. Roast Beef Flavor Ramen C $0.58 / EA 1328 K H G S Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please complete all info on reverse (print clearly). TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE Maruchan 3 oz. Roast Chicken Flavor Ramen C $0.58 / EA 1327 Skin Care Chap-Et .16 oz. Lip Conditioner $1.15 / EA 20517 Pharmaceuticals LIP BALM LIMIT 1 Advil Single Pack (2 tablets) $1.00 / EA 22814 Dial 12 oz. Advanced Therapy Lotion $4.10 / EA 26045 ADVIL LIMIT 21 MOISTURIZER LIMIT 1 Bayer Aspirin Tablets (2 tablets) $1.00 / EA 22962 GoodSense 4 oz. SPF 30 Sunscreen Lotion $4.65 / EA 20841 ASPRIN LIMIT 42 MOISTURIZER LIMIT 1 Halls Cherry Flavored Cough Drops (9 Ct.) $1.30 / EA 20244 Infuzed Island Naturals 15 oz. Body Lotion Cocoa & Shea Butter $2.25 / EA 24968 COUGH DROP LIMIT 4 MOISTURIZER LIMIT 1 Halls Mentholyptus Flavor Cough Drops (9 Ct.) $1.30 / EA 20234 NewDay 13 oz. Bath & Shower Powder $1.90 / EA 22377 COUGH DROP LIMIT 4 BATH & SHOWER POWDER LIMIT 1 Nasal Spray (Saline; moisturizing) $3.00 / EA 21984 Tone 12 oz. Cocoa Butter Lotion $4.80 / EA 26044 NASAL SPRAY LIMIT 2 MOISTURIZER LIMIT 1 Tylenol Extra Strength (2 tablets) $1.00 / EA 22895 Personal Care TYLENOL LIMIT 21 Trim Nail Clipper (no file) $0.35 / EA 20656 TAXABLE ITEMS NAIL CLIPPER LIMIT 1 Candy Deodorant Chewy Lemonhead 4 oz. - Redrific $1.40 / EA 80000871 Power-Up 3 oz. Force Clear Roll On A/P Deodorant $2.49 / EA 26042 DEODORANT LIMIT 2 Sathers 4 oz. Sour Neon Worms $1.40 / EA 80000868 Dental Care Colgate 2.5 oz.
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