1 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

7 C223313 1 CT 10 KING CAM TRK GD FF RG KS BX 1203108 47.17 5.49 54.90 012300265706 14 47.17 7 C212416 1 CT 10 99 MM CAMEL BLUE 99S BX 1207653 47.17 5.49 54.90 012300200608 14 47.17 7 C224831 1 CT 10 120 MM CAPRI INDIGO MEN 120 BX 1202852 60.92 6.99 69.90 027200002177 13 60.92 7 C224731 1 CT 10 120 MM CAPRI MAGENTA REG 120 BX 1202845 60.92 6.99 69.90 027200002160 13 60.92 7 C212023 3 CT 10 100 MM CARLTON FF REG 100 SP 0101626 60.92 6.99 209.70 043300000356 13 182.76 7 C223545 1 CS 10 1 PK KAMEL RED BX .50/1 PK 1208362 42.17 4.89 48.90 012300502849 14 42.17 4 - AUTHORIZED DISTRIBUTION 7 C223542 1 CS 10 1 PK KAMEL RED SMOOTH BX .50/1 1208370 42.17 4.89 48.90 012300502870 14 42.17 4 - AUTHORIZED DISTRIBUTION 7 C211512 1 CT 10 100 MM KENT III 100 SP 0103630 53.42 6.19 61.90 026100001747 14 53.42 7 C223623 2 CT 10 KING FF MEN KS SP 1203520 47.17 5.49 109.80 027200002535 14 94.34 7 C223323 2 CT 10 KING KOOL FF MEN KS BX 1203538 47.17 5.49 109.80 027200002528 14 94.34 7 C212333 1 CT 10 100 MM KOOL FF MEN 100 BX 1203553 47.17 5.49 54.90 027200005598 14 47.17 7 C224223 1 CT 10 KING MARL BLUE MEN KS BX 1201953 47.24 5.49 54.90 028200003768 14 .20 47.04 7 C223321 1 CT 10 KING MARL RED LABEL REG KS BX 1201722 47.24 5.49 54.90 028200003683 14 .20 47.04 7 C211217 1 CT 10 100 MM MARL RED LABEL REG 100 BX 1201755 47.24 5.49 54.90 028200003690 14 .20 47.04 7 C212311 1 CT 10 100 MM MARL SLVR MEN 100 BX 1201839 47.24 5.49 54.90 028200004857 14 .20 47.04 7 C224426 2 CT 10 KING MARL SMOOTH MEN KS BX 1201987 47.24 5.49 109.80 028200003232 14 .40 94.08 7 C211236 10 CT 10 100 MM MARL SP BLD RED 100 BX 1206432 47.24 5.49 549.00 028200005687 14 2.00 470.40 7 C224423 15 CT 10 KING MARL SP BLD GOLD KS BX 1206440 47.24 5.49 823.50 028200004222 14 3.00 705.60 7 C211324 4 CT 10 100 MM MARL SP BLD GOLD 100 BX 1206457 47.24 5.49 219.60 028200004239 14 .80 188.16 7 C224421 2 CT 10 KING MARL SP BLD BLACK KS BX 1207356 47.24 5.49 109.80 028200009524 14 .40 94.08 7 C212437 2 CT 10 KING MARL SP BLD BLACK 100 BX 1207489 47.24 5.49 109.80 028200009531 14 .40 94.08 7 C223636 6 CT 10 KING MARL SPCL BLD RED KS BX 1206424 47.24 5.49 329.40 028200005656 14 1.20 282.24 7 C223711 1 CT 10 KING MARLBORO GOLD REG KS SP 1201789 47.24 5.49 54.90 028200003782 14 .20 47.04 7 C223411 17 CT 10 KING MARLBORO GOLD REG KS BX 1201797 47.24 5.49 933.30 028200003843 14 3.40 799.68 7 C211011 3 CT 10 100 MM MARLBORO GOLD REG 100 BX 1201870 47.24 5.49 164.70 028200004659 14 .60 141.12 7 C224231 1 CT 10 KING MARLBORO GOLD MEN KS BX 1201896 47.24 5.49 54.90 028200004017 14 .20 47.04 7 C211221 2 CT 10 100 MM MARLBORO GOLD REG 100 SP 1201961 47.24 5.49 109.80 028200004376 14 .40 94.08 7 C224432 1 CT 10 72 MM MARLBORO GOLD REG 72S BX 1202092 47.24 5.49 54.90 028200009654 14 .20 47.04 7 C223523 1 CT 10 KING MARLBORO MEN KS BX 1201946 47.24 5.49 54.90 028200003614 14 .20 47.04 7 C223412 12 CT 10 KING MARLBORO REG KS BX 1201623 47.24 5.49 658.80 028200003577 14 2.40 564.48 7 C223712 4 CT 10 KING MARLBORO REG KS SP 1201698 47.24 5.49 219.60 028200003584 14 .80 188.16 7 C211012 2 CT 10 100 MM MARLBORO REG 100 BX 1202027 47.24 5.49 109.80 028200003638 14 .40 94.08 7 C224434 4 CT 10 72 MM MARLBORO REG 72'S BX 1202084 47.24 5.49 219.60 028200009630 14 .80 188.16 7 C211121 3 CT 10 100 MM MARLBORO SILVER 100 BX 1202043 47.24 5.49 164.70 028200004789 14 .60 141.12 7 C223531 2 CT 10 KING NEWPORT KS BX 1201052 51.52 5.99 119.80 026100005752 14 103.04

2 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

7 C212321 2 CT 10 100 MM NEWPORT 100 BX 1201060 51.52 5.99 119.80 026100005738 14 103.04 7 C211132 1 CT 10 100 MM SLIM 100 BX 1203975 47.17 5.49 54.90 012300000260 14 47.17 7 C224445 2 CT 10 120 MM VASLM GOLD REG 120 BX 1202282 50.87 5.89 117.80 028200007353 14 101.74 7 C225224 1 CT 10 100 MM VASLM SS GOLD REG 100 PPK 1205269 50.87 5.89 58.90 028200009821 14 50.87 7 C224321 1 CT 10 KING GOLD REG KS BX 1204106 47.17 5.49 54.90 012300000192 14 47.17 7 C211332 1 CT 10 100 MM WINSTON GOLD REG 100 BX 1204114 47.17 5.49 54.90 012300000598 14 47.17 7 C223536 3 CT 10 KING WINSTON RED REG KS BX 1204130 47.17 5.49 164.70 012300000123 14 141.51 TOTAL 5930.10 PCS 124

7 C211235 2 CT 10 100 MM BASIC BLUE REG 100 BX 1201433 47.28 5.39 107.80 028200303622 12 94.56 7 C212213 2 CT 10 100 MM BASIC SLVR MEN 100 BX 1201375 47.28 5.39 107.80 028200304827 12 94.56 7 C212421 1 CT 10 100 MM DORAL GOLD MEN 100 BX 1203249 43.19 4.99 49.90 012300000581 13 43.19 7 C212221 1 CT 10 100 MM DORAL GOLD REG 100 BX 1203462 43.19 4.99 49.90 012300220828 13 43.19 7 C223534 3 CT 10 KING L & M BLUE REG KS BX 1205343 43.90 5.09 152.70 028200310026 15 2.40 129.30 7 C212317 6 CT 10 100 MM L & M BLUE REG 100 BX 1205376 43.90 5.09 305.40 028200310224 15 4.80 258.60 7 C223516 3 CT 10 KING L & M MEN KS BX 1205350 43.90 5.09 152.70 028200310323 15 2.40 129.30 7 C211117 2 CT 10 100 MM L & M MEN 100 BX 1205384 43.90 5.09 101.80 028200310422 15 1.60 86.20 7 C223722 4 CT 10 KING L & M REG KS BX 1205335 43.90 5.09 203.60 028200309822 15 3.20 172.40 7 C211214 6 CT 10 100 MM L & M REG 100 BX 1205368 43.90 5.09 305.40 028200309921 15 4.80 258.60 TOTAL GENERIC CIGARETTES 1309.90 PCS 30

7 C224121 2 CT 10 KING MEN KS BX 0104570 35.14 4.09 81.80 026100001280 14 70.28 7 C211125 2 CT 10 100 MM MAVERICK REG 100 BX 0101980 35.14 4.09 81.80 026100001532 14 70.28 7 C212425 2 CT 10 100 MM MISTY GREEN MEN 100 BX 1203736 41.54 4.79 95.80 043300000950 13 83.08 7 C224446 1 CT 10 120 MM MISTY GREEN MEN 120 BX 1203777 41.54 4.79 47.90 020400000356 13 41.54 7 C223723 2 CT 10 KING PALLMALL BLUE REG KS BX 1203603 43.19 4.99 99.80 027200008544 13 86.38 7 C212434 2 CT 10 100 MM PALLMALL BLUE REG 100 BX 1203611 43.19 4.99 99.80 027200008629 13 86.38 7 C211223 2 CT 10 100 MM PALLMALL BLACK 100 MEN BX 1207984 43.19 4.99 99.80 027200347285 13 86.38 7 C211226 2 CT 10 100 MM PALLMALL MEN 100 BX 0104398 43.19 4.99 99.80 027200008650 13 86.38 7 C223334 1 CT 10 KING PALLMALL ORANGE RG KS BX 1203645 43.19 4.99 49.90 027200001750 13 43.19 7 C212223 2 CT 10 100 MM PALLMALL ORANGE REG 100 BX1203652 43.19 4.99 99.80 027200001859 13 86.38 7 C211333 4 CT 10 100 MM PALLMALL RED REG 100 BX 1203595 43.19 4.99 199.60 027200008674 13 172.76 7 C224221 1 CT 10 KING PYRAMID BLUE KS BX 0109447 32.70 3.79 37.90 011000004936 14 32.70 7 C211211 4 CT 10 100 MM PYRAMID BLUE 100 BX 0109454 32.70 3.79 151.60 011000004066 14 130.80 7 C224213 2 CT 10 KING PYRAMID GOLD MEN KS BX 0109470 32.70 3.79 75.80 011000004943 14 65.40 7 C212424 2 CT 10 100 MM PYRAMID ORANGE 100 BX 0109462 32.70 3.79 75.80 011000004134 14 65.40 7 C224214 1 CT 10 KING PYRAMID RED KS BX 0109421 32.70 3.79 37.90 011000004929 14 32.70

3 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

7 C211327 4 CT 10 100 MM PYRAMID RED 100 BX 0109439 32.70 3.79 151.60 011000004080 14 130.80 7 C224245 2 CT 10 KING PYRAMID SILVER MEN KS BX 0109496 32.70 3.79 75.80 011000004950 14 65.40 7 C212326 3 CT 10 100 MM PYRAMID SILVER MEN 100 BX 0109553 32.70 3.79 113.70 011000004073 14 98.10 7 C223315 1 CT 10 KING SONOMA GREEN MEN KS BX 1200286 35.45 4.09 40.90 090600000753 18 2.00 33.45 7 C211135 1 CT 10 100 MM SONOMA GREEN MEN 100 SP 1200294 35.45 4.09 40.90 090600000784 18 2.00 33.45 7 C223612 1 CT 10 KING USA GLD MEN FILTER KS BX 1200021 38.00 4.39 43.90 090600000128 18 2.00 36.00 7 C223615 2 CT 10 KING USA GLD MEN GOLD KS SP 1200047 38.00 4.39 87.80 090600000357 18 4.00 72.00 7 C212316 1 CT 10 100 MM USA GLD MEN GOLD 100 BX 1200484 38.00 4.39 43.90 090600000326 18 2.00 36.00 TOTAL SUB GENERIC CIGARETTES 1745.23 PCS 47

R 6 T131539 1 BX 5 6 PK A&C GRENADIER DARK 0117515 28.17 8.09 40.45 071610757486 30 28.17 R 6 T131017 1 BX 8 5 PK BACKWOODS SMOKES ORIGINAL 0132449 27.58 4.99 39.92 071610301894 37 2.50 25.08 R 6 T132633 1 CT 5 15 POUH CAMEL SNUS FROST 0144451 13.07 3.39 16.95 012300000703 23 13.07 R 6 T132231 1 CT 5 15 POUH CAMEL SNUS FROST LARGE 1151364 13.07 3.34 16.70 012300000406 22 13.07 R 6 T133111 2 RL 5 1.2 OZ COPENHAGEN FINE CUT REG 0145318 15.85 4.29 42.90 073100001079 26 31.70 R 6 T132712 5 RL 5 1.2 OZ COPENHAGEN LG CUT WNTGRN 0145813 10.77 2.89 72.25 073100008764 25 53.85 R 6 T133421 1 RL 5 1.2 OZ COPENHAGEN LG CUT STRGHT 0146514 10.77 2.89 14.45 073100008825 25 10.77 R 6 T132611 1 RL 5 1.2 OZ CPNHGN LC SOUTHERN BL 1148980 10.77 2.89 14.45 073100002830 25 10.77 R 7 C225121 1 CT 10 12 DJARUM MILD 1210061 36.91 5.29 52.90 751667074278 30 36.91 R 6 T120715 1 BX 20 3 PK DUTCH MSTR COGNAC X.0 3FOR0133702 30.27 2.19 43.80 071610496378 38 3.00 27.27 10 - PARTNERS IN PROFIT R 6 T111021 1 BX 20 3 PK DUTCH MSTR DELUXE 3 FOR 2 0133728 30.27 2.19 43.80 071610496330 38 3.00 27.27 10 - PARTNERS IN PROFIT R 6 T133613 1 RL 5 1.2 OZ GRIZZLY FINE CUT NATURAL 0134023 10.74 2.89 14.45 042100008739 26 10.74 R 6 T132912 6 RL 5 1.2 OZ GRIZZLY LG CUT WNTGRN 0134031 10.74 2.89 86.70 042100008715 26 64.44 R 6 T133112 7 RL 5 1.2 OZ GRIZZLY LG CUT STRAIGHT 0134049 10.74 2.89 101.15 042100008869 26 75.18 R 6 T132336 2 RL 5 1.2 OZ GRIZZLY LG CUT MINT 0134072 10.74 2.89 28.90 042100009101 26 21.48 R 6 T132723 3 RL 5 .82 OZ GRIZZLY POUCHES WNTGRN 0134015 10.74 2.89 43.35 042100005431 26 32.22 R 6 T132722 1 RL 5 1.2 OZ GRIZZLY SNUFF 0134312 10.74 2.89 14.45 042100005523 26 10.74 R 6 T132124 2 RL 5 1.2 OZ HUSKY FINE CUT WNTGRN 0141861 10.79 2.99 29.90 073100001147 28 21.58 R 6 T131711 1 CT 15 3 PK JACKPOT CIG SWEETS PP.99 5613377 6.83 .99 14.85 031700049785 54 6.83 R 6 T131427 1 CT 15 3 PK JACKPOT CIG COGNAC PP.99 5613385 6.83 .99 14.85 031700049792 54 6.83 R 6 T121712 1 OZ 12 3 OZ LEVI GARRET CHEW 0126508 50.93 5.49 65.88 042100007718 23 50.93 R 6 T133612 2 RL 5 1.2 OZ LONG HORN LG CUT STRAIGHT 0140178 8.32 2.29 22.90 762446420001 27 16.64 R 6 T132129 1 RL 5 1.2 OZ LONG HORN FINE CUT WNTGRN 0140285 8.32 2.29 11.45 762446430000 27 8.32 R 6 T132332 1 RL 5 1.2 OZ LONG HORN LG CUT MINT 0140418 8.32 2.29 11.45 762446440009 27 8.32 R 6 T131411 3 RL 1 14.4 OZ LONG HORN LG CUT WNTGRN 1147552 9.72 13.19 39.57 762446404001 26 29.16

4 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

R 6 T131717 1 OZ 1 14 OZ PRINCE ALBERT CAN 0132605 20.09 29.59 29.59 070137417071 32 20.09 R 6 T133623 3 RL 5 1.5 OZ RED SEAL FINE CUT NATURAL 0136754 12.39 3.39 50.85 073100001741 27 37.17 R 6 T132623 1 RL 5 1.5 OZ RED SEAL LG CUT WNTGRN 0136705 12.39 3.39 16.95 073100001734 27 12.39 R 7 C224621 2 CT 10 20 SANTA FE FILTERED WHITE 0113589 19.59 2.79 55.80 025900405519 30 39.18 R 6 T132711 2 RL 5 1.2 OZ SKOAL FINE CUT WNTGRN 0145326 15.85 4.29 42.90 073100001376 26 31.70 R 6 T133211 1 RL 5 1.2 OZ SKOAL LG CUT APPLE 0137596 15.85 4.29 21.45 073100004803 26 15.85 R 6 T132535 1 RL 5 1.2 OZ SKOAL LG CUT SPRMNT 0137844 15.85 4.29 21.45 073100002885 26 15.85 R 6 T132621 1 RL 5 1.2 OZ SKOAL LG CUT WNTGRN 0145334 15.85 4.29 21.45 073100001482 26 15.85 R 6 T133413 3 RL 5 .82 OZ SKOAL POUCHES WNTGRN 0137695 15.85 4.29 64.35 073100003196 26 47.55 R 6 T132612 1 RL 5 1.2 OZ SKOAL READYCUT STRAIGHT 1150036 15.85 4.29 21.45 073100000799 26 15.85 R 6 T132113 4 RL 5 1.2 OZ SKOAL X-TRA LC WNTGRN 0148221 10.77 2.89 57.80 073100001703 25 43.08 R 6 T132339 1 RL 5 1.2 OZ SKOAL X-TRA LC RICH 0148247 10.77 2.89 14.45 073100002090 25 10.77 R 6 T111335 7 RL 1 12 OZ STOKER LG CUT WNTGRN 0144931 8.82 11.99 83.93 799953210207 26 61.74 R 6 T131035 3 RL 1 12 OZ STOKER LG CUT STRAIGHT 0145987 8.82 11.99 35.97 799953231202 26 26.46 R 6 T120812 1 OZ 6 16 OZ STOKER TENN CHEW 1130095 56.16 12.09 72.54 799953034407 23 56.16 R 7 C212237 2 CT 10 20 SWISH SWT LIL CIG CHERRY 0113225 33.89 4.79 95.80 025900203207 29 67.78 R 6 T130734 2 BX 5 B1G1F TAMPA SWT PERFECTO 0123216 19.12 5.49 54.90 076452600204 30 38.24 R 6 T132538 1 RL 5 1.2 OZ TIMBER WOLF LG CUT NATURAL0139246 10.77 2.89 14.45 762446705016 25 10.77 R 6 T132813 1 RL 5 1.2 OZ TIMBER WOLF COOL WNTGRN 0139709 10.77 2.89 14.45 762446703005 25 10.77 R 6 T110411 1 CT 6 2PK 3OZ TROPHY CHEW BONUS 0131425 23.43 5.09 30.54 035106004744 23 23.43 TOTAL & 1242.02 PCS 87

R 5 N220612 1 BX 36 BOX BUTTERFINGER 3801024 23.84 1.09 39.24 028000202033 39 23.84 R 5 N211612 1 BX 18 KING CARMELLO KS 0376541 20.84 1.69 30.42 034000005246 31 20.84 R 5 N221722 1 18 BOX DOVE BAR MILK CHOC0LATE 0334151 11.80 1.09 19.62 040000459842 40 11.80 R 5 N210311 1 BX 36 BOX HERSHEY PLAIN 0376566 23.60 1.09 39.24 034000002405 40 23.60 R 5 N132324 1 8 BOX ICE BRKR MINT COOL MNT 0336545 11.19 2.39 19.12 034000000074 41 11.19 R 5 N130535 1 BX 15 BOX MENTOS MIXED FRUIT 0363218 9.84 .99 14.85 073390000165 34 9.84 R 5 N110511 1 BX 18 KING PAYDAY BONUS BAR KS 0378224 20.84 1.69 30.42 010700807274 31 20.84 R 5 N220811 1 BX 36 BOX REESE PIECES 0377515 23.60 1.09 39.24 034000002481 40 23.60 R 5 N210411 1 BX 36 BOX REESE PNB CUP 0376855 23.60 1.09 39.24 034000004409 40 23.60 R 5 N131218 3 BX 1 3.75 OZ RIPS BITE SIZE PIECES 3198025 1.16 1.69 5.07 048014004157 31 3.48 R 5 N110423 1 12 BOX STRIDE SWEET PEPPERMINT 0365825 9.44 1.29 15.48 012546680196 39 9.44 R 5 N111813 1 BX 48 BOX SUPER BLOW POP ASSTD 0372425 9.44 .39 18.72 014200000562 50 9.44 R 5 N111321 1 10 BOX WRIG SLIM PK JUICY FRUIT 0366666 7.29 1.19 11.90 022000006677 39 7.29 R 5 N130421 1 BX 10 BOX WRIG 5 RPM FRUIT 0319871 9.78 1.69 16.90 022000014689 42 9.78 TOTAL CANDY 208.58 PCS 16

5 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

R 4 D256112 1 OZ 24 10 OZ BUG JUICE BERY R-BRY 0702456 15.31 .99 23.76 704982301055 42 1.50 13.81 4 D245812 1 OZ 24 20 OZ DIET COKE 7025018 21.29 1.39 33.36 049000000450 36 21.29 4 D260311 1 OZ 24 20 OZ DR. PEPPER 7025083 20.63 1.29 30.96 078000082401 33 20.63 4 D230912 2 OZ 24 20 OZ MOUNTAIN DEW 7025067 20.63 1.29 61.92 012000001314 33 41.26 4 D232511 1 24 20 OZ PEPSI 7025042 20.63 1.29 30.96 012000001291 33 20.63 R 4 D241811 1 OZ 24 15.5 OZ YOO-HOO CHOCOLATE DR 0721704 19.63 1.29 30.96 072350000115 40 1.00 18.63 TOTAL JUICE 136.25 PCS 7

1 F411034 1 BX 8 2 PK FRSHL PINK SNOBALL 5513106 5.51 1.19 9.52 072250010368 42 5.51 1 F410712 1 OZ 9 4 OZ FRSHLY CREAMY CURL 5521968 6.20 1.19 10.71 072250007245 42 6.20 1 F410711 1 OZ 6 5 OZ FRSHLY JUMBO HNY BUN 5512009 4.14 1.19 7.14 072250007238 42 4.14 R 5 N130447 3 OZ 1 3.25 OZ J LINK BF JRKY ORIG 5513221 5.19 7.99 23.97 017082007872 35 15.57 R 5 N130547 2 OZ 1 3.25 OZ J LINK BF JRKY SWT/HOT 5513239 5.19 7.99 15.98 017082007889 35 10.38 R 5 N130646 3 OZ 1 3.25 OZ J LINK BF JRKY TERIYAKI 5513247 5.19 7.99 23.97 017082007957 35 15.57 R 5 N131141 2 OZ 1 3.25 OZ J LINK STKH BF JRKY 5513189 5.19 7.99 15.98 017082700124 35 10.38 R 5 N132331 1 OZ 8 1.38 OZ RITZ CRACKER/PNTBTR 5511159 2.59 .59 4.72 044000002107 45 2.59 R 5 N115822 1 OZ 18 1.5 OZ S JIM BEEF/CHEESE 5514005 23.10 2.19 39.42 026200112008 41 23.10 TOTAL GROCERY 93.44 PCS 15

11 C241212 1 PK 10 5 CT. BLU CARTIMISER VIVID VANIL7131923 95.66 13.29 132.90 854100003283 28 95.66 5 N152311 3 EA 1 4 PACK DURACELL AAA BATTERY 7010069 3.95 5.29 15.87 041333424019 25 11.85 5 N151518 3 EA 1 2 PACK DURACELL AA 7010093 2.40 3.19 9.57 041333215013 25 7.20 5 N151632 1 EA 1 .07 PEG KRAZY GLUE 7124654 1.28 2.19 2.19 070158000054 42 1.28 TOTAL GENERAL MDSE 115.99 PCS 8

*MANUFACTURER OUT* CT BC PWDR CHERRY 7530991 6.51 1.59 042037104894 .00 R 5 N141342 2 EA 1 1 CT CARMEX CARDED TUBE 7143803 1.25 2.09 4.18 792554620017 40 2.50 5 N151238 2 CT 1 PEG CHAPSTICK CHERRY BLISTER P7350051 1.28 2.19 4.38 036600813719 42 2.56 R 5 N152737 1 PK 6 2 PACK LIL ALKA PLUS MULTI 7614050 8.21 2.29 13.74 366715973528 40 8.21 R 5 N143122 1 PK 6 2 PK LIL DRUG ADVIL 7614027 5.83 1.59 9.54 366715970022 39 5.83 R 5 N133212 1 PK 6 2 PK LIL DRUG ALEVE 7614035 5.69 1.59 9.54 366715970220 40 5.69 R 5 N152734 1 CS 6 3 PK LIL DRUG COLD RELIEF 7614621 8.00 2.19 13.14 366715972835 39 8.00 R 5 N142733 1 PK 6 3 PK LIL DRUG MULTI SYM SINUS 7614787 8.00 2.19 13.14 366715974433 39 8.00 R 5 N151438 2 EA 1 1 PACK SCUNCI NAIL CLIPPER 7612831 .78 1.29 2.58 792554104005 40 1.56 TOTAL HBA 42.35 PCS 11

6 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

FUEL SURCHARGE 8.00

TERMS: DRIVER COLLECT @ DELIVERY 13132.95 61.40 10831.86

7 03312015 1073738 REPRINT DARRINS C MART 426 E MAIN STREET 1011 01

G216 30 931-796-5446 HOHENWALD TN 38462

______CATEGORY RECAP ______COST ______RETAIL % PROF______CASES ______10 CIGARETTES 5930.10 6909.60 14.18 124 15 GENERIC CIGARETTES 1309.90 1537.00 14.78 30 18 SUB GENERIC CIGARETTES 1745.23 2033.30 14.17 47 20 TOBACCO & CIGARS 1242.02 1719.49 27.77 87 30 CANDY 208.58 339.46 38.56 16 40 JUICE 136.25 211.92 35.71 7 50 GROCERY 93.44 151.41 38.29 15 60 GENERAL MDSE 115.99 160.53 27.75 8 70 HBA 42.35 70.24 39.71 11

HGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHG HIGH______GROSS ITEMS: HG SLOT#_____ ITEM#_____ QUANTITY______PACK/SIZE______DESCRIPTION______HG HG C241212 7131923 1 10/5 CT. BLU CARTIMISER VIVID VANI HG HGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHGHG CASES SINGLES BOXES 1 FROZEN PCS 0 3 2 REFRIG. PCS 0 0 3 REFRIG. CANDY 0 0 4 GROCERY PCS 7 0 5 HBA/CANDY 0 46 6 TOBACCO/CIGARS 0 82 7 CIGARETTES 0 206 8 CIG. KITS/DEALS 0 0 10 FRESH PRODUCE 0 0 11 E-CIGS/ACCESSORIES 0 1

10831.86 TAX AMOUNT .00 TERMS: DRIVER COLLECT @ DELIVERY 13132.95 61.40 10831.86

I CERTIFY THAT I HAVE VERIFIED THE COUNT OF ALL CIGARETTES,TOBACCO PRODUCTS AND GROCERY CASES. CHECKED BY:STORE______

CHECKED BY: DRIVER______, STORE______

TOTES DELIVERED______, TOTES RETURNED______