FEMALE CANTEEN QUARTERLY ORDER FORM 7/18/2019 Revised BT PRINT NAME:_____________________________________ DC NUMBER:________________ DATE______________ CELL LOCATION:_____________ INSTITUTION: ___________________ BY SUBMITTING THIS ORDER I ACKNOWLEDGE COMPLIANCE WITH CH. 33-602.201. ALLOWED SIZE & RETAIL TOTAL PRIORITY Item # Item Description and Sizes PER CH 33 QTY WIDTH PRICE ALL SHOE/ BOOT SIZES ARE WOMEN'S SIZES SHOE CORP, White Low Top, Leather, Tie, Court Shoe. Sizes 5 - 13.5 including half sizes, 14, Depends on Size 15, 16, 17 Standard D Width; wide width sizes available for sizes 11-13, inclu half sizes (specify $28.55 "W" as width on order for wide size) 1 pair SHOE CORP, White Mid- High, Leather, Tie, Court Shoe. Sizes 5 - 13.5 including half sizes, 14, Depends on Size 15, 16, 17 Standard D Width; wide width sizes available for sizes 11-13, inclu half sizes (specify $32.18 "W" as width on order for wide size) Wide width shoes other then 11-13 on this order form are available as Special Order, not on this order form. Delivery may take up to 5 weeks after acceptance of order. SHOE CORP, Leather Work Boot,#21,Black, 6,6.5,7,7.5,8,8.5,9,9.5,10,10.5,11,11.5,12,12- Depends on Size 2E,12.5,12.5E,13,13-2E,13-4E,13.5,14, 14-2E, 14-4E, 14.5, 15, 15.5,16, 17 (DEATH ROW 1 pair $57.81 INMATES ARE EXCLUDED FROM PURCHASING THIS WORK BOOT) Depends on Size Gray Sweatshirt, Sizes: S to XL, RUSSELL ATHLETIC $12.70 Depends on Size Gray Sweatshirt, Sizes: 2XL to 4XL, RUSSELL ATHLETIC 2 each $16.48 58220 Gray Sweatshirt, Sizes: 5XL, GILDEN $14.46 Depends on Size Thermal Underwear, Pants, INDERA MILLS, Size S to XL $7.08 2 each Depends on Size Thermal Underwear, Pants, INDERA MILLS, Size 2XL to 5XL $9.81 Depends on Size Thermal Underwear, Shirts, INDERA MILLS, Size S to XL $7.78 2 each Depends on Size Thermal Underwear, Shirts, INDERA MILLS, Size 2XL to 5XL $9.82 Depends on Size Bra, JUST MY SIZE, 42-44B, 38-48C, 38D, 42-48D, 38-50DD $15.81 4 each Depends on Size Bra, MIGHTY HUGS, 34B,36B,38B,36C $8.31 Bra,HANES H570 Sports Bra, White, Sizes: S,M,L Depends on Size 1 each $6.74 S (32-34A/B & 32C), M (34-36A/B &34C), L (34-36A/B &34C) Depends on Size T-shirt, Ash, (no pocket), FRUIT OF THE LOOM, Sizes: S to XL $5.08 Depends on Size T-shirt, Ash, (no pocket), FRUIT OF THE LOOM, Sizes: 2XL $7.01 4 each Depends on Size T-shirt, Ash, (no pocket), FRUIT OF THE LOOM, Sizes: 3XL $7.71 Depends on Size T-shirt, Ash, (no pocket), FRUIT OF THE LOOM, Sizes: 4XL to 6XL $12.65 Depends on Size Women's Cotton Briefs, White, HANES HER WAY, 3/pkg, Sizes: 6 to 8 $8.14 2 packs Depends on Size Women's Cotton Briefs, White, HANES HER WAY, 3/pkg, Sizes: 9 to 12 $8.78 Depends on size SHAMRON, Women's Pajama Set, Short Sleeve Top, Long Pants. Sizes S - XL. $17.37 Depends on size SHAMRON, Women's Pajama Set, Short Sleeve Top, Long Pants. Sizes 2XL - 6XL. $19.57 1 pair Depends on size SHAMRON, Women's Pajama Set, Long Sleeve Top, Long Pants. Sizes S - XL. $18.99 Depends on size SHAMRON, Women's Pajama Set, Long Sleeve Top, Long Pants. Sizes 2XL - 6XL. $20.99 51834 GOODY, Hair Claw, Medium 5 each $1.67 Depends on size GOODY, Hair Rollers. Sizes Sm- 14 pk, Med- 12 pk, Lrg- 10 pk 2 packs $2.20 59046 GOODY, Hair Clip, Lrg 5 each $2.39 58314 Deluxe Crew Socks, Cotton, One Size Fits All, SOFT TOUCH 6 pair $1.35 56152 Razor, SIERRA, Battery Operated 1 each $25.00 56340 AM/FM Radio, Digital display, w/ earbud, GPX, Clear Model R300CLR $18.94 1 each 56341 AM/FM Radio, w/ headphones, JENSEN, clear model JSR-1000A $16.68 56385 Headphones, Replacement, KOSS, Recover K 1 each $10.98 56391 Ear Buds,SENTRY, White 1 set $6.02 56304 Checkers Set, PRESSMAN 1 set $3.63 56305 Chess set, PRESSMAN 1 set $3.30 56984 Dominoes, Double Nine, PRESSMAN $4.73 1 set 56303 Dominoes, Double Six, PRESSMAN $3.60 54956 Fitover Sunglasses (fits over regular glasses) **NEW ** 1 pair $5.36 Depends on Size Reading Glasses (+1.00,+1.25,+1.50,+1.75,+2.00,+2.25,+2.50,+2.75,+3.00,+3.25) 2 each $5.98 54900 Watch, LED, black rubber band, black case 1 each $5.15 56665 Watch Band, Velcro, Black, RAINE, 003V 1 each $5.08 51955 Shower Cap, ea 1 each $0.20 I UNDERSTAND THAT: SUBTOTAL ONCE MY ORDER IS PLACED, IT WILL NOT BE CANCELLED. + TAX INCOMPLETE FORMS WILL NOT BE PROCESSED. TOTAL ALL ITEMS ORDERED MUST BE PRIORITIZED (EXAMPLE: 1-10 HIGHEST PRIORITY #1, Lowest #10) IF I FAIL TO SPECIFY A SIZE, WHERE REQUIRED, THAT ITEM WILL NOT BE PROCESSED. SIGNATURE: ______________________________ ORDER REJECTED DUE TO:________________________________ PROPERTY OFFICER_____________________________ DATE______________ ISSUED BY________________________ I HAVE RECEIVED THE ABOVE MERCHANDISE IN GOOD CONDITION: I UNDERSTAND THAT THERE WILL BE NO REFUNDS, RETURNS, OR EXCHANGES. ALL CONCERNS WITH THIS ORDER MUST BE ADDRESSED NO MORE THAN 20 DAYS FOLLOWING RECEIPT OF ORDER SIGNATURE ________________________________DC #______________DATE________________ ORDERS MUST BE RETURNED TO THE CANTEEN BY AUGUST 2, 2019. ORDERS RECEIVED AFTER THIS DATE WILL NOT BE PROCESSED. YOUR ORDER MAY BE REJECTED IF YOU HAVE INSUFFICIENT FUNDS IN YOUR ACCOUNT AUGUST 12-16, 2019 In accordance with the contract and Canteen Operations procedure 204.005, any modifications to this products list must receive prior approval from the Department’s Canteen Review Team. .