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

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. Great Flavor Anticavity Toothpaste $2.00 / EA 80002776 Sour Patch 3 oz. Gummi Watermelon Candy C $1.62 / EA 80002126 TOOTHPASTE LIMIT 2 Colgate 2.5 oz. Tarter Control Whitening Toothpaste $2.00 / EA 80002903 TOOTHPASTE LIMIT 2

HEALTH & BEAUTY Oraline 4 in. Security Flex Crossover Toothbrush $0.60 / EA 80000305 TOOTHBRUSH LIMIT 1 Body Wash & Soap Percara 8 oz. Oral Health Rinse $1.20 / EA 80001537 Dial 3.5 oz. Soap (1 Bar) $1.05 / EA 20920 MOUTHWASH LIMIT 1 SOAP LIMIT 2 White Toothbrush Cap (*toothbrush not included) $0.25 / EA 21822 Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash $2.50 / EA 24942 SOAP LIMIT 2 CLOTHING Next 1 - 5 oz. Anti-bacterial Sport Soap (1 Bar) C $0.85 / EA 22098 SOAP LIMIT 2 Sweats

Next 1 - 5 oz. Cocoa Butter Soap (1 Bar) C $0.77 / EA 22096 Gildan Sweatshirt - Gray Small, Medium, Large, XL $10.00 / EA 50600-02 ______SOAP LIMIT 2 SWEATSHIRT LIMIT 2

Next 1 - 5 oz. Moisturizing Soap (1 Bar) C $0.93 / EA 22097 Gildan Sweatshirt - Gray 2XL, 3XL $12.00 / EA 50600-02 ______SOAP LIMIT 2 SWEATSHIRT LIMIT 2

Hair Care Russell Sweatshirt - Gray Small, Medium, Large, XL $13.20 / EA 50726-02 ______SWEATSHIRT LIMIT 2 Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.15 / EA 24939 CONDITIONER LIMIT 2 Russell Sweatshirt - Gray 2XL, 3XL, 4XL $15.60 / EA 50726-02 ______SWEATSHIRT LIMIT 2 Military Style Brush $1.85 / EA 80001297 HAIRBRUSH LIMIT 1 Men’s T-Shirts Softee 13.5 oz. 3 in 1 Conditioning Shampoo $5.20 / EA 24716 Andrew Scott Select Crewneck T-Shirt - White (3 Pk.) Small, $12.50 / PK 53185-01 CONDITIONER LIMIT 2 Medium, Large, XL ______T-SHIRT LIMIT 4 Suave 12 oz. Daily Clarifying Shampoo $2.25 / EA 26136 SHAMPOO LIMIT 2 Andrew Scott Select Crewneck T-Shirt - White (3 Pk.) 2XL $13.50 / PK 53185-01 ______T-SHIRT LIMIT 4 Suave 12 oz. Juicy Green Apple Shampoo $2.25 / EA 26138 SHAMPOO LIMIT 2 Andrew Scott Select Crewneck T-Shirt - White (3 Pk.) 3XL $14.50 / PK 53185-01 ______T-SHIRT LIMIT 4

Total Total

TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE

Hanes Tagless Crew Neck T-Shirt - White (3 Pk.) Small, $10.95 / PK 51798-01 Badger 11” Inseam Mesh Shorts - Navy 4XL $25.00 / EA 51892-09 ______Medium, Large, XL ______SHORTS LIMIT 2 T-SHIRT LIMIT 4 Russell 9” Nylon Tricott Mesh Shorts - Navy Small, Medium, $17.50 / EA 51809-09 Pro Club Heavyweight Crew T-Shirt - White Small, Medium, $5.95 / EA 53136-01 Large, XL ______Large, XL ______SHORTS LIMIT 2 T-SHIRT LIMIT 4 Russell 9” Nylon Tricott Mesh Shorts - Navy 2XL, 3XL $20.00 / EA 51809-09 ______Pro Club Heavyweight Crew T-Shirt - White 2XL, 3XL $8.25 / EA 53136-01 ______SHORTS LIMIT 2 T-SHIRT LIMIT 4 Russell 9” Nylon Tricott Mesh Shorts - Navy 4XL, 5XL, 6XL $25.00 / EA 51809-09 ______Pro Club Heavyweight Crew T-Shirt - White 4XL, 5XL $10.50 / EA 53136-01 ______SHORTS LIMIT 2 T-SHIRT LIMIT 4 Men’s Underwear Pro Club Heavyweight Crew T-Shirt - White 7XL $12.85 / EA 53136-01 ______T-SHIRT LIMIT 4 Andrew Scott Men’s Boxers - White (1 Pk.) Small, Medium, $3.00 / EA 51602-01 Large, XL ______Pro Club Short Sleeve Crewneck T-Shirt - White Small, Medium, $4.20 / EA 53103-01 UNDERSHORTS LIMIT 4 Large, XL ______T-SHIRT LIMIT 4 Andrew Scott Men’s Boxers - White (1 Pk.) 2XL, 3XL, 4XL, 5XL, $5.25 / EA 51602-01 6XL ______Pro Club Short Sleeve Crewneck T-Shirt - White 2XL, 3XL $6.15 / EA 53103-01 ______UNDERSHORTS LIMIT 4 T-SHIRT LIMIT 4 Women’s Underwear Pro Club Short Sleeve Crewneck T-Shirt - White 4XL, 5XL $8.15 / EA 53103-01 ______T-SHIRT LIMIT 4 Fruit of the Loom Hi-Cut Briefs - White (3 Pk.) 5, 6, 7, 8, 9, 10 $8.50 / PK 50643-01 ______PANTIES LIMIT 7 Pro Club Short Sleeve Crewneck T-Shirt - White 7XL $9.15 / EA 53103-01 ______T-SHIRT LIMIT 4 Hanes Her Way Cotton Briefs - White (3 Pk.) 6, 7, 8, 9, 10 $7.40 / PK 50691-01 ______PANTIES LIMIT 7 Women’s T-Shirts Hanes Her Way Cotton Briefs - White (3 Pk.) 11, 12 $7.99 / PK 50691-01 ______Fruit of the Loom T-Shirt - Gray Small, Medium, Large, XL $4.50 / EA 50914-02 ______PANTIES LIMIT 7 T-SHIRT LIMIT 4 Women’s Bras Fruit of the Loom T-Shirt - Gray 2XL $6.38 / EA 50914-02 ______T-SHIRT LIMIT 4 Bestform Bra - White 36 C, 38 B, 38 C, 38 D, 40 B, 40 D, 42 $12.00 / EA 51313-01 B, 44 C ______Fruit of the Loom T-Shirt - Gray 3XL $7.01 / EA 50914-02 ______BRA LIMIT 4 T-SHIRT LIMIT 4 Champion Sports Bra (White) Small, Medium, Large, XL $20.00 / EA 81382-01 ______Pro Club Heavyweight Gray T-Shirt - Gray Large, XL $5.95 / EA 53136-02 ______ATHLETIC BRA LIMIT 1 T-SHIRT LIMIT 4 Mighty Hugs Ladies Bra (White) 32B, 32C, 34B, 34C, 34D, 36B, $7.47 / EA 50447-01 Pro Club Heavyweight Gray T-Shirt - Gray 2XL, 3XL $8.25 / EA 53136-02 ______36C, 36D, 38B, 38C, 38D, 40B, 40C, 40D, 42A, 42B, 42C, 42D, T-SHIRT LIMIT 4 44B, 44C, 44D, 46B, 46C, 46D, 48B, 48C, 48D ______BRA LIMIT 4 Pro Club Heavyweight Gray T-Shirt - Gray 4XL, 5XL $10.50 / EA 53136-02 ______T-SHIRT LIMIT 4 Men’s Thermals

Pro Club Heavyweight Gray T-Shirt - Gray 7XL $12.85 / EA 53136-02 ______Indera Mills Thermal Ankle-Length Drawers - Natural Small, $6.30 / EA 50544-99 T-SHIRT LIMIT 4 Medium, Large, XL ______THERMALS LIMIT 2 Pro Club Short Sleeve Crewneck T-Shirt - Gray Small, Medium, $4.20 / EA 53103-02 Large, XL ______Indera Mills Thermal Ankle-Length Drawers - Natural 2XL, 3XL, $9.00 / EA 50544-99 T-SHIRT LIMIT 4 4XL, 5XL, 6XL ______THERMALS LIMIT 2 Pro Club Short Sleeve Crewneck T-Shirt - Gray 2XL, 3XL $6.15 / EA 53103-02 ______T-SHIRT LIMIT 4 Indera Mills Thermal Long Sleeve Shirt - Natural Small, $6.30 / EA 50543-99 Medium, Large, XL ______Pro Club Short Sleeve Crewneck T-Shirt - Gray 4XL, 5XL $8.15 / EA 53103-02 ______THERMALS LIMIT 2 T-SHIRT LIMIT 4 Indera Mills Thermal Long Sleeve Shirt - Natural 2XL, 3XL, 4XL, $9.00 / EA 50543-99 Russell Basic T-shirt - Gray Small, Medium, Large, X-Large, $5.99 / EA 51669-03 5XL, 6XL ______2XL, 3XL, 4XL ______THERMALS LIMIT 2 T-SHIRT LIMIT 4 Women’s Thermals Shorts Indera Mills Women’s Thermal Drawers - White Small, Medium, $6.00 / EA 50607-01 Badger 11” Inseam Mesh Shorts - Navy Small, Medium, Large, $17.50 / EA 51892-09 Large, XL ______XL ______THERMALS LIMIT 2 SHORTS LIMIT 2 Indera Mills Women’s Thermal Drawers - White 2XL $6.50 / EA 50607-01 ______Badger 11” Inseam Mesh Shorts - Navy 2XL, 3XL $20.00 / EA 51892-09 ______THERMALS LIMIT 2 SHORTS LIMIT 2

Total Total

TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE ITEM DESCRIPTION PRICE ITEM # Size QTY PRICE Indera Mills Women’s Thermal Long Sleeve Shirt - White Small, $6.00 / EA 50608-01 Wayferer Sunglasses $6.00 / EA 5083301099 Medium, Large, XL ______SUNGLASSES LIMIT 1 THERMALS LIMIT 2 Stationery Indera Mills Women’s Thermal Long Sleeve Shirt - White 2XL $6.50 / EA 50608-01 ______THERMALS LIMIT 2 Bic Round Stick (Black) $0.20 / EA 20223 Socks PEN LIMIT 4 No-Show Socks - White - (1 Pair) $1.35 / EA 5048901001 Bic Round Stick (Blue) $0.20 / EA 20222 SOCKS LIMIT 6 PEN LIMIT 4 Soft Touch Deluxe Crew Socks (1 Pair) $1.15 / EA 5089001001 Photo Album 20 Pages (10 Sheets) $2.50 / EA 21638 SOCKS LIMIT 6 PHOTO ALBUM LIMIT 1 Tube Socks - White (1 Pair) $1.35 / EA 5088801001 Wireless Notebook 10.5” X 8” (80 Ct.) $2.25 / EA 20692 SOCKS LIMIT 6 PAPER LIMIT 2 SHOES Games Men’s Shoes Aviator - US Playing Cards $2.50 / EA 20211 PLAYING CARDS LIMIT 2 New Balance MX608V4W Cross Training Shoes 7, 7 4E, 7.5, 7.5 $68.00 / EA 80449-01 4E, 8, 8 4E, 8.5, 8.5 4E, 9, 9 4E, 9.5, 9.5 4E, 10, 10 4E, 10.5, Aviator Pinochle US Playing Cards $2.50 / EA 20215 10.5 4E, 11, 11 4E, 11.5, 11.5 4E, 12, 12 4E, 12.5, 12.5 4E, 13, ______PLAYING CARDS LIMIT 2 13 4E, 14, 14 4E, 15, 15 4E, 16, 16 4E SHOES LIMIT 1 Miscellaneous New Balance MX608V4W Cross Training Shoes 17, 17 4E, 18, $70.00 / EA 80449-01 Cereal Bowl w/Lid 24 oz. $1.00 / EA 20580 18 4E ______BOWL LIMIT 1 SHOES LIMIT 1 Charmin Toilet Paper Single Roll $1.05 / EA 21806 Reebok Classic Leather Running Shoes 6.5, 7, 7.5, 8, 8.5, 9, $68.00 / EA 50404-01 TOILET PAPER LIMIT 1 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15 ______SHOES LIMIT 1 Sharkeyes Reading Glasses 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, $4.95 / EA 80008-99 2.75, 3, 3.25 ______Boots EYEGLASSES LIMIT 2 Leather Boot (Black) 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, $42.65 / EA 52727-04 Single Handkerchief 16” x 16” $1.00 / EA 20758 10, 10.5, 11, 11.5, 12, 12.5, 13, 13.5, 14, 15, 16, 17, 18, 19 ______HANDKERCHIEF LIMIT 4 BOOTS LIMIT 1

Sandals Cross Strap Sandals Small- #22602, Medium- #22603, Large- $1.75 / EA 22602-01 #22604, XL- #22615, 2XL- #24356 ______SHOWER SLIDES LIMIT 1 ELECTRONICS Earbuds & Headphones GPX Clear Earbuds C $2.00 / EA 5195501099 EARBUD LIMIT 1 JVC Gumy Plus White Earbuds $15.80 / EA 8034801001 EARBUD LIMIT 1 Koss CL-2 Clear Headphones C $8.00 / EA 5128101099 HEADPHONES LIMIT 1 Koss KE5K- 4 Earbuds $5.00 / EA 5077401099 EARBUD LIMIT 1 Koss PTX-6 Headphones $13.50 / EA 5077601099 HEADPHONES LIMIT 1 THE GENERAL STORE Sunglasses Keirto Sunglasses $6.75 / EA 5081401099 SUNGLASSES LIMIT 1

Total Total

SHIP TO: We cannot send orders from one inmate to another. SENDER: REQUIRED for order fulfillment. CALCULATE AMOUNT DUE: Taxable Items Subtotal: (items in taxable area) Inmate’s Name ID# Sender’s Name Handling Fee: + $4.95 Institution/Dorm/Housing# Street Address Taxable Items Total (items+handling fee) =

City State Zip Calculate Sales Tax

Taxable Items Total: Sales Tax Rate: Street Address Phone Number x (see tax chart)

City State Zip Email (You will receive confirmation emails when the order is placed and shipped.) Taxable Items Grand Total: ( Taxable Items Total + Sales Tax Total ) PROGRAM DATES: LIMITS: Multiple packages can be ordered; the inmate’s total order cannot Ordering Begins: September 27, 2017 exceed the dollar limit of $100.00 per vendor. Inmates may receive a $100.00 Ordering Ends: October 27, 2017 package from each approved vendor. There is a minimum spending limit of Non-Taxable Items Subtotal: Postmark date for mail orders: October 20, 2017 $15.00 per order. All items have been approved by the Florida Department of + $4.95 Orders must be received by: October 27, 2017 Corrections. Inmates are not permitted to purchase packages for themselves Handling Fee: (Only add this amount if you’re NOT Delivery to facility: November 27, 2017 – December 15, 2017 or for other inmates. ordering taxable items) Non-Taxable Items Grand Total: WAYS TO ORDER CATALOG CHANGES: Every effort has been made to show and describe the Online: flpackages.com merchandise as accurately as possible. Because many manufacturers change Phone: 1-855-329-4268 an item’s design, color, package size and style after our catalog is produced, TOTAL AMOUNT DUE: ( Taxable Items Grand Total + Non-Taxable Items Grand Total ) Mail: Access Securepak (FL), 10880 Linpage Place, we reserve the right to discontinue or change product specifications without St. Louis, MO 63132 prior notice. We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product descrip- SELECT PAYMENT METHOD: ACCEPTABLE FORMS OF PAYMENT: tions, pricing and special offers are not binding on Access Securepak, and we • Credit/Debit Cards—VISA, MasterCard, Discover may make adjustments at any time. Additionally, many of our food items may ¨ Cashier’s Check ¨ Money Order • Prepaid cards that have a verifiable United States address contain common allergens such as milk, eggs, wheat and peanuts. Before Make check or money order payable to ACCESS SECUREPAK • Cashier’s check consuming a food item, please consult the product packaging for specific • Money order information on its ingredients. Prices and offers are subject to change and ¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid available while supplies last. Always consult the flpackages.com website for We do not accept personal checks and will return them to the sender. Credit/ the latest updates on this package program. Cardholder Name debit and prepaid cards will be charged on the day the order is placed. Re- funds or credits will be applied to the card used for the order (allow additional In the event of missing or damaged item(s) a refund will be issued. time for refunds/credits on prepaid cards). Access Securepak reserves the Cardholder Signature right to remove one or more items from the order due to insufficient payment. CUSTOMER SERVICE: / / flpackages.com Daytime Phone Number Today’s Date mm/dd/yyyy INMATE ELIGIBILITY: All inmates are eligible to receive a package except Automated system is available 24 hours a day, seven days a week those with the following bed missions per FL DOC: AC/SOS, Close Manage- 1-855-329-4268 Credit Card Number ment, Close Management I, Close Management II, Close Management III, Live bilingual representatives are available Monday through Friday, 8:30 CM/SOS, CSU-Crisis Stabilization Unit, Disciplinary Confinement, DC/SOS, a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST. / Security code is last Isolation-Medical, CMHI Unit Beds, CMHI/Beds, Maximum Management, three digits of account Expiration Date Security Code CSU/TSU-Dual Usage, Reception/Orientation, Suicide Observation and Per Florida Dept. of Corrections, inmates may only possess the quanti- number panel. TCU-Transitional Care Unit. The inmate’s ability to receive a package will be ties of items specified in the 33-602.201 F.A.C. policy. It is the inmate’s verified before orders are shipped. responsibility to never possess more than those quantities allowed. Any items exceeding the inmate’s limit will be disposed of at the inmate’s PLEASE NOTE – Inmates participating in the Department’s Religious Diet expense, in accordance with the FL DOC rules and regulations. Program (RDP) are not authorized to receive non-kosher food items from the Florida Food and Property Package Program. Access Securepak will restrict SALES TAX: Access Securepak® is required by the state of Florida to collect the ordering of non-kosher food items for inmates participating in the RDP sales tax on select food items, all property items and handling fees. Refer- Program. If a non-kosher item has been ordered for an inmate whose partici- ence the tax chart provided noting the facility’s tax rate. To figure sales tax pation in the RDP started after the ordering period ended, the item will not be amount take the subtotal and multiply it by the tax rate of the inmate’s facility. shipped and the customer will be refunded. Per the Department’s regulation, Example: Apalachee East $63.52(subtotal) X 0.075(tax rate) = $4.45(tax total) inmates participating in the RDP who are found in possession of a non-kosher $63.52(subtotal) + $4.45(tax total) = $67.97(total) food item may be required to return the item at the inmate’s expense. Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please complete all info on reverse (print clearly).

Facilty Name Zip Tax Rate Facility Name Zip Tax Rate Facilty Name Zip Tax Rate Facility Name Zip Tax Rate

Apalachee Correctional Institution East 32460 7.50% LOWELL BOOT CAMP 34482 7.00 % Dade Correctional Institution 33034 7.00 % Orlando Reception Release Center 32831 6.50%

Apalachee Correctional Institution 32460 7.50% Lowell Correctional Institution 34482 7.00 % Daytona Beach Community Release 32124 6.50% Pensacola Community Release 32535 7.50% West Center Center

Atlantic Community Release Center 34956 7.00 % Lowell Correctional Institution 34482 7.00 % Desoto Annex 34266 7.50% Pinellas Community Release 33760 7.00 % Annex Center

Avon Park Correctional Institution 33825 7.00 % Lowell Work Camp 34482 7.00 % Desoto Work Camp 34266 7.50% Polk Correctional Institution 33868 7.00 %

Avon Park Work Camp 33825 7.00 % Loxahatchee Road Prison 34956 7.00 % Everglades Correctional Institution 33194 7.00% Polk Work Camp 33868 7.00 %

Baker Correctional Institution 32087 7.00 % Madison Correctional Institution 32340 7.50% Everglades Re-Entry 33194 7.00 % Putnam Correctional Institution 32131 7.00 %

Baker Re Entry 32087 7.00 % Madison Work Camp 32340 7.50% FL Women's Reception Center 34482 7 .00 % Quincy Annex 32351 7.50%

Baker Work Camp 32087 7.00 % Marion Correctional Institution 34475 7.00 % Florida State Prison 32026 7.00 % Reception & Medical Center West 32054 7.00 %

Calhoun Correctional Institution 32424 7.50% Marion Work Camp 34475 7.00 % Florida State Prison West Unit 32026 7.00 % Reception and Medical Center 32054 7.00 %

Calhoun Work Camp 32424 7.50% Martin Correctional Institution 34956 6.00 % Franklin Correctional Institution 32322 7.00 % Reception and Medical Center 32054 7.00 % Work Camp Central Florida Reception Center East 32831 6.50% Martin Work Camp 34956 6.00 % Franklin Work Camp 32322 7.00 % Sago Palm Work Camp 34972 7.00 %

Central Florida Reception Center Main 32831 6.50% Mayo Correctional Institution 32066 7.00 % Ft. Myers Work Camp 33955 7.00 % Santa Rosa Annex 32583 7.00 % Annex

Central Florida Reception Center 32831 6.50% Mayo Work Camp 32066 7.00 % Ft. Pierce Community Release Center 34956 6.50 % Santa Rosa Correctional Institution 32583 7.00 % South

Century Correctional Institution 32535 7.50% Miami North WRC 33166 7.00 % Gadsden Reentry Center 32333 7.50% Santa Rosa Work Camp 32583 7.00 %

Century Work Camp 32535 7.50% New River Correctional Insti- 32026 7.00 % Gainesville Work Camp 32641 6.50% South Florida Reception Center 33178 7.00 % tution

Charlotte Correctional Institution 33955 7.00 % Northwest Florida Reception 32428 7.00 % Graceville Work Camp 32445 7.50% South Florida Reception Center 33178 7.00 % Center - South

Columbia Correctional Institution 32025 7.00 % Northwest Florida Reception 32428 7.00 % Gulf Correctional Institution 32465 7.00 % St. Petersburg Community Re- 33868 7.00 % Center Annex lease Center

Columbia Correctional Institution 32025 7.00 % Okaloosa Correctional Insti- 32539 6.00 % Gulf Correctional Institution Annex 32465 7.00 % Sumter Annex 33513 7.00 % Annex tution

COLUMBIA WORK CAMP 32025 7.00 % Okaloosa Work Camp 32539 6.00 % Gulf Forestry Camp 32465 7.00 % Sumter Correctional Institution 33513 7.00 %

Cross City Correctional Institution 32628 7.00 % Okeechobee Correctional 34972 7.00 % Hamilton Correctional Institution 32052 7.00 % Sumter Work Camp 33513 7.00 % Institution

Cross City East Unit 32628 7.00 % Okeechobee Work Camp 34972 7.00 % Hamilton Correctional Institution Annex 32052 7.00 % Suwannee Correctional Institution 32060 7.00 %

Cross City Work Camp 32628 7.00 % Opa Locka WRC 33054 7.00 % Hamilton Work Camp 32052 7.00 % Suwannee Correctional Institution 32060 7.00 % Annex Order Form Florida DOC Fall/Winter Ordering Dates: September 27 - October 27, 2017 Please complete all info on reverse (print clearly).

Facilty Name Zip Tax Rate Facility Name Zip Tax Rate

Hardee Correctional Institution 33834 7.00 % Suwannee Work Camp 32060 7.00 %

Hardee Work Camp 33834 7.00 % Tallahassee Community Release Center 32305 7.50%

Hernando Correctional Institution 34604 6.50% Taylor Correctional Institution 32348 7.00 %

Hollywood W.R.C. 33025 6.00 % Taylor Correctional Institution Annex 32348 7.00 %

Holmes Correctional Institution 32425 7.00 % Taylor Work Camp 32348 7.00 %

Holmes Work Camp 32425 7.00 % Tomoka Correctional Institution 32124 6.50%

Homestead Correctional Institution 33034 7.00 % Tomoka Work Camp 32124 6.50%

Jackson Correctional Institution 32445 7.50% Union Correctional Institution 32026 7.00 %

Jackson Work Camp 32445 7.50% New River Work Camp 32026 7.00 %

Jefferson Correctional Institution 32344 7.00 % Wakulla Annex 32327 7.00 %

Kissimmee Reception Release Center 32831 7.50% Wakulla Correctional Institution 32327 7.00 %

Lake Correctional Institution 34715 7.00 % Wakulla Work Camp 32327 7.00 %

Lancaster Correctional Institution 32693 7.00 % Walton Correctional Institution 32433 7.00 %

Lancaster Work Camp 32693 7.00 % Walton Work Camp 32433 7.00 %

Largo Road Prison 33868 7.00 % West Palm Beach Community Release Center 34956 6.00 %

Lawtey Correctional Institution 32058 7.00 % Zephyrhills Correctional Institution 33541 7.00 %

Liberty Correctional Institution 32321 8.00 %

Liberty South Work Camp 32321 8.00 %