ID: Printed Name: Revised Location: Signature: 7/26/2016 Date: *I authorize the deduction of funds to pay for the items selected.

CLOTHING 2046 Denture Cleaner-5 Tabs 1.50 1025 Mens Sport Socks 3.00 2047 Hair Dressing 4.0 OZ 6.00 1026 T-Shirt Small 6.00 2048 Plastic Palm Brush 3.00 1027 T-Shirt Medium 6.00 2049 All-In-One Shower,Shave,Shampoo 2.0 OZ 2.50 1028 T-Shirt Large 6.00 2050 All In One Shower,Shave,Shampoo 4.0 OZ 5.00 1029 T-Shirt XL 6.00 2051 Stick Deodorant 0.5 OZ 1.50 1030 T-Shirt 3XL 6.50 2054 Toothbrush Cap 0.50 1031 White Briefs Small 4.50 2055 Cotton Swabs (50) 2.00 1032 White Briefs Medium 4.50 2056 Protective Soap 2.00 1033 White Briefs Large 4.50 2058 Elastic Hair Ties (18) 2.50 1034 White Briefs XL 4.50 2059 Irish Spring Soap 3.2 OZ 3.50 1035 White Boxers Small 4.50 2061 Denture Adhesive 2.4oz 4.75 1036 White Boxers Medium 4.50 MEDICAL 1037 White Boxers Large 4.50 3009 Foam Ear Plugs-One Pair 1.00 1038 White Boxers XL 4.50 3010 Single Ibuprofen 400 MG/Pack 1.25 1039 T-Shirt 2XL 6.25 3011 Single Sinus,Pain,Allergy & Pressure-1000 MG 1.25 1041 Thermal Shirt Small 7.00 3012 Lip Balm Chapstick 2.00 1042 Thermal Shirt Medium 7.00 3013 Non-Aspirin-650 MG/Pack 1.25 1043 Thermal Shirt Large 7.00 3014 Antacid-840 MG/Pack 1.25 1044 Thermal Shirt XL 7.00 3015 Cherry Cough Drops(18) 6.00 1045 Thermal Pant Small 7.00 3016 Antidiarrheal-2 MG 1.50 1046 Thermal Pant Medium 7.00 3017 Anti Fungal Cream 3.00 1047 Thermal Pant Large 7.00 3018 Mouthwash (Alcohol Free) 2.0 OZ 2.00 1048 Thermal Pant XL 7.00 MISC 1049 Sports Bra (34 Cup) 8.00 4001 Map Colors 4.00 1050 Sports Bra (36 Cup) 8.00 4002 Stamp Single $0.47 0.47 1060 Panties Size 5 5.00 4003 #10 (No Stamp) 0.51 1061 Panties Size 6 5.00 4004 Manilla 10x13 0.70 1062 Panties Size 7 5.00 4005 Dictionary 3.50 1063 Panties Size 8 5.00 4006 Dominoes 4.25 1064 Panties Size 9 5.00 4007 Orange Spork 3.00 1065 Panties Size 14 5.50 4008 Cup 9.0 OZ Tumbler 4.00 1066 Panties Size 10 5.00 4009 Bowl 15.0 OZ Rimless 4.15 1067 Panties Size 11 5.00 4010 Playing Cards 2.25 1068 Panties Size 12 5.00 4013 Writing Tablet-50 Sheets 3.00 1069 Panties Size 13 5.00 4014 Stamped Envelope 1.00 1070 White Boxers 2XL 5.00 4017 Bowl 24.0 OZ With Lid 3.00 1072 Sports Bra (40 Cup) 9.00 4018 Golf Pencil - No Eraser 0.50 1073 Sports Bra (44 Cup) 9.00 4019 Eraser Cap 0.40 1074 Sports Bra (46 Cup) 10.00 4020 Word Search 6.00 1075 Thermal Shirt 2XL 7.50 4021 Crossword 6.00 1076 Thermal Shirt 3XL 7.50 4022 Cup 16.0 OZ Tumbler 3.00 1077 Thermal Shirt 4XL 8.00 4023 Checkers 6.50 1078 Thermal Shirt 5XL 8.50 4024 Chess 7.25 1079 Thermal Shirt 6XL 8.50 4025 Anniversary 1.15 1080 Thermal Pant 2XL 7.50 4026 Love Greeting Card 1.15 1081 Thermal Pant 3XL 7.50 4027 Birthday Greeting Card 1.15 1082 Thermal Pant 4XL 8.00 4028 Sympathy Greeting Card 1.15 1083 Thermal Pant 5XL 8.50 4029 Thank You Greeting Card 1.15 1084 Thermal Pant 6XL 8.50 4030 Get Well Greeting Card 1.15 1085 White Boxers 3XL 5.00 4031 Missing You Greeting Card 1.15 1086 White Boxers 4XL 7.00 4032 Mother's Day Greeting Card 1.15 PERSONAL HYGIENE 4033 Father's Day Greeting Card 1.15 2027 Ivory Bar Soap 3.1 OZ 3.00 4034 Greeting Card 1.15 2028 Wrapped Deodorant Soap 3.0 OZ 3.00 4035 Easter Greeting Card 1.15 2029 Lady Speed Stick Deodorant 1.4 OZ 4.50 4036 Valentine's Greeting Card 1.15 2030 Men Speed Stick Deodorant 2.0 OZ 5.00 4037 Halloween Greeting Card 1.15 2031 Freshscent Shampoo & Body Wash 8.0 OZ 3.00 4038 Thanksgiving Greeting Card 1.15 2032 Suave Shampoo 12.0 OZ 5.00 4039 Blank Greeting Card 1.15 2033 Suave Conditioner 12.0 OZ 5.00 4040 Spanish Christmas Greeting Card 1.15 2034 Suave 2 IN 1 Dandruff Shampoo 14.5 OZ 8.00 4041 Spanish Birthday Greeting Card 1.15 2035 Colgate Flouride 4.6 OZ 4.00 4042 Spanish Love Greeting Card 1.15 2036 Freshmint Toothpaste 0.6 OZ 1.25 4043 Sketch Pads (50 Sheets) 12.00 2037 Freshmint Anti-Cavity Toothpaste 3.0 OZ 3.00 4044 Spanish/English Dictionary 3.50 2038 Short Handle Toothbrush 2.00 4045 Koran (English Translation) 8.50 2039 Thumbprint Toothbrush 2.45 4046 Christian Bible 8.50 2040 Hand & Body Lotion 4.0 OZ 3.00 4047 Pinochle Cards 3.50 2042 Shaving Cream Plastic Tube 3.0 OZ 2.75 6000 Salt (30 Pack) 0.75 2043 5-Inch Comb 1.00 6001 Pepper (30 Pack) 0.85 2044 Sanitex Maxi Pad 0.50 6002 Creamer (10 Pack) 1.25 2045 Regular Panty Liner 0.50 6003 Sweet & Low (10 Pack) 1.00 ID: Printed Name: Revised Location: Signature: 7/26/2016 Date: *I authorize the deduction of funds to pay for the items selected.

6004 Ketchup (10 Pack) 0.85 7044 Caramel Popcorn W/Peanuts 3.5 OZ 2.75 6005 Picante Sauce (5 Pack) 2.00 7045 Jelly Squeeze 1.0 OZ 0.85 7051 Mayonnaise (10 Packs) 1.00 7046 Pretzels 2.25 OZ 2.00 7064 Mustard (10 Packs) 0.85 7047 Peanut Butter Bars 2.50 CANDY 7048 Swiss Cake Rolls - Box 3.25 5000 Payday 3.4 OZ 2.75 7049 Hot Fries 1.5 OZ 1.75 5001 M&M Plain 1.69 OZ 2.00 7050 Tito's Sliced Jalapenos 12.0 OZ 3.25 5002 Zero 1.85 OZ 2.00 7052 Corn Tortillas (12 Count) 1.50 5003 M&M Peanut 1.74 OZ 2.00 7053 Pork Rinds-Original 1.75 5004 Kit Kat 1.5 OZ 2.00 7054 Pork Rinds-Hot 1.75 5005 Snickers 1.86 OZ 2.00 7055 Habernero Sauce 5.0 OZ 2.50 5006 Hershey Plain 1.55 OZ 2.00 7057 Spicy Tortilla Chips 1.5 OZ 1.75 5007 Baby Ruth 2.1 OZ 2.00 7058 Chips Potato Jalapeno 1.0 OZ 1.50 5008 Hershey With Almond 1.45 OZ 2.00 7059 Cheddar Cheese Squeeze Bottle 14.0 OZ 5.00 5009 Twix 1.79 OZ 2.00 7060 Chicken Breast Packet 3.0 OZ 3.50 5010 Skittles 2.17 OZ 2.00 7061 Albacore Packet 2.5 OZ 3.25 5011 Three Musketeers 1.92 OZ 2.00 7062 Beef & Bean Chili Pouch 8.0 OZ 3.00 5012 Milky Way 1.84 OZ 2.00 7063 Beef Chili No Beans 8.0 OZ 3.00 5013 Atomic Fireballs 2.15 OZ 2.00 7065 Almond Granola Bar 1.75 5014 Gummi Worms 3.25 OZ 2.00 7066 Sweet & Salty Nut Granola Bar 1.75 5015 Reese's Pieces 4.0 OZ 3.00 7067 Sweet/Spicy Peanut Mix 1.75 OZ 1.75 5017 Jolly Rancher Assortment 3.0 OZ 2.75 7068 Hot & Spicy Cheez-It 1.5 OZ 2.00 5018 Butterscotch Buttons 4.5 OZ 2.00 7069 Strawberry Cream Cookies 5.0 OZ 2.50 5019 Starlight Mints 3.0 OZ 2.00 7070 Hot Pepper Mix Pouch 1.5 OZ 1.50 5020 Sugar Free Peanut Butter Cups 1.0 OZ 2.00 7071 Ramen Spicy Vegetable 3.0 OZ 1.00 5021 Sugar Free Werther's Originals 1.46 OZ 2.50 7072 Ramen Picante Chicken 3.0 OZ 1.00 5022 Sugar Free Jolly Rancher's 3.6 OZ 4.00 7073 Chocolate Chip Cookies 6.0 OZ 3.50 5023 Sugar Free Starlight Mints 2.75 OZ 2.75 7074 Sriracha Sauce 8.0 OZ 3.50 BEVERAGES 6006 Single Cocoa 1.00 6007 Single Coffee 1.00 6008 Bag Instant Coffee 4.0 OZ 8.00 6015 Fruit Flavored Drink Mix 1.00 6016 Sugar Free Orange Crush Singles to Go 1.00 6017 Sugar Free Strawberry Crush Singles to Go 1.00 6018 Sugar Free Grape Crush Singles to Go 1.00 6019 Nestle Sugar Free Hot Cocoa Packets 1.00 6021 Single Serve Orange Drink Mix 1.00 6022 Single Serve Cherry Drink Mix 1.00 6023 Single Serve Grape Drink Mix 1.00 CHIPS / SNACKS 7000 TGI Friday Potato Skins 1.75 OZ 2.50 7002 Lemon Cream Cookies 5.0 OZ 2.50 7003 Vanilla Cream Cookies 5.0 OZ 2.50 7004 Peanut Butter Cookies 2.5 OZ 2.50 Load money at www.JAILATM.com 7006 Instant Oatmeal (5 Pack Variety) 4.00 7007 Marshmallow Square 2.0 OZ 2.50 **INMATES ORDER ALL PRODUCTS AT OWN RISK** 7009 Ramen Shrimp 3.0 OZ 1.00 7010 Ramen Beef 3.0 OZ 1.00 ALL SALES FINAL 7011 Ramen Chicken 3.0 OZ 1.00 7012 Ramen Chili 3.0 OZ 1.00 CHECK ORDER AT DELIVERY 7013 Honey Bun 5.0 OZ 1.75 7014 Jalapeno Cheese Curls 1.0 OZ 1.50 TAXES ADDED AS NECESSARY 7015 Pop Tart Frosted Strawberry 3.6 OZ 1.50 7016 Pop Tart Frosted Brown Sugar 3.5 OZ 1.50 To place a commissary order please follow these instructions: 7017 Lay's Chips Regular 1.5 OZ 2.50 1. Please choose a language 7018 Beef Summer Sausage 5.0 OZ 4.00 2. Dial 7 for commissary 7019 Hot Cajun Jalapeno Beef Sausage 5.0 OZ 4.00 3. You will hear silence for some period and then music 7020 Jalapeno Meat Stick 1.0 OZ 1.75 4. Please choose a language 7021 Sweet & Sassy Meat Stick 1.75 5. Please enter SITE CODE 2028# 7028 Jalapeno Cheese Squeezers 0.85 6. Enter your inmate ID# 7029 Habanero Cheese Squeezers 0.85 7. Enter your secret 4 digit PIN# 7030 Peanut Butter Squeezers 0.75 8. Follow the menu to order commissary or purchase phone time 7031 Peanut Butter Jar Creamy 4.50 7032 Peanut Butter Jar Crunchy 4.50 You will have 72 hours to pick up any order delivered after your release. After 72 7033 Saltine Crackers Sleeve 1.25 hours the order will become the property of Kingman County Sheriff's Office. 7034 Peanut Butter Cheese Crackers 1.25 Orders need to be entered into the system by lights out on Sunday evening. Orders 7035 Taki's Fuego Chips 2.0 OZ 2.50 will be delivered as staff has the time. 7038 Tuna Pouch 2.5 OZ 2.50 7039 Nacho Cheese Dip 3.0 OZ 2.00 7040 Beef Snack Stick 1.25 7041 Instant Spanish Rice 2.0 OZ 1.50 7042 Refried Beans W/Jalapenos 4.0 OZ 2.25 7043 Flour Tortillas 8 inch (6 Pack) 2.50