Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly).

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

NON-TAXABLE ITEMS * Market Square Bakery 4.75 oz. Mega Honey Bun $1.15 / EA 6540 The Whole Shabang 1.5 oz. Extreme Ripple Potato $0.85 / EA 80002293 Chocolate Iced C Chips K H DRINKS

Coffee * Market Square Bakery 4 oz. Cinnamon Crumb $1.30 / EA 3210 * The Whole Shabang 1.5 oz. Potato Chips K H $0.85 / EA 6025 Cakes (2 Pk.) K Keefe 3 oz. 100% Colombian Coffee K H C R S $4.79 / EA 7022 The Whole Shabang 2 oz. Extreme Cheese Crunchy $0.96 / EA 80002292 Market Square Bakery 4 oz. Cream Cheese Pound $1.30 / EA 6538 K H Maxwell House 4 oz. Select Roast Coffee Pouch $5.50 / EA 2974 Cakes (2 Pk.) K C K H C R Snacks & Nuts * Market Square Bakery 4 oz. Strawberry ZuZus $1.15 / EA 6046 FOOD & SNACKS (2 Pk. Donuts) K Cactus Annie’s 2 oz. Hot & Spicy Pork Rinds C G S $1.35 / EA 1266

Cereal & Cereal Bars * Market Square Bakery 5 oz. Wham Wham (Bear $1.25 / EA 6056 Corn Nuts 1.4 oz. Chile Picante Con Limon Crunch $1.10 / EA 40713 * Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.55 / EA 6045 Claw) K C Corn Snack

Toaster Pastries * Market Square Bakery 6 oz. Monster Iced Honey $1.25 / EA 6043 Kar’s 2 oz. All Energy Trail Mix K $1.26 / EA 5866 Bun K C Kellogg’s 3.5 oz. Frosted Blueberry Pop-Tarts (2 Pk.) $1.08 / EA 10741 Kellogg’s 2.1 oz. Rice Krispie Treats Blasted with $1.50 / EA 80002298 * Otis Spunkmeyer 4 oz. Cinnamon Crumb Loaf $1.40 / EA 80003170 M&M’s Kellogg’s 3.5 oz. Frosted Strawberry Pop-Tarts $0.99 / EA 10547 Cake (2 Pk.) * Kings Nut 3.25 oz. Roasted & Salted Sunflower $1.15 / EA 80003356 * Otis Spunkmeyer 4 oz. Lemon Loaf Cake with $1.40 / EA 80003169 Kernels K H G S Pastries & Snack Cakes Lemon Icing

Cloverhill 4.25 oz. Apple Danish K C $1.30 / EA 4650 Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $0.70 / EA 7551 Chips

Cloverhill 4.25 oz. Cherry Cheese Danish K $1.30 / EA 4647 Cheetos 2 oz. Cheese Crunchy C G $1.05 / EA 7689 Moon Lodge 1.75 oz. Salted Peanuts K C G $0.70 / EA 7550

Cloverhill 4 oz. Big Texas Cinnamon Roll $1.30 / EA 3217 * Doritos 1.75 oz. Cool Ranch Chips $1.08 / EA 80003280 The Whole Shabang 1.75 oz. Peanuts K $0.75 / EA 80002177

Cloverhill 4 oz. Butterhorn Swirl $1.25 / EA 6539 Doritos 1.75 oz. Nacho Cheese Chips $0.82 / EA 10513 * The Whole Shabang 6 oz. Snack Mix K $2.55 / EA 80003008

Cloverhill 4 oz. Cinnamon Bun $1.25 / EA 10938 Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese $0.90 / EA 80000963 Crackers Potato Chips K H Austin 1.38 oz. Cheese on Cheese Sandwich $3.90 / BX 80000116 * Hostess 2.55 oz. Ding Dongs $1.45 / EA 80000345 Crackers (8 Pk.) K Moon Lodge 1.5 oz. Hot!Hot!Hot! Barbeque Chips $0.85 / EA 6026 K H * Hostess 2.7 oz. Chocolate Twinkie Cake $1.35 / EA 80003797 Austin 1.38 oz. Grilled Cheese on Saltines (8 Pk.) K $3.90 / BX 80000109

Moon Lodge 1.5 oz. Sour Cream and Onion Potato $0.85 / EA 6024 * Hostess 2.7 oz. Twinkies $1.35 / EA 80000347 Chips K H S Austin 1.38 oz. Peanut Butter on Cheese Sandwich $3.90 / BX 80000114 Crackers (8 Pk.) K

* Hostess 3.17 oz. Chocolate CupCakes $1.30 / EA 80000343

Total Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Items denoted with “*” are NEW Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly).

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

Austin 1.45 oz. Peanut Butter & Jelly Crackers $3.90 / BX 80000108 Velveeta 1.5 oz. Instant Spicy Nacho Cheese Sauce $1.60 / EA 4942 Fresh Catch 3.53 oz. Mackerel in Sriracha Hot Chili $1.35 / EA 9703 (8 Pk.) K K H C Sauce K H G S

Cheez-It 1.5 oz. Cheddar Crackers K $0.90 / EA 9590 Velveeta 2 oz. Jalapeno Spread G $0.70 / EA 7738 Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $2.35 / EA 4391

Keebler .49 oz. Original Grahams (2 Ct.) K $0.25 / EA 117 Velveeta 2 oz. Sharp Cheddar Spread G $0.70 / EA 7739 Fresh Catch 3.53 oz. Sardines in Soybean Oil K H G $1.45 / EA 4388

* Keebler 5.25 oz. Club Crackers $2.95 / EA 80000896 Meat Snacks Fresh Catch 3.53 oz. Smoked Baby Clams H G $2.65 / EA 4389

Bridgford 3.5 oz. Chorizos G $4.05 / EA 7906 Cookies Fresh Catch 4.23 oz. Chunk Light Tuna in Water $1.97 / EA 4317 K H G * Market Square Bakery 6 oz. Chocolate Chip $1.10 / EA 6072 Bridgford 3.5 oz. Sliced Pepperoni G $4.35 / EA 7905 Cookies K H C Ready-To-Eat Meals Brushy Creek .78 oz. Single Serve Bacon (6 $3.60 / EA 3609 * Market Square Bakery 6 oz. Duplex Creme $1.10 / EA 10058 slices) C Brushy Creek 11.25 oz. Beef in Barbecue Sauce S $6.05 / EA 1722 Cookies K H

Brushy Creek 1.625 oz. Hot Summer Sausage G $1.45 / EA 80001716 Brushy Creek 11.25 oz. Chili No Beans $3.00 / EA 1710 * Market Square Bakery 6 oz. Orange Pineapple $1.10 / EA 10056 Creme Cookies K H Brushy Creek 5 oz. Hot Beef Summer Sausage G S $3.83 / EA 80001721 Brushy Creek 11.25 oz. Chili with Beans G $3.00 / EA 1711

* Market Square Bakery 6 oz. Peanut Butter Creme $1.10 / EA 10055 Cookies K H Brushy Creek 5 oz. Hot Summer Sausage Made with $3.83 / EA 80001722 Brushy Creek 4.5 oz. Premium Chicken Breast G S $4.95 / EA 5360 Beef and Chicken G

* Market Square Bakery 6 oz. Vanilla Creme $1.10 / EA 10057 * Brushy Creek 5 oz. Chicken Vienna Sausage G S $2.40 / EA 80002944 Cookies K H Brushy Creek 5 oz. Original Summer Sausage Made $3.83 / EA 80001720 with Beef and Chicken G * Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.40 / EA 80002945 Condiments & Spreads Brushy Creek 5 oz. Turkey Summer Sausage Honey $3.83 / EA 80001724 Squeez-Ums 1.12 oz. Peanut Butter (1 each) K H G $0.34 / EA 3786 Brown Sugar G Brushy Creek 5 oz. Jerk Pork G S $5.65 / EA 6300

Pickles Seafood Brushy Creek 6 oz. Spicy Seasoned Beef Crum- $5.15 / EA 4917 bles H Van Holten’s 9.6 oz. Dill Pickle K G S $1.15 / EA 381 Chicken of the Sea 2.5 oz. White Albacore Tuna K $3.45 / EA 10356

* Brushy Creek 7 oz. Chunk Ham with Natural $5.50 / EA 80002117 Van Holten’s 9.6 oz. Hot & Spicy Pickle K G $1.15 / EA 383 Chicken of the Sea 5 oz. Mackerel Fillet in Soybean $2.80 / EA 80000051 Juices Oil K

Van Holten’s 9.6 oz. Zesty Garlic Pickle K H G S $1.15 / EA 382 * Brushy Creek 8 oz. Chicken Chili w/White Beans $3.11 / EA 80001465 Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean $1.59 / EA 4385 Oil K H G Cheese Brushy Creek 8 oz. Southwestern Style Black Beans $4.15 / EA 80000266 and Beef Philly 2 oz. Cream Cheese w/Jalapenos $1.10 / EA 10911 Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot $1.30 / EA 4397 Sauce K H G

Total Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Items denoted with “*” are NEW Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly).

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

Hormel 2.5 oz. Spam Single G S $3.00 / EA 80001495 TAXABLE ITEMS NewDay 13 oz. Bath & Shower Powder $1.90 / EA 22377 ITEM LIMIT 1 Candy Rice & Beans Tone 12 oz. Cocoa Butter Lotion $4.80 / EA 26044 Chewy Lemonhead 4 oz. - Redrific $1.40 / EA 80000871 LOTION LIMIT 1 Sevilla 4.4 oz. HOT Chili Flavor Refried Beans & $1.50 / EA 5940 Rice K H C Deodorant Sathers 4 oz. Sour Neon Worms $1.40 / EA 80000868 Power-Up 3 oz. Force Clear Roll On A/P Deodorant $2.49 / EA 26042 Tortillas ITEM LIMIT 2 * Sour Patch 3 oz. Gummi Watermelon Candy C $1.62 / EA 80002126 Cactus Annie’s 8 oz. Flour Tortillas (6 Pk.) K H C R $1.25 / EA 5070 Dental Care

HEALTH & BEAUTY Colgate 2.5 oz. Great Flavor Anticavity Toothpaste $2.00 / EA 80002776 Ramen TOOTHPASTE LIMIT 2 Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body $2.50 / EA 24942 Instant Lunch 3 oz. Roast Beef Flavor $0.58 / EA 1328 Wash Colgate 2.5 oz. Tarter Control Whitening Toothpaste $2.00 / EA 80002903 SOAP LIMIT 2 TOOTHPASTE LIMIT 2

Maruchan 3 oz. Cajun Chicken Flavor Ramen C $0.58 / EA 18 Next1 - 5 oz. Anti-bacterial Sport Soap (1 Bar) C $0.85 / EA 22098 Oraline 4 in. Security Flex Crossover Toothbrush $0.60 / EA 80000305 SOAP LIMIT 2 ITEM LIMIT 1

Maruchan 3 oz. Chili Flavor Ramen C $0.58 / EA 10 Next1 - 5 oz. Cocoa Butter Soap (1 Bar) C $0.77 / EA 22096 Percara 8 oz. Oral Health Rinse Mouthwash $1.20 / EA 80001537 SOAP LIMIT 2 ITEM LIMIT 1

Maruchan 3 oz. Lime Chili Shrimp Flavor Ramen $0.58 / EA 1347 Next1 - 5 oz. Moisturizing Soap (1 Bar) C $0.93 / EA 22097 White Toothbrush Cap (*toothbrush not included) $0.25 / EA 21822 SOAP LIMIT 2 ITEM LIMIT 1

Maruchan 3 oz. Low Sodium Hot & Spicy Vegetable $0.63 / EA 80000891 Hair Care CLOTHING Flavor Ramen Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.15 / EA 24939 Handkerchiefs HAIR CARE - SHAMPOO LIMIT 2 Maruchan 3 oz. Roast Chicken Flavor Ramen C $0.58 / EA 1327 Single Handkerchief 16” x 16” $1.00 / EA 20758 Military Style Brush $1.85 / EA 80001297 ITEM LIMIT 4 ITEM LIMIT 1 HEALTH & BEAUTY Sweats Softee 13.5 oz. 3 in 1 Conditioning Shampoo $5.20 / EA 24716 Skin Care HAIR CARE - SHAMPOO LIMIT 2 Gildan Sweatshirt - Gray Small, Medium, Large, XL $10.00 / EA 50600-02 SWEATS LIMIT 2 Chap-Et .16 oz. Lip Conditioner $1.15 / EA 20517 Suave 12 oz. Daily Clarifying Shampoo $2.25 / EA 26136 ITEM LIMIT 1 HAIR CARE - SHAMPOO LIMIT 2 Gildan Sweatshirt - Gray 2XL, 3XL $12.00 / EA 50600-02 SWEATS LIMIT 2 Pharmaceuticals Suave 12 oz. Juicy Green Apple Shampoo $2.25 / EA 26138 HAIR CARE - SHAMPOO LIMIT 2 Russell Sweatshirt - Gray Small, Medium, Large, XL $13.20 / EA 50726-02 Advil Single Pack (2 tablets) $1.00 / EA 22814 SWEATS LIMIT 2 ITEM LIMIT 21 Skin Care Russell Sweatshirt - Gray 2XL, 3XL, 4XL $15.60 / EA 50726-02 Bayer Aspirin Tablets (2 tablets) $1.00 / EA 22962 Charmin Toilet Paper Single Roll $1.05 / EA 21806 SWEATS LIMIT 2 ITEM LIMIT 42 ITEM LIMIT 1 Russell Sweatshirt - Gray 5XL, 6XL $18.64 / EA 50726-02 Halls Cherry Flavored Cough Drops (9 Ct.) $1.30 / EA 20244 Dial 12 oz. Advanced Therapy Lotion $4.10 / EA 26045 SWEATS LIMIT 2 ITEM LIMIT 4 LOTION LIMIT 1

Nasal Spray (Saline; moisturizing) $3.00 / EA 21984 Infuzed Island Naturals 15 oz. Body Lotion Cocoa & $2.25 / EA 24968 ITEM LIMIT 2 Shea Butter LOTION LIMIT 1

Total Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Items denoted with “*” are NEW Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly).

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

Men’s T-Shirts Fruit of the Loom T-shirt - Gray 3XL $7.01 / EA 50914-02 Men’s Underwear SHIRTS LIMIT 4 Andrew Scott Select Crewneck T-Shirt - White $12.50 / EA 53185-01 Andrew Scott Men’s Boxers - White (1 Pk.) Small, $3.00 / EA 51602-01 (3 Pk.) Small, Medium, Large, XL Pro Club Heavyweight Gray T-Shirt - Gray Large, XL $5.95 / EA 53136-02 Medium, Large, XL SHIRTS LIMIT 4 SHIRTS LIMIT 4 MEN’S UNDERWEAR LIMIT 4

Andrew Scott Select Crewneck T-Shirt - White $13.50 / EA 53185-01 Pro Club Heavyweight Gray T-Shirt - Gray 2XL, 3XL $8.25 / EA 53136-02 Andrew Scott Men’s Boxers - White (1 Pk.) 2XL, 3XL, $5.25 / EA 51602-01 (3 Pk.) 2XL SHIRTS LIMIT 4 4XL, 5XL, 6XL SHIRTS LIMIT 4 MEN’S UNDERWEAR LIMIT 4 Pro Club Heavyweight Gray T-Shirt - Gray 4XL, 5XL $10.50 / EA 53136-02 Andrew Scott Select Crewneck T-Shirt - White $14.50 / EA 53185-01 SHIRTS LIMIT 4 Men’s Thermals (3 Pk.) 3XL SHIRTS LIMIT 4 Pro Club Heavyweight Gray T-Shirt - Gray 7XL $12.85 / EA 53136-02 Indera Mills Thermal Ankle-Length Drawers - Natu- $6.30 / EA 50544-99 SHIRTS LIMIT 4 ral Small, Medium, Large, XL Hanes Tagless Crew Neck T-Shirt (3 Pk.) White $10.95 / EA 51798-01 THERMALS LIMIT 2 Small, Medium, Large, XL Pro Club Short Sleeve Crewneck T-Shirt - Gray $4.20 / EA 53103-02 SHIRTS LIMIT 4 Small, Medium, Large, XL Indera Mills Thermal Ankle-Length Drawers - Natu- $9.00 / EA 50544-99 SHIRTS LIMIT 4 ral 2XL, 3XL, 4XL, 5XL, 6XL Pro Club Heavyweight Crew T-Shirt - White Small, $5.95 / EA 53136-01 THERMALS LIMIT 2 Medium, Large, XL Pro Club Short Sleeve Crewneck T-Shirt - Gray $6.15 / EA 53103-02 SHIRTS LIMIT 4 2XL, 3XL Indera Mills Thermal Long Sleeve Shirt - Natural $6.30 / EA 50543-99 SHIRTS LIMIT 4 Small, Medium, Large, XL Pro Club Heavyweight Crew T-Shirt - White 2XL, 3XL $8.25 / EA 53136-01 THERMALS LIMIT 2 SHIRTS LIMIT 4 Pro Club Short Sleeve Crewneck T-Shirt - Gray $8.15 / EA 53103-02 4XL, 5XL Indera Mills Thermal Long Sleeve Shirt - Natural $9.00 / EA 50543-99 Pro Club Heavyweight Crew T-Shirt - White 4XL, 5XL $10.50 / EA 53136-01 SHIRTS LIMIT 4 2XL, 3XL, 4XL, 5XL, 6XL SHIRTS LIMIT 4 THERMALS LIMIT 2 Russell Basic T-shirt - Gray Small, Medium, Large, $5.99 / EA 51669-03 Pro Club Heavyweight Crew T-Shirt - White 7XL $12.85 / EA 53136-01 X-Large, 2XL, 3XL, 4XL Women’s Thermals SHIRTS LIMIT 4 SHIRTS LIMIT 4 Indera Mills Women’s Thermal Drawers - White $6.00 / EA 50607-01 Pro Club Short Sleeve Crewneck T-Shirt - White $4.20 / EA 53103-01 Shorts Small, Medium, Large, XL Small, Medium, Large, XL THERMALS LIMIT 2 SHIRTS LIMIT 4 Badger 11” Inseam Mesh Shorts - Navy Small, $17.50 / EA 51892-09 Medium, Large, XL Indera Mills Women’s Thermal Drawers - White 2XL $6.50 / EA 50607-01 Pro Club Short Sleeve Crewneck T-Shirt - White $6.15 / EA 53103-01 SHORTS LIMIT 2 THERMALS LIMIT 2 2XL, 3XL SHIRTS LIMIT 4 Badger 11” Inseam Mesh Shorts - Navy 2XL, 3XL $20.00 / EA 51892-09 Indera Mills Women’s Thermal Long Sleeve Shirt - $6.00 / EA 50608-01 SHORTS LIMIT 2 White Small, Medium, Large, XL Pro Club Short Sleeve Crewneck T-Shirt - White $8.15 / EA 53103-01 THERMALS LIMIT 2 4XL, 5XL Badger 11” Inseam Mesh Shorts - Navy 4XL $25.00 / EA 51892-09 SHIRTS LIMIT 4 SHORTS LIMIT 2 Indera Mills Women’s Thermal Long Sleeve Shirt - $6.50 / EA 50608-01 White 2XL Pro Club Short Sleeve Crewneck T-Shirt - White 7XL $9.15 / EA 53103-01 Russell 9” Nylon Tricott Mesh Shorts - Navy Small, $17.50 / EA 51809-09 THERMALS LIMIT 2 SHIRTS LIMIT 4 Medium, Large, XL SHORTS LIMIT 2 Women’s Underwear Women’s T-Shirts Russell 9” Nylon Tricott Mesh Shorts - Navy 2XL, $20.00 / EA 51809-09 Fruit of the Loom Hi-Cut Briefs - White (3 Pk.) 5, 6, $8.50 / PK 50643-01 Fruit of the Loom T-shirt - Gray Small, Medium, $4.50 / EA 50914-02 3XL 7, 8, 9, 10 Large, XL SHORTS LIMIT 2 WOMEN’S BRIEFS LIMIT 7 SHIRTS LIMIT 4 Russell 9” Nylon Tricott Mesh Shorts - Navy 4XL, $25.00 / EA 51809-09 Hanes Her Way Cotton Briefs - White (3 Pk.) 6, 7, $7.40 / PK 50691-01 Fruit of the Loom T-shirt - Gray 2XL $6.38 / EA 50914-02 5XL, 6XL 8, 9, 10 SHIRTS LIMIT 4 SHORTS LIMIT 2 WOMEN’S BRIEFS LIMIT 7

Total Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Items denoted with “*” are NEW Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly). TOTAL TOTAL TOTAL ITEM DESCRIPTION PRICE ITEM # QTY ITEM DESCRIPTION PRICE ITEM # QTY ITEM DESCRIPTION PRICE ITEM # QTY PRICE PRICE PRICE

Hanes Her Way Cotton Briefs - White (3 Pk.) 11, 12 $7.99 / PK 50691-01 Boots Photo Album 20 Pages (10 Sheets) $2.50 / EA 21638 WOMEN’S BRIEFS LIMIT 7 ITEM LIMIT 1 Leather Boot (Black) 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, $42.65 / EA 52727-04 Women’s Bras 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 13.5, Security Pen 1 Ct. (Black) $0.55 / EA 21299 14, 15, 16, 17, 18, 19 PENS/PENCILS LIMIT 4 Bestform Bra - White 36 C, 38 B, 38 C, 38 D, 40 B, $12.00 / EA 51313-01 WORK BOOTS LIMIT 1 40 D, 42 B, 44 C Wireless Notebook 10.5” X 8” (80 Ct.) $2.25 / EA 20692 BRAS LIMIT 4 Sandals ITEM LIMIT 2

Champion Sports Bra (White) Small, Medium, $20.00 / EA 81382-01 Cross Strap Sandals Small- #22602, Medium- $1.75 / EA 22602-01 Yellow #2 Pencil w/Eraser $0.25 / EA 24573 Large, XL #22603, Large- #22604, XL- #22615, 2XL- #24356 PENS/PENCILS LIMIT 4 ATHLETIC BRA LIMIT 1 SHOWER SHOES LIMIT 1 Games Mighty Hugs Ladies Bra (White) 32B, 32C, 34B, 34C, $7.47 / EA 50447-01 ELECTRONICS 34D, 36B, 36C, 36D, 38A, 38B, 38C, 38D, 40B, 40C, Aviator - US Playing Cards $2.50 / EA 20211 40D, 42A, 42B, 42C, 42D, 44B, 44C, 44D, 46B, 46C, Earbuds & Headphones GAMES LIMIT 2 46D, 48B, 48C, 48D, 50C, 50D BRAS LIMIT 4 GPX Clear Earbuds C $2.00 / EA 5195501099 Pinochle Aviator US Playing Cards $2.50 / EA 20215 EARBUDS LIMIT 1 GAMES LIMIT 2 Socks GPX Earbud Covers $0.35 / EA 5186601099 Miscellaneous No-Show White Socks (1 Pair) $1.35 / EA 5048901001 ITEM LIMIT 1 SOCKS LIMIT 6 Cereal Bowl w/Lid 24 oz. $1.00 / EA 20580 JVC Gummy Plus White Earbuds $15.80 / EA 8034801001 ITEM LIMIT 1 Soft Touch Deluxe Crew Socks (1 Pair) $1.15 / EA 5089001001 EARBUDS LIMIT 1 SOCKS LIMIT 6 Sharkeyes Reading Glasses 1, 1.25, 1.5, 1.75, 2, $4.95 / EA 80008-99 Koss CL-2 Clear Headphones C $8.00 / EA 5128101099 2.25, 2.5, 2.75, 3, 3.25 Tube Socks - White (1 Pair) $1.35 / EA 5088801001 HEADPHONES LIMIT 1 ITEM LIMIT 2 SOCKS LIMIT 6 Koss KE5K- 4 Earbuds $5.00 / EA 5077401099 SHOES EARBUDS LIMIT 1

Men’s Shoes Koss PTX-6 Headphones $13.50 / EA 5077601099 HEADPHONES LIMIT 1 New Balance MX608V4W Cross Training Shoes 7, 7 $68.00 / EA 80449-01 4E, 7.5, 7.5 4E, 8, 8 4E, 8.5, 8.5 4E, 9, 9 4E, 9.5, 9.5 Radios 4E, 10, 10 4E, 10.5, 10.5 4E, 11, 11 4E, 11.5, 11.5 4E, 12, 12 4E, 12.5, 12.5 4E, 13, 13 4E, 14, 14 4E, GPX R2825 Clear AM/FM Radio C $15.00 / EA 5054601099 15, 15 4E, 16, 16 4E RADIOS LIMIT 1 SHOES LIMIT 1 THE GENERAL STORE New Balance MX608V4W Cross Training Shoes 17, $70.00 / EA 80449-01 17 4E, 18, 18 4E Sunglasses SHOES LIMIT 1 Kierto Sunglasses $6.75 / EA 5081401099 Reebok Classic Leather Running Shoes 6.5, 7, 7.5, $68.00 / EA 50404-01 SUNGLASSES LIMIT 1 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15 Wayfarer Sunglasses $6.00 / EA 5083301099 SHOES LIMIT 1 SUNGLASSES LIMIT 1 Women’s Shoes Stationery Reebok Women’s Classic Nylon Running Shoe 5, $50.00 / EA 50419-01 Bic Round Stick (Black) $0.20 / EA 20223 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 11 PENS/PENCILS LIMIT 4 SHOES LIMIT 1 Bic Round Stick (Blue) $0.20 / EA 20222 PENS/PENCILS LIMIT 4

Total Total Total K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free Items denoted with “*” are NEW Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please complete all info on reverse (print clearly).

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: the Florida Department of Corrections. Inmates are not permitted to Ordering Begins: May 31, 2017 purchase packages for themselves or for other inmates. Ordering Ends: June 30, 2017 Non-Taxable Items Subtotal: Postmark date for mail orders: June 23, 2017 CATALOG CHANGES: Every effort has been made to show and de- Orders must be received by: June 30, 2017 scribe the merchandise as accurately as possible. Because many man- + $4.95 Handling Fee: (Only add this amount if you’re NOT Delivery to facility: July 31, 2017 – August 4, 2017 ufacturers change an item’s design, color, package size and style after ordering taxable items) our catalog is produced, we reserve the right to discontinue or change WAYS TO ORDER product specifications without prior notice. We regret any changes that Non-Taxable Items Grand Total: Online: flpackages.com might occur and will make every effort to minimize these occurrences. Phone: 1-855-329-4268 Inadvertent errors in product descriptions, pricing and special offers Mail: Access Securepak (FL), 10880 Linpage Place, are not binding on Access Securepak, and we may make adjustments TOTAL AMOUNT DUE: St. Louis, MO 63132 at any time. Additionally, many of our food items may contain common ( Taxable Items Grand Total + Non-Taxable Items Grand Total ) allergens such as milk, eggs, wheat and peanuts. Before consuming a ACCEPTABLE FORMS OF PAYMENT: food item, please consult the product packaging for specific information • Credit/Debit Cards—VISA, MasterCard, Discover on its ingredients. Prices and offers are subject to change and available SELECT PAYMENT METHOD: • Prepaid cards that have a verifiable United States address while supplies last. Always consult the flpackages.com website for the • Cashier’s check latest updates on this package program. ¨ Cashier’s Check ¨ Money Order • Money order Make check or money order payable to ACCESS SECUREPAK CUSTOMER SERVICE: We do not accept personal checks and will return them to the sender. flpackages.com ¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid Credit/debit and prepaid cards will be charged on the day the order is Automated system is available 24 hours a day, seven days a week placed. Refunds or credits will be applied to the card used for the order 1-800-546-6283 (allow additional time for refunds/credits on prepaid cards). Access Se- Live bilingual representatives are available Monday through Friday, 8:30 Cardholder Name curepak reserves the right to remove one or more items from the order a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST. due to insufficient payment. Cardholder Signature Per Florida Dept. of Corrections, inmates may only possess the / / INMATE ELIGIBILITY: All inmates are eligible to receive a package quantities of items specified in the 33-602.201 F.A.C. policy. It is the except those with the following bed missions per FL DOC: AC/SOS, inmate’s responsibility to never possess more than those quantities Daytime Phone Number Today’s Date mm/dd/yyyy Close Management, Close Management I, Close Management II, Close allowed. Any items exceeding the inmate’s limit will be disposed of Management III, CM/SOS, CSU-Crisis Stabilization Unit, Disciplinary at the inmate’s expense, in accordance with the FL DOC rules and Confinement, DC/SOS, Isolation-Medical, CMHI Unit Beds, CMHI/Beds, regulations. Credit Card Number Maximum Management, CSU/TSU-Dual Usage, Reception/Orientation, Suicide Observation and TCU-Transitional Care Unit. The inmate’s ability SALES TAX: Access Securepak® is required by the state of Florida to / Security code is last three digits of account to receive a package will be verified before orders are shipped. collect sales tax on select food items, all property items and handling Expiration Date Security Code number panel. fees. Reference the tax chart provided noting the facility’s tax rate. To PLEASE NOTE – Inmates participating in the Department’s Religious figure sales tax amount take the subtotal and multiply it by the tax rate Diet Program (RDP) are not authorized to receive non-kosher food of the inmate’s facility. Example: Apalachee East $63.52(subtotal) X items from the Florida Food and Property Package Program. Ac- 0.075(tax rate) = $4.45(tax total) $63.52(subtotal) + $4.45(tax total) = cess Securepak will restrict the ordering of non-kosher food items $67.97 for inmates participating in the RDP Program. If a non-kosher item (total) has been ordered for an inmate whose participation in the RDP started after the ordering period ended, the item will not be shipped and the customer will be refunded. Per the Department’s regula- tion, inmates participating in the RDP who are found in possession of a non-kosher food item may be required to return the item at the inmate’s expense.

LIMITS: Multiple packages can be ordered; the inmate’s total order can- not exceed the dollar limit of $100.00 per vendor. Inmates may receive a $100.00 package from each approved vendor. There is a minimum spending limit of $15.00 per order. All items have been approved by Oracle # Facility City Rate Oracle # Facility City Rate 22140 Apalachee Correctional Institution East Sneads 7.50% 22150 Franklin Correctional Institution Carrabelle 7.00% 22139 Apalachee Correctional Institution West Sneads 7.50% 28251 Franklin Work Camp Carrabelle 7.00% 22463 Arcadia Road Prison Arcadia 7.50% 22332 Ft. Myers Work Camp Punta Gorda 7.00% 30271 Atlantic Community Release Center Indiantown 7.50% 30273 Ft. Pierce Community Release Center Indiantown 7.00% 22191 Avon Park Correctional Institution Avon Park 6.00% 25805 Gadsden Reentry Center Havana 6.00% 22331 Avon Park Work Camp Avon Park 7.00% 22306 Gainesville Work Camp Gainesville 7.50% 22169 Baker Correctional Institution Sanderson 7.00% 22287 Graceville Work Camp Malone 6.50% 28647 Baker Re Entry Sanderson 7.00% 22147 Gulf Correctional Institution Wewahitchka 6.50% 22309 Baker Work Camp Sanderson 7.00% 22470 Gulf Correctional Institution Annex Wewahitchka 6.50% 22143 Calhoun Correctional Institution Blountstown 7.50% 22293 Gulf Forestry Camp White City 7.00% 22290 Calhoun Work Camp Blountstown 7.50% 22163 Hamilton Correctional Institution Jasper 7.00% 22177 Central Florida Reception Center East Orlando 7.50% 22307 Hamilton Correctional Institution Annex Jasper 7.00% 22319 Central Florida Reception Center Main Orlando 6.50% 22311 Hamilton Work Camp Jasper 7.00% 22320 Central Florida Reception Center South Orlando 6.50% 22190 Hardee Correctional Institution Bowling Green 7.00% 22144 Century Correctional Institution Century 6.50% 22337 Hardee Work Camp Bowling Green 7.00% 22292 Century Work Camp Century 7.50% 22178 Hernando Correctional Institution Brooksville 7.00% 22192 Charlotte Correctional Institution Punta Gorda 7.50% 22460 Hollywood W.R.C. Pembroke Pines 6.50% 22156 Columbia Correctional Institution Lake City 7.00% 22145 Holmes Correctional Institution Bonifay 6.00% 22308 Columbia Correctional Institution Annex Lake City 7.00% 22289 Holmes Work Camp Bonifay 7.00% 22312 COLUMBIA WORK CAMP Lake City 7.00% 22186 Homestead Correctional Institution Florida City 7.00% 22159 Cross City Correctional Institution Cross City 7.00% 22142 Jackson Correctional Institution Malone 7.50% 28232 Cross City East Unit Cross City 7.00% 22291 Jackson Work Camp Malone 7.50% 22310 Cross City Work Camp Cross City 7.00% 22141 Jefferson Correctional Institution Monticello 7.00% 22188 Dade Correctional Institution Florida City 7.00% 30758 Kissimmee Reception Release Center Orlando 7.00% 30272 Daytona Beach Community Release Center Daytona Beach 7.00% 22175 Lake Correctional Institution Clermont 6.50% 22183 Desoto Annex Arcadia 6.50% 22170 Lancaster Correctional Institution Trenton 7.00% 22334 Desoto Work Camp Arcadia 7.50% 22314 Lancaster Work Camp Trenton 7.00% 22179 Everglades Correctional Institution Miami 7.50% 22333 Largo Road Prison Polk City 7.00% 28233 Everglades Re-Entry Miami 7.00% 22167 Lawtey Correctional Institution Lawtey 7.00% 22549 FL Women's Reception Center Ocala 7.00% 22154 Liberty Correctional Institution Bristol 7.00% 22157 Raiford 7.00% 22281 Liberty South Work Camp Bristol 8.00% 22299 Florida State Prison West Unit Raiford 7.00% 22324 LOWELL BOOT CAMP Ocala 8.00% 22176 Lowell Correctional Institution Ocala 7.00% 22284 Santa Rosa Annex Milton 7.00% 22325 Lowell Correctional Institution Annex Ocala 7.00% 22153 Santa Rosa Correctional Institution Milton 7.00% 22318 Lowell Work Camp Ocala 7.00% 28235 Santa Rosa Work Camp Milton 7.00% 22328 Loxahatchee Road Prison Indiantown 7.00% 22180 South Florida Reception Center Doral 7.00% Oracle # Facility City Rate Oracle # Facility City Rate 22164 Madison Correctional Institution Madison 6.00% 22181 South Florida Reception Center - South Doral 7.00% 22317 Madison Work Camp Madison 7.50% 30254 St. Petersburg Community Release Center Polk City 7.00% 22172 Marion Correctional Institution Ocala 7.50% 31369 Sumter Annex Bushnell 7.00% 22322 Marion Work Camp Ocala 6.00% 22173 Sumter Correctional Institution Bushnell 7.00% 22187 Martin Correctional Institution Indiantown 7.00% 22323 Sumter Work Camp Bushnell 7.00% 22326 Martin Work Camp Indiantown 7.00% 22166 Suwannee Correctional Institution Live Oak 7.00% 22516 Mayo Correctional Institution Annex Mayo 6.00% 22304 Suwannee Correctional Institution Annex Live Oak 7.00% 22313 Mayo Work Camp Mayo 7.00% 22305 Suwannee Work Camp Live Oak 7.00% 28493 Miami North WRC Miami 7.00% 30255 Tallahassee Community Release Center Tallahassee 7.00% 22158 New River Correctional Institution Raiford 7.00% 22165 Taylor Correctional Institution Perry 7.50% 22148 Northwest Florida Reception Center Chipley 7.00% 22302 Taylor Correctional Institution Annex Perry 7.00% 22283 Northwest Florida Reception Center Annex Chipley 7.00% 22303 Taylor Work Camp Perry 7.00% 22151 Okaloosa Correctional Institution Crestview 7.00% 22171 Tomoka Correctional Institution Daytona Beach 7.00% 22288 Okaloosa Work Camp Crestview 6.00% 22315 Tomoka Work Camp Daytona Beach 6.50% 22182 Okeechobee Correctional Institution Okeechobee 6.00% 22161 Union Correctional Institution Raiford 6.50% 28234 Okeechobee Work Camp Okeechobee 7.00% 24487 Union Work Camp Raiford 7.00% 28494 Opa Locka WRC Opa Locka 7.00% 22282 Wakulla Annex Crawfordville 7.00% 30759 Orlando Reception Release Center Orlando 7.00% 22152 Wakulla Correctional Institution Crawfordville 7.00% 30274 Pensacola Community Release Center Century 6.50% 22296 Wakulla Work Camp Crawfordville 7.00% 30253 Pinellas Community Release Center Clearwater 7.50% 22146 Walton Correctional Institution DeFuniak Springs 7.00% 22197 Polk Correctional Institution Polk City 7.00% 22295 Walton Work Camp DeFuniak Springs 7.00% 22336 Polk Work Camp Polk City 7.00% 30256 West Palm Beach Community Release Center Indiantown 7.00% 22162 Putnam Correctional Institution East Palatka 7.00% 22194 Zephyrhills Correctional Institution Zephyrhills 6.00% 22286 Quincy Annex Quincy 7.00% 22301 Reception and Medical Center Work Camp Lake Butler 7.00% 22155 Reception & Medical Center West Lake Butler 7.50% 22330 Sago Palm Work Camp Indiantown 7.00% 22300 Reception and Medical Center Lake Butler 7.00%