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Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please Complete All Info on Reverse (Print Clearly)

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Order Form Florida DOC Spring/Summer Ordering Dates: May 31 - June 30, 2017 Please Complete All Info on Reverse (Print Clearly) 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.
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