learly). - access catalog company, llc...market square bakery 14 oz. lemon creme cookies k h c $1.83...

8
Order Form Michigan DOC Quarter 1 & 2 Effective January 2020 Please complete all info on reverse (print clearly). K - Kosher H - Halal C - Clear D - Diabetic R - Resealable G - Gluten Free S - Soy Free Total Total 1 ITEM DESCRIPTION PRICE ITEM # Size QTY TOTAL PRICE DRINKS Coffee, Tea, Cocoa & Cappuccino Bigelow 1.1 oz. Variety Pack Assorted Teas (18 Ct.) K H G $3.83 / BX 2128 Cafe Bustelo 3.5 oz. Coffee Pouch K H $6.25 / EA 2112 Keefe 10 oz. Hot Cocoa w/Mini Marshmallows C R $1.64 / EA 2117 Keefe 3 oz. 100% Colombian Coffee K H C R V $3.62 / EA 2015 Keefe 3 oz. Alturo Blend Coffee K H C R $3.06 / EA 2282 Keefe 3 oz. Decaffeinated Freeze Dried Coffee K H C R V $3.70 / EA 2011 Keefe 4.5 oz. Instant Coffee $3.00 / EA 2682 Keefe 8 oz. French Vanilla Cappuccino K H C R $1.65 / EA 2041 Keefe Tea Bags (48 Ct.) K G S $1.98 / BX 2028 Maxwell House 4 oz. Select Roast Coffee Pouch K C R $4.28 / EA 2017 Sweet Fusions 19 oz. Tea w/Lemon Tea Resealable Pouch K H C $3.39 / EA 2346 Swiss Miss 9 oz. Hot Cocoa Mix (9 servings) K H C R G $1.79 / EA 2198 Creamer Paramount 6.75 oz. French Vanilla Non-Dairy Creamer K H $1.73 / EA 2044 Paramount 8 oz. Non-Dairy Creamer K H C R $1.49 / EA 2021 Sweetener Sweet Mate 3.5 oz. Saccharin (100 Ct.) K H $1.89 / BX 2216 Drink Mixes Country Time 12 oz. Lemonade Drink Mix K H C R $2.19 / EA 2309 Crystal Light SF Raspberry Lemonade Drink Stick (6 Pk.) $2.15 / SP 2075 Crystal Light Sugar Free Fruit Punch Drink Sticks (6 pk) $2.15 / SP 4162 Crystal Light Sugar Free Variety Flavors Drink Sticks (6 Ct.) $2.05 / SP 2138 Gatorade 7.5 oz. Fruit Punch Drink Mix Resealable Pouch H R $2.75 / EA 2194 Hawaiian Punch .75 oz. SF Singles To Go Polar Blast (8 Pk.) $1.94 / BX 2506 Keefe 12 oz. Orange Flavored Breakfast Drink K H C R $1.89 / EA 2320 Kool Aid/Country Time/Tang Drink Stick (6 Pk.) $2.15 / SP 2139 Kool-Aid 12 oz. Grape Drink Mix K H C R $2.19 / EA 2333 Kool-Aid 12 oz. Tropical Punch Drink Mix K H C R $2.19 / EA 2331 Wylers 1.18 oz. Island Punch Blue Ocean Breeze Drink Mix $1.94 / EA 2582 Nutritional Drinks New Leaf 2 oz. Chocolate Health Shake Mix K $1.85 / EA 2134 New Leaf 2 oz. Vanilla Health Shake Mix $1.85 / EA 2136 Milk Paramount 10 oz. Instant Nonfat Dry Milk K H $3.57 / EA 2099 ITEM DESCRIPTION PRICE ITEM # Size QTY TOTAL PRICE FOOD & SNACKS Cereal, Cereal Bars & Granola Bars Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.47 / EA 6540 Golden Valley 20 oz. Frosted Shredded Wheat Cereal R $5.29 / EA 3336 Golden Valley Cereal 20 oz. Frosted Flakes K R $3.86 / EA 3358 Golden Valley Cereal 20 oz. Fruit Rolls K R $5.29 / EA 4210 Golden Valley Cereal 20 oz. Raisin Bran Cereal K R $4.50 / EA 3342 Quaker 1.26 oz. Maple Brown Sugar Granola Bar $0.55 / EA 4396 Quaker 14.04 oz. Flavor Variety Instant Oatmeal (10 Pk.) $2.69 / SP 2297 Quaker Regular Flavor Instant Oatmeal (12 Pk.) $2.60 / SP 2296 Pastries & Snack Cakes 7 Days 2.65 oz. Chocolate Croissant $1.50 / EA 2651 7 Days 2.65 oz. Vanilla Croissant $1.50 / EA 2652 Cloverhill 4.25 oz. Strawberry Cheese Danish $0.79 / EA 4431 Cloverhill 4.75 oz. Jumbo Chocolate Iced Honey Bun K C $0.93 / EA 3273 Duchess 10 oz. Chocolate Gems Donuts $3.11 / EA 2690 Duchess 10 oz. Powdered Sugar Gem Donuts $3.11 / EA 2694 Duchess 3 oz. Chocolate Gems Donuts $1.14 / EA 2689 Duchess 4 oz. Cinnamon Roll $0.78 / EA 3248 Golden Valley 4 oz. Cinnamon Raisin Bagel K H C $0.60 / EA 6612 Golden Valley 4 oz. Plain Bagel K H C $0.60 / EA 6610 Hostess 12.7 oz. Ding Dongs Chocolate Cake w/Creamy Filling (10 Ct.) $3.99 / BX 4054 Hostess 3.38 oz. Orange CupCakes (2 Pk.) $1.25 / EA 4159 Kellogg’s 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.) $2.76 / BX 3194 Kellogg’s 14.7 oz. Frosted Strawberry Pop-Tarts (8 Pk.) $2.76 / BX 3197 Market Square Bakery 12 oz. Peanut Butter Wafers (6 Pk.) K $2.30 / BX 3333 Market Square Bakery 3 oz. Powdered Lemon Donuts $1.25 / EA 2695 Market Square Bakery 4 oz. Cinnamon Crumb Cakes (2 Pk.) K $1.04 / EA 3260 Market Square Bakery 4 oz. Cream Cheese Pound Cakes (2 Pk.) K C $1.04 / EA 3192 Market Square Bakery 6 oz. Monster Iced Honey Bun C $0.91 / EA 3274 Chips & Snacks 7 Days 3.17 oz. Roasted Garlic Bagel Chips $1.75 / EA 2655 7 Days 3.17 oz. Sea Salt Bagel Chips $1.75 / EA 3656 Cactus Annie’s 10 oz. Cheese Puffs K H C G CHIPS LIMIT 12 $1.99 / EA 6692

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Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

1

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

DRINKSCoffee, Tea, Cocoa & CappuccinoBigelow 1.1 oz. Variety Pack Assorted Teas (18 Ct.) K H G $3.83 / BX 2128

Cafe Bustelo 3.5 oz. Coffee Pouch K H $6.25 / EA 2112

Keefe 10 oz. Hot Cocoa w/Mini Marshmallows C R $1.64 / EA 2117

Keefe 3 oz. 100% Colombian Coffee K H C R V $3.62 / EA 2015

Keefe 3 oz. Alturo Blend Coffee K H C R $3.06 / EA 2282

Keefe 3 oz. Decaffeinated Freeze Dried Coffee K H C R V $3.70 / EA 2011

Keefe 4.5 oz. Instant Coffee $3.00 / EA 2682

Keefe 8 oz. French Vanilla Cappuccino K H C R $1.65 / EA 2041

Keefe Tea Bags (48 Ct.) K G S $1.98 / BX 2028

Maxwell House 4 oz. Select Roast Coffee Pouch K C R $4.28 / EA 2017

Sweet Fusions 19 oz. Tea w/Lemon Tea Resealable Pouch K H C

$3.39 / EA 2346

Swiss Miss 9 oz. Hot Cocoa Mix (9 servings) K H C R G $1.79 / EA 2198

CreamerParamount 6.75 oz. French Vanilla Non-Dairy Creamer K H $1.73 / EA 2044

Paramount 8 oz. Non-Dairy Creamer K H C R $1.49 / EA 2021

SweetenerSweet Mate 3.5 oz. Saccharin (100 Ct.) K H $1.89 / BX 2216

Drink MixesCountry Time 12 oz. Lemonade Drink Mix K H C R $2.19 / EA 2309

Crystal Light SF Raspberry Lemonade Drink Stick (6 Pk.) $2.15 / SP 2075

Crystal Light Sugar Free Fruit Punch Drink Sticks (6 pk) $2.15 / SP 4162

Crystal Light Sugar Free Variety Flavors Drink Sticks (6 Ct.) $2.05 / SP 2138

Gatorade 7.5 oz. Fruit Punch Drink Mix Resealable Pouch H R $2.75 / EA 2194

Hawaiian Punch .75 oz. SF Singles To Go Polar Blast (8 Pk.) $1.94 / BX 2506

Keefe 12 oz. Orange Flavored Breakfast Drink K H C R $1.89 / EA 2320

Kool Aid/Country Time/Tang Drink Stick (6 Pk.) $2.15 / SP 2139

Kool-Aid 12 oz. Grape Drink Mix K H C R $2.19 / EA 2333

Kool-Aid 12 oz. Tropical Punch Drink Mix K H C R $2.19 / EA 2331

Wylers 1.18 oz. Island Punch Blue Ocean Breeze Drink Mix $1.94 / EA 2582

Nutritional DrinksNew Leaf 2 oz. Chocolate Health Shake Mix K $1.85 / EA 2134

New Leaf 2 oz. Vanilla Health Shake Mix $1.85 / EA 2136

MilkParamount 10 oz. Instant Nonfat Dry Milk K H $3.57 / EA 2099

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

FOOD & SNACKSCereal, Cereal Bars & Granola BarsGolden Valley 1.3 oz. Strawberry Cereal Bar K $0.47 / EA 6540

Golden Valley 20 oz. Frosted Shredded Wheat Cereal R $5.29 / EA 3336

Golden Valley Cereal 20 oz. Frosted Flakes K R $3.86 / EA 3358

Golden Valley Cereal 20 oz. Fruit Rolls K R $5.29 / EA 4210

Golden Valley Cereal 20 oz. Raisin Bran Cereal K R $4.50 / EA 3342

Quaker 1.26 oz. Maple Brown Sugar Granola Bar $0.55 / EA 4396

Quaker 14.04 oz. Flavor Variety Instant Oatmeal (10 Pk.) $2.69 / SP 2297

Quaker Regular Flavor Instant Oatmeal (12 Pk.) $2.60 / SP 2296

Pastries & Snack Cakes7 Days 2.65 oz. Chocolate Croissant $1.50 / EA 2651

7 Days 2.65 oz. Vanilla Croissant $1.50 / EA 2652

Cloverhill 4.25 oz. Strawberry Cheese Danish $0.79 / EA 4431

Cloverhill 4.75 oz. Jumbo Chocolate Iced Honey Bun K C $0.93 / EA 3273

Duchess 10 oz. Chocolate Gems Donuts $3.11 / EA 2690

Duchess 10 oz. Powdered Sugar Gem Donuts $3.11 / EA 2694

Duchess 3 oz. Chocolate Gems Donuts $1.14 / EA 2689

Duchess 4 oz. Cinnamon Roll $0.78 / EA 3248

Golden Valley 4 oz. Cinnamon Raisin Bagel K H C $0.60 / EA 6612

Golden Valley 4 oz. Plain Bagel K H C $0.60 / EA 6610

Hostess 12.7 oz. Ding Dongs Chocolate Cake w/Creamy Filling (10 Ct.)

$3.99 / BX 4054

Hostess 3.38 oz. Orange CupCakes (2 Pk.) $1.25 / EA 4159

Kellogg’s 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.) $2.76 / BX 3194

Kellogg’s 14.7 oz. Frosted Strawberry Pop-Tarts (8 Pk.) $2.76 / BX 3197

Market Square Bakery 12 oz. Peanut Butter Wafers (6 Pk.) K $2.30 / BX 3333

Market Square Bakery 3 oz. Powdered Lemon Donuts $1.25 / EA 2695

Market Square Bakery 4 oz. Cinnamon Crumb Cakes (2 Pk.) K $1.04 / EA 3260

Market Square Bakery 4 oz. Cream Cheese Pound Cakes (2 Pk.) K C

$1.04 / EA 3192

Market Square Bakery 6 oz. Monster Iced Honey Bun C $0.91 / EA 3274

Chips & Snacks7 Days 3.17 oz. Roasted Garlic Bagel Chips $1.75 / EA 2655

7 Days 3.17 oz. Sea Salt Bagel Chips $1.75 / EA 3656

Cactus Annie’s 10 oz. Cheese Puffs K H C GCHIPS LIMIT 12

$1.99 / EA 6692

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

2

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Cactus Annie’s 10 oz. Nacho Cheese Tortilla Chips K H C GCHIPS LIMIT 12

$1.97 / EA 6150

Cactus Annie’s 11 oz. “The Whole Enchilada” Party Mix H CCHIPS LIMIT 12

$1.94 / EA 6349

Cactus Annie’s 11 oz. Cheese Crunchy K H CCHIPS LIMIT 12

$1.97 / EA 6117

Cactus Annie’s 12 oz. Chili Cheese Corn Chips H C GCHIPS LIMIT 12

$2.35 / EA 6247

Cactus Annie’s 12 oz. Hot & Spicy Corn Chips K H CCHIPS LIMIT 12

$2.01 / EA 6171

Cactus Annie’s 13 oz. Corn Chips K H CCHIPS LIMIT 12

$1.93 / EA 6155

Cactus Annie’s 2 oz. Hot & Spicy Pork Rinds C GCHIPS LIMIT 12

$0.89 / EA 6127

Cactus Annie’s 9.5 oz. Hot! Hot! Hot! Cheese Crunchy K H CCHIPS LIMIT 12

$1.97 / EA 6348

Cheetos 8 oz. Flamin’ Hot Crunchy C G $2.30 / EA 6198

Doritos 7.5 oz. Spicy Sweet Chili Chips CHIPS LIMIT 12

$2.85 / EA 6204

Doritos 8 oz. Cool Ranch Chips CCHIPS LIMIT 12

$2.32 / EA 2740

Doritos 8 oz. Nacho Cheese Chips CCHIPS LIMIT 12

$2.36 / EA 6151

Kings Nut 3.25 oz. Health Mix K H $1.26 / EA 6213

Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels K H $0.72 / EA 6214

Kings Nut 4 oz. Tropical Mix K H $0.98 / EA 6217

Moon Lodge 11 oz. Pretzels Mini Twists K CCHIPS LIMIT 12

$1.44 / EA 6108

Moon Lodge 6 oz. Buffalo Wing & Blue Cheese Potato Chips KCHIPS LIMIT 12

$1.29 / EA 6148

Moon Lodge 6 oz. Hot!, Hot!, Hot! BBQ Potato Chips K HCHIPS LIMIT 12

$1.29 / EA 6698

Moon Lodge 6 oz. Ripple Potato Chips K H G SCHIPS LIMIT 12

$1.26 / EA 6081

Moon Lodge 6 oz. Sour Cream & Onion Potato Chips K H GCHIPS LIMIT 12

$1.29 / EA 6143

The Whole Shabang 2 oz. Pork Rinds $1.50 / EA 6068

The Whole Shabang 6 oz. Extreme Kettle Cooked Potato Chips KCHIPS LIMIT 12

$1.75 / EA 6069

The Whole Shabang 6 oz. Extreme Ripple Potato Chips K HCHIPS LIMIT 12

$1.50 / EA 6852

The Whole Shabang 6 oz. Original Potato Chips K HCHIPS LIMIT 12

$1.75 / EA 6080

PopcornMoon Lodge 2.8 oz. Extra Butter Microwave Popcorn K $0.51 / EA 6201

Moon Lodge 2.8 oz. Kettle Corn Microwave Popcorn K $0.47 / EA 6019

Moon Lodge 5 oz. Jalapeno Cheddar Popcorn CHIPS LIMIT 12

$1.60 / EA 6218

NutsKings Nut 10 oz. Mixed Nuts w/Peanuts K H $4.02 / EA 6241

Kings Nut 2.5 oz. Honey Roasted Peanuts K H $0.74 / EA 6216

Kings Nut 2.5 oz. Roasted & Salted Cashews K H $1.80 / EA 6205

Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $0.46 / EA 6607

Moon Lodge 1.75 oz. Salted Peanuts K C G $0.43 / EA 6606

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

CrackersAustin Peanut Butter & Jelly Crackers (1 Pk.) K $0.50 / EA 3243

Austin Peanut Butter on Cheese Crackers (1 Pk.) K $0.50 / EA 3223

Cheez-It 1.5 oz. Cheddar Crackers K $0.83 / EA 3115

Gamesa 3.45 oz. Crackets Crackers $0.60 / EA 3141

Golden Valley 16 oz. Saltines Crackers (Box) K H $1.86 / BX 3107

CookiesGrandma’s 2.5 oz. Chocolate Chip Cookies $0.53 / EA 3010

Marias 4.94 oz. Gamesa Cookies $1.00 / EA 3039

Market Square Bakery 14 oz. Chocolate Creme Cookies K H C $1.83 / EA 3008

Market Square Bakery 14 oz. Duplex Creme Cookies K H C $1.89 / EA 3007

Market Square Bakery 14 oz. Lemon Creme Cookies K H C $1.83 / EA 3060

Market Square Bakery 14 oz. Peanut Butter Creme Cookies K H C

$1.83 / EA 3033

Market Square Bakery 16 oz. Vanilla Wafers K H $1.98 / EA 3052

Oreo 2.4 oz. Cookies $1.20 / EA 3020

CandyAtkinsons .7 oz. Chick-O-Stick K C V G $0.21 / EA 4019

Atomic 3 oz. Fireball $0.75 / EA 4146

Chewy Lemonhead 4 oz. Fruit Mix Candy $1.10 / EA 4164

Chewy Lemonheads 4 oz. Redrific Candy $1.09 / EA 4168

Jolly Rancher 3.7 oz. Assorted Flavors C $0.90 / EA 4135

M&M’s 1.69 oz Plain Candy $1.02 / EA 4000

M&M’s 1.74 oz. Peanut Candy $1.02 / EA 4001

Now & Later 3.25 oz. Assorted Candy $0.83 / EA 4151

Reese’s 1.5 oz. Peanut Butter Cups K G $1.02 / EA 4035

Sathers 3.75 oz. All Star Mix Assorted Candies C $0.82 / EA 4152

Sathers 3.75 oz. Star Brites Mints $0.73 / EA 4145

Sathers 3 oz. Vanilla Caramels C $1.03 / EA 4156

Sathers 4.25 oz. Jelly Beans $1.19 / EA 4121

Sathers 4.25 oz. Root Beer Barrels $1.19 / EA 4120

Sathers 4.25 oz. Sour Fruit Balls C $1.17 / EA 4150

Sathers 5.75 oz. Orange Slices C $1.61 / EA 4154

Skittles 2.17 oz. Original Candy $1.02 / EA 4040

Snickers 1.86 oz. Candy Bar $1.02 / EA 4010

Sour Patch 3 oz. Gummi Watermelon Candy C $1.22 / EA 4024

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

3

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Swedish Fish 3 oz. Red Candy $0.95 / EA 3085

Salad DressingKraft 1.5 oz. Ranch Salad Dressing Packet $0.60 / EA 6421

SaucesBrushy Creek 4 oz. Italian Pasta Sauce C G $0.76 / EA 6294

Cactus Annie’s 11 oz. Regular Picante Sauce $2.25 / EA 4506

Pampa 18 oz. Original Barbecue Sauce $1.65 / EA 6249

Squeez-Ums Hot Sauce (12 Pk.) K G $0.51 / STR 6268

Tokyo Diner 6 oz. Soy Sauce K C R $1.49 / EA 6508

Condiments & SpreadsKeefe Kitchens 18 oz. Chunky Peanut Butter K H C R G S $3.29 / EA 6418

Keefe Kitchens 18 oz. Creamy Peanut Butter K C R G S $3.29 / EA 6417

Keefe Kitchens 18 oz. Mayonnaise K C G $3.50 / EA 6545

Poco Pac 1 oz. Strawberry Jam (10 Pk.) K $2.05 / EA 6371

Squeez-Ums .15 oz. Mustard (12 Pk.) K G $0.81 / STR 6263

Squeez-Ums .31 oz. Ketchup (12 Pk.) K G $0.81 / STR 6264

Squeez-Ums .31 oz. Mayonnaise (12 Pk.) K G $0.88 / STR 6262

Squeez-Ums 1 oz. Grape Jelly (10 Pk.) K $2.00 / PK 6370

Squeez-Ums Pure Honey (10 Pk.) K $1.50 / PK 6358

Spices & SeasoningsColonna Brothers 1.5 oz. Vegetable Flakes Spice $1.75 / EA 0995

Colonna Brothers 2.5 oz. Garlic Powder $1.31 / EA 6272

Colonna Brothers Spices 4.75 oz. Seasoned Salt $1.73 / EA 2693

Pepper Shaker 1.5 oz. K $1.27 / EA 6498

Salt Shaker 4 oz. K $0.50 / EA 6497

Sevilla 1.5 oz. Sazon con Culantro Y Achiote K H C $1.13 / EA 4278

PicklesVan Holten’s 9.6 oz. Dill Pickle K C G $0.75 / EA 6501

Van Holten’s 9.6 oz. Hot & Spicy Pickle K C G $0.72 / EA 6500

Van Holten’s 9.6 oz. Zesty Garlic Pickle K H C G $0.72 / EA 6502

PeppersCactus Annie’s 12 oz. Sliced Jalapeno Peppers H C R G $3.16 / EA 6506

CheeseCity Cow 4 oz. Hot Pepper Cheese Stick C G S $2.50 / EA 6449

City Cow 4 oz. Provolone Cheese Stick C G $1.94 / EA 6543

City Cow 4 oz. White Queso Dip C R G $2.25 / EA 6625

Gilman 3.5 oz. Shredded Cheddar Cheese $2.10 / EA 4079

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Gilman 3.5 oz. Shredded Cheese Mozzarella $2.10 / EA 4076

Philly 2 oz. Cream Cheese w/Jalapenos $0.68 / EA 2596

Velveeta 8 oz. Sharp Cheddar Cheese Snack Spread Tub C R G $1.84 / EA 6442

Velveeta 8 oz. Spicy Jalapeno Cheese Snack Spread Tub C R G $1.84 / EA 6444

Meat SnacksBridgford 3.5 oz. Chorizos $3.86 / EA 3561

Bridgford 3.5 oz. Sliced Pepperoni $2.35 / EA 3559

Brushy Creek .78 oz. Single Serve Bacon (6 slices) C $2.59 / EA 4901

Brushy Creek 1.625 oz. Hot Summer Sausage G $0.59 / EA 3581

Brushy Creek 5 oz. Hot Summer Sausage Made with Beef and Chicken G

$1.56 / EA 3487

Brushy Creek 5 oz. Original Beef & Chicken Halal Sausage H G $2.28 / EA 6141

Brushy Creek 5 oz. Original Summer Sausage Made with Beef and Chicken G

$1.66 / EA 3585

Brushy Creek 5 oz. Salami Stick with Beef and Chicken G $1.70 / EA 2385

Brushy Creek 5 oz. Turkey Summer Sausage Honey Brown Sugar G

$1.66 / EA 2624

Jack Link’s .9 oz. Original Beef Jerky $1.88 / EA 6296

O’Brien’s 1.125 oz. Beef & Cheddar Sticks G $1.00 / EA 6320

O’Brien’s 1.125 oz. Hot & Spicy Sausage G $0.77 / EA 6322

Tomer Kosher 0.9 Beef Stick Cajun K $1.35 / EA 2679

Tomer Kosher 0.9 Beef Stick Hot K $1.35 / EA 2680

Tomer Kosher 0.9 Beef Stick Original K $1.35 / EA 2681

SeafoodChicken of the Sea 3.53 oz. Smoked Baby Clams in Oil $3.75 / EA 6183

Fresh Catch 3.53 oz. Fillets of Mackerel in Brine H G $3.00 / EA 6074

Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean Oil H G $1.75 / EA 6178

Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce H G $0.95 / EA 6721

Fresh Catch 3.53 oz. Fish Steaks in Oil w/Green Chilies H G $2.00 / EA 6190

Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard Sauce H G $0.95 / EA 6189

Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $2.50 / EA 6191

Fresh Catch 3.53 oz. Sardines in Hot Tomato Sauce H G S $1.50 / EA 6181

Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G $4.42 / EA 6826

Ready-To-Eat MealsBrushy Creek 11.25 oz. Beef Stew G $2.04 / EA 6176

Brushy Creek 11.25 oz. Chili No Beans $3.33 / EA 6172

Brushy Creek 11.25 oz. Chili with Beans G $2.76 / EA 6173

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

4

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Brushy Creek 11.25 oz. Chili with Beans Hot! G $2.77 / EA 6174

Brushy Creek 4.5 oz. Premium Chicken Breast G S $3.42 / EA 6195

Brushy Creek 6 oz. Shredded Beef $4.00 / EA 6139

Hormel 2.5 oz. Spam Single $2.15 / EA 6757

Mama Mary’s Pizza Kit (2 pk) 7” Crust $3.19 / EA 6055

My Own Meal 10 oz. Beef Stew K $6.30 / EA 6133

My Own Meal 10 oz. Cheese Tortellini K $5.79 / EA 6688

My Own Meal 10 oz. Chicken & Rice K $6.20 / EA 6689

Pace 9 oz. Ready Meals Cheesy Chicken Quesadilla Flavored Rice, Chicken and Beans in a Cheesy Sauce

$5.75 / EA 2461

VegetablesBrushy Creek 7 oz. Whole Kernel Sweet Corn H C G S $1.75 / EA 6741

Keefe Kitchens 4 oz. Instant Potatoes K HITEM LIMIT 10

$1.21 / EA 4460

RiceKeefe Kitchens 6.5 oz. Pre-Cooked Long Grain Brown Rice K C R G

$1.46 / EA 6051

Keefe Kitchens 8 oz. Pre-Cooked Long Grain Rice K H C R G $1.39 / EA 6050

Minute Rice 8 oz. White Rice Clear Resealable Pouch $1.54 / EA 2307

Velveeta 2 oz. Spicy, Cheesy Rice K H C $0.69 / EA 2667

BeansSevilla 4.4 oz. Chili Flavor Refried Beans & Rice K H $1.07 / EA 6710

Sevilla 8 oz. Refried Beans K H R $1.62 / EA 6700

Velveeta 4 oz. Spicy, Cheesy Refried Beans & Rice K H C $1.50 / EA 2670

TortillasCactus Annie’s 8 oz. Flour Tortillas (6 Pk.) K H C R $0.96 / EA 6600

Mission Jalapeno Cheddar Tortillas (6 Pk.) $2.83 / EA 6493

RamenMaruchan 3 oz. Beef Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6048

Maruchan 3 oz. Cajun Chicken Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6013

Maruchan 3 oz. Chicken Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6046

Maruchan 3 oz. Chili Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6026

Maruchan 3 oz. Low Sodium Chicken Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6065

Maruchan 3 oz. Low Sodium Chili Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6067

Maruchan 3 oz. Low Sodium Hot & Spicy Vegetable Flavor Ramen RAMEN LIMIT 30

$0.35 / EA 6094

Maruchan 3 oz. Roast Beef Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6014

Maruchan 3 oz. Roast Chicken Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6015

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Maruchan 3 oz. Texas Beef Flavor Ramen CRAMEN LIMIT 30

$0.35 / EA 6018

Maruchan Instant Lunch 2.25 oz - Cajun Style with Shrimp RAMEN LIMIT 30

$0.65 / EA 6033

Maruchan Instant Lunch 2.25 oz. - California Veggie RAMEN LIMIT 30

$0.65 / EA 6034

Maruchan Instant Lunch 2.25 oz. - Hot & Spicy Beef RAMEN LIMIT 30

$0.65 / EA 6036

Roya 3 oz. Beef Ramen K HRAMEN LIMIT 30

$0.40 / EA 4435

Roya 3 oz. Chicken Ramen K HRAMEN LIMIT 30

$0.40 / EA 4436

NoodlesVelveeta 3 oz. Macaroni and Cheese K H C $1.20 / EA 2664

HEALTH & BEAUTYEthnic Hair CareLuster’s 8 oz. Pink Oil Moisturizer $6.23 / EA 0068

Murray’s 4 oz. Superior Hair Dressing Pomade $2.53 / EA 0056

Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $2.44 / EA 0048

Softee 8 oz. Curl Activator Gel $4.75 / EA 0065

Sulfur8 2 oz. Medicated Original Conditioner $3.92 / EA 0031

Sulfur8 7.5 oz. Medicated Shampoo $3.92 / EA 0030

Hair Care7” Professional Comb (plastic) $0.11 / EA 0805

Elementz 15 oz. Styling Gel w/Aloe Vera $2.97 / EA 0363

Goody Braided Black Elastic Pony Tail Holders (18 Ct.) $1.25 / PK 0858

Heritage 8 oz. Alcohol Free Hair Spray $2.16 / EA 0094

Military Style Brush $1.62 / EA 0815

Shower Cap (disposable) $0.07 / EA 0840

Shampoo & ConditionerAmerfresh .25 oz. Dandruff Shampoo $0.11 / EA 5227

Crawford 4 oz. Balsam & Protein Conditioner C $1.05 / EA 0002

Crawford 4 oz. Balsam & Protein Shampoo C $1.05 / EA 0001

Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash $2.66 / EA 0361

Elementz 15 oz. Dandruff Shampoo Almond/Shea $2.66 / EA 0362

Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.16 / EA 0358

Elementz 15 oz. Thickening Shampoo w/Aloe & Ginseng $2.20 / EA 0355

Freshscent .34 oz. Conditioning Shampoo $0.10 / EA 0090

Goodsense 8.5 oz. Shampoo Coal Tar 5% $4.62 / EA 0028

Suave 15 oz. Daily Clarifying Shampoo $2.75 / EA 501

Suave 15 oz. Green Apple Shampoo $2.75 / EA 4229

Suave 15 oz. Waterfall Mist Conditioner $2.75 / EA 502

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

5

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

VO5 12.5 oz. Extra Body Conditioner C $2.20 / EA 0011

VO5 12.5 oz. Extra Body Shampoo C $2.20 / EA 0010

Body WashElementz 15 oz. Deep Sea Minerals Invigorating Body Wash $2.21 / EA 0336

Elementz 15 oz. Sea Algae Extracts Relaxing Body Wash $2.60 / EA 0335

Old Spice 18 oz. 3-in-1 Hair and Body Wash $7.00 / EA 2436

SoapAmbi 3.5 oz. Complexion Cleansing Soap (1 bar) $2.24 / EA 0395

Grandpa’s 3.25 oz. Pine Tar Soap (1 bar) $6.00 / EA 4564

Irish Spring 3.2 oz. Original Soap (3 bars) $3.49 / PK 0452

Neutrogena 3.5 oz. Facial Bar Soap (1 bar) $3.84 / EA 0444

Next 1 - 3 oz. Deodorant Soap (1 bar) $0.53 / EA 0439

Next 1 - 5 oz. Anti-bacterial Sport Soap (1 bar) C $0.64 / EA 0426

Next 1 - 5 oz. Cocoa Butter Soap (1 bar) C $0.65 / EA 0397

Next 1 - 5 oz. Moisturizing Soap (1 bar) C $0.64 / EA 0424

Skin CareAmbi 2 oz. Fade Skin Cream $7.28 / EA 0265

Chapstick .15 oz. Regular Blister Card Lip Balm $1.71 / EA 4205

Crawford 4 oz. Cocoa Butter Lotion C $0.51 / EA 0215

Crawford 4 oz. Skin Care Lotion C $0.60 / EA 0210

Dial 12 oz. Advanced Therapy Hand & Body Lotion $3.38 / EA 0203

Dr. Sheffield’s 1.25 oz. Antifungal Cream $1.06 / EA 0244

Freshscent .25 oz. Hand & Body Lotion $0.06 / EA 0435

Good Sense .15 oz. Tropical SPF 45 Lip Balm $1.42 / EA 2494

Goodsense 1 oz. Hydrocortisone (1% Cream) $1.79 / EA 0249

GoodSense 4 oz. SPF 30 Sunscreen Lotion $3.06 / EA 0280

Heritage 3 oz. Medicated Anti-Fungal Powder $2.35 / EA 0720

Heritage 4.5 oz. Skin Cream Facial Cleanse $1.67 / EA 0240

Infuzed 15 oz. Island Naturals Body Lotion Cocoa & Shea Butter $1.82 / EA 0214

Infuzed 15 oz. Island Naturals Coconut Lime & Aloe Lotion $2.32 / EA 0212

Muscle Rub 3 oz. $2.24 / EA 0260

NewDay 13 oz. Bath & Shower Powder $1.62 / EA 0202

NewDay 1 oz. Petroleum Jelly Tube $0.75 / EA 0220

NewDay Cotton Swabs (300 Ct.) C $1.54 / EA 0772

Pacific Stone Pumice Sponge $2.75 / EA 5785

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Softee 6 oz. Cocoa Butter Cream $1.16 / EA 0274

Tolnaftate .5 oz. Antifungal Cream $1.41 / EA 0251

Tone 12 oz. Cocoa Butter Lotion $3.89 / EA 0208

DeodorantCrawford .5 oz. Speed Stick C $0.40 / EA 0123

Freshscent .12 oz. Gel Deodorant $0.10 / EA 0391

Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.58 / EA 0102

Power-Up 2.5 oz. Clear Deodorant - Drive C $2.28 / EA 0107

Power-Up 3 oz. Force Clear Roll On A/P Deodorant $2.58 / EA 0118

Speed Stick 3 oz. Ultimate Sport A/P Deodorant $3.49 / EA 0115

Speed Stick 3 oz. Ultimate Sport Anti-Perspirant/Deodorant Gel C

$3.49 / EA 0114

Dental CareColgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $3.82 / EA 0506

Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste $2.80 / EA 0516

Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste H C $1.47 / EA 0530

Dental Floss Threaders (25 Pk.) $3.00 / BX 0479

Effergrip 2.5 oz. Denture Adhesive Cream Tube $4.55 / EA 0595

Floss Loops (30 Pk.) $2.81 / EA 0544

Freshmint .28 oz. Gel Toothpaste $0.11 / EA 0437

Freshmint .85 oz. Toothpaste $0.17 / EA 0537

Freshmint Denture Tablets (40 Pk.) $3.25 / BX 0590

NWI Denture Toothbrush $0.45 / EA 0529

Oraline 4 in. Security Flex Crossover Toothbrush $0.20 / EA 0587

Percara 8 oz. Oral Health Rinse $1.15 / EA 0500

Orafix Denture Bath $2.07 / EA 0596

Sensodyne .8 oz. Extra Whitening Toothpaste $2.25 / EA 4891

Soft Picks Original Teeth Cleaners 50 Pk. $4.97 / PK 0870

White Toothbrush Cap (*toothbrush not included) $0.23 / EA 0582

Shaving ProductsFreshscent 4 oz. Alcohol-Free After Shave $4.00 / EA 0306

Magic Cream 6 oz. Depilatory $3.25 / EA 0320

Spring Fresh .25 oz Shave Cream $0.07 / EA 0341

Vitamins & Body BuildingMason Natural 30 Ct. Vitamin D $13.00 / EA 0658

Mason Natural Daily Multiple Vitamins - No Iron (100 Ct.) $2.32 / EA 0680

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

6

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Mason Natural Multi-Vitamin w/Iron (100 Ct.) $2.77 / EA 0681

Mason Natural Multi-Vitamin w/Vitrum Plus (100 Ct.) $11.95 / EA 2581

Mason Natural Probiotic Veggie Caps (40 Ct.) $13.95 / EA 4899

Natural Choice Vitamin E100 (100 Ct.) $5.55 / EA 0884

Mason Natural 500 MG Vitamin C 100 Ct. $4.34 / EA 2583

Sundown Naturals 1200 mg Fish Oil (100 Ct.) $8.44 / EA 5240

Ultra Fit 2.3 oz. Chocolate Peanut Butter Nutrition Bar $2.49 / EA 2766

Ultra Whey 16 oz. Protein $15.51 / EA 3670

PharmaceuticalsAdvil Single Pack (2 tablets) $0.55 / EA 0612

Aleve 220 mg. (24 Ct.) $4.72 / EA 0473

Alka Seltzer Plus Cold Medicine (2 Pk.) $0.90 / EA 0567

Alka Seltzer Plus Cold Relief Tablets (20 Ct.) $8.09 / BX 0566

Allergy Tablet (1 ea.) $0.10 / EA 0579

Bayer Aspirin Tablets (2 tablets) $0.37 / EA 0616

Bug X 2 oz. Deet-Free Insect Repellent $5.00 / EA 5999

Dr. Scholl’s Medicated Corn Removers $3.29 / EA 0722

GoodSense .5 oz. Artificial Tears $2.07 / EA 0691

Goodsense 12 oz. Liquid Antacid $2.64 / EA 0191

GoodSense 15 oz. Psyllium Powder - Natural Orange $6.93 / EA 0654

Goodsense 2 oz. Hemorrhoidal Ointment $3.16 / EA 0651

Goodsense 5 mg. Laxative Bisacodyl Tablets (25 Ct.) $1.39 / EA 0650

Goodsense 8 oz. Bismuth Stomach Relief Regular Strength $2.13 / EA 0655

GoodSense Antacid Tablets (150 Ct.) $3.85 / EA 0618

Goodsense Cherry Cough Drops (30 Ct.) C R $0.93 / EA 0671

GoodSense Honey & Lemon Cough Drops (30 Ct.) C R $0.93 / EA 0199

Goodsense Loratidine 10mg Allergy Medicine (10 Ct.) $1.96 / EA 3674

GoodSense Sugar Free Black Cherry Cough Drops (25 Ct.) C R $1.62 / EA 3679

Halls Cherry Flavored Cough Drops (9 Ct.) $1.45 / EA 674

Medicated 3.53 oz. Chest Rub $2.13 / EA 0259

Mediproxen Generic Aleve 220 mg. (1 Tablet) $0.19 / EA 0728

Metamucil Orange Smooth Daily Fiber Supplement (1 Ea.) $0.75 / EA 5183

Moore Medical Antacid Tablets (2 Pk.) $0.14 / EA 0573

Natureplex 1 oz. Zit Free Bensoyl Peroxide $1.89 / EA 1872

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

NewDay 200mg Ibuprofen Tablets (50 Ct.) $2.52 / EA 0620

NewDay 325mg Aspirin (100 Ct.) C $1.32 / EA 0615

NewDay Acetaminophen 325 mg (100 Ct.) C $2.35 / EA 3682

NewDay Allergy Tablets (24 Ct.) C $0.87 / EA 0662

Non-Aspirin 325mg (2 Tablets) $0.10 / EA 0614

Pepcid 20 mg. Acid Reducer (8 Ct.) $5.61 / EA 0716

Rolaids Regular Strength Antacid (3 Rolls) $2.42 / PK 0640

CLOTHING & APPARELAccessoriesCool Stretch Cap - Black $2.65 / EA 0837

Kierto Black Soft Sunglasses Case w/Drawstring $2.90 / EA 4550

Mouthguard without strap $1.50 / EA 1633

Wav Enforcer Black Wave Cap $2.65 / EA 0835

SHOESShoe AccessoriesKiwi 36” Shoelaces Flat Athletic - White $0.86 / EA 4220

SandalsCharm Tex Shower Shoe Men’s - Brown 12, 13, 14, 15, 16 $3.60 / EA 2683-2687 ______

Crawford Deluxe Shower Shoe Small- 7 #20268, Medium- 8 #20265, Large- 9 #20266, XL- 10 #20267, 2XL- 11 #20269

$3.60 / EA 1875,3854-3858 ______

AccessoriesGood Sense Double Foam Insole $3.50 / EA 1705

ELECTRONICSEarbudsKoss KE5K- Stealth Earbuds EARBUDS LIMIT 1

$6.00 / EA 1255

Skull Candy “Smokin 2” Earbuds EARBUDS LIMIT 1

$29.99 / EA 7168

Sun Clear Earbuds (6 ft.) CEARBUDS LIMIT 1

$5.48 / EA 4786

Electronic Accessories6 Ft. Non-Coiled Headphone Ext w/Mini Jack $2.24 / EA 7111

9 Ft. Extension Cord $2.96 / EA 7043

Headphone Adapter for Mono Stereo (Mini) $1.56 / EA 7101

Typewriter AccessoriesCarbon Paper 8.5” x 11”, 10 Sheets $1.50 / EA 1066

Typing Paper - 500 Sheets $5.88 / EA 3923

THE GENERAL STORECalendarCalendar $1.83 / EA 4552

Greeting CardAcetate Thinking of You Card $0.84 / EA 0964

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info on reverse (print clearly).

K - Kosher • H - Halal • C - Clear • D - Diabetic • R - Resealable • G - Gluten Free • S - Soy Free

Total Total

7

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Stationery#10 Envelope $0.07 / EA 1010

#10 Stamped Envelope $0.59 / EA 1001

Bic Black Cristal Pen (2 Pk.) $1.04 / EA 0863

Bic Black Cristal Pen Medium (10 Pk.) $2.39 / CS 5898

Bic Blue Cristal Pen (2 Pk.) $1.04 / EA 0862

Bic Blue Cristal Pen Medium (10 Pk.) $2.39 / CS 5894

Document File w/Velcro Strap $1.47 / EA 0382

Envelope 10”x15” - White $0.24 / EA 1042

Unisource 15X20 Brown Envelope $1.25 / EA 4530

Unisource Envelope #6 3/4 $0.07 / EA 1011

White Paper Pad 8.5” x 11” (50 Sheet Pad) $1.12 / PAD 1060

Yellow #2 Pencil w/Eraser $0.14 / EA 1077

GamesAviator Pinochle US Playing Cards $1.83 / EA 1305

Chess Set with Board $6.70 / EA 1315

Double Six Dominoes $2.91 / EA 1310

Three A Playing Cards $1.00 / EA 1300

Miscellaneous1.6 Quart Round Serving Saver Bowl With Lid $2.37 / EA 1401

Acrylic Mirror without Magnet 6” x 4.5” $1.92 / EA 1343

Address Book Small 2.5” x 4” $0.77 / EA 1056

Clear Cosmetic Bag $5.52 / EA 0797

Coffee Cup w/Handle 12 oz. $0.81 / EA 1411

Cooks Spork - Tan $0.32 / EA 4808

Fingernail Clipper without File C $0.64 / EA 0861

Foam Ear Plugs $0.23 / EA 3891

Head Band (White) $1.11 / EA 8251

Photo Album - Lg. Hard Cover (24 pgs.) 7” x 8.5” $2.65 / EA 1125

Plastic Cup 22 oz. w/Lid - White TUMBLER LIMIT 1

$0.41 / EA 1415

Plastic ID Holder $1.02 / EA 5099

Plastic Spork $0.08 / EA 1387

Singer Sewing Kit without Scissors $1.82 / EA 1370

Square Tip Deluxe Tweezers $0.42 / EA 0752

Thermal Mug 22 oz. THERMAL MUG LIMIT 1

$2.25 / EA 4234

ITEM DESCRIPTION PRICE ITEM # Size QTY TOTALPRICE

Toilet Paper (One Roll) $0.78 / EA 0770

Two Piece Soap Dish C $0.45 / EA 0491

White Plastic Key Tag - 4 1/2” x 3/4” $1.08 / EA 0850

WOMEN’S ONLY ITEMSWomen’s Only ItemsCover Girl Brown Mascara Lash Blast Clump Crusher $6.78 / EA 1747

Cover Girl Smoothers Concealer - Light $7.63 / EA 0534

Cover Girl Smoothers Concealer - Medium $7.63 / EA 0545

Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh

$2.38 / EA 0120

Miconazole 1.59 oz. (Generic Monistat) $7.35 / EA 0343

Midol Max Strength (16 Ct.) $4.40 / EA 3676

Natureplex Bella Flore 4.5 oz. Vinegar & Water Douche $2.66 / EA 0700

Playtex Gentle Glide Tampons (Regular) 20 Pk. $7.66 / BX 0710

Power-Up 2 oz. A/P Deodorant - Bloom C $2.28 / EA 0106

Preference Panty Shields (22 Pk.) $1.12 / BX 0713

Preference Regular Maxi Pads (24 Pk.) $2.10 / BX 0712

Preference Super Maxi Pad (22 Pk.) $2.10 / BX 0792

Preference Super Tampon (40 Pk.) $5.88 / BX 4898

Rikayah 2 oz. Raineys Secret Body Spray $5.00 / EA 2486

Secret 1.7 oz. Powder Fresh Deodorant $2.27 / EA 0276

Wet n Wild Mega Protein Mascara - Very Black $2.04 / EA 0910

Wet n Wild Mega Retractable Eyeliner - Black $2.34 / EA 5563

Wet n Wild Mega Retractable Eyeliner - Dark Brown $2.34 / EA 5505

Wet n Wild Silk Finish Lipstick - Breeze $0.98 / EA 5940

Inmate’s Name ID#

Institution/Dorm/Housing#

Street Address

City State Zip

Sender’s Name

Street Address

City State Zip

Phone Number

Email (You will receive confirmation emails when the order is placed and shipped)

SHIP TO:

SENDER:

We cannot send orders from one inmate to another.

REQUIRED for order fulfillment.

Credit Card Number

/

Expiration Date Security Code

Security code is last three digits of account number panel.

SELECT PAYMENT METHOD:

¨ Cashier’s Check ¨ Money OrderMake check or money order payable to ACCESS SECUREPAK

¨ VISA ¨ MasterCard ¨ Discover

Cardholder Name

Cardholder Signature

Daytime Phone Number Today’s Date mm/dd/yyyy/ /

Order Form Michigan DOC Quarter 1 & 2 Effective January 2020Please complete all info (print clearly).

PROGRAM ORDERING INFORMATION:

ATTENTION INMATES PLACING ORDERS FOR THEMSELVES: 1. Inmate placed orders must be entered using the Edge Kiosk within

the unit. 2. The order Date is the date used to determine which Quarter the

order is counted against. a. Example: If order is placed on 3/31/2020 through the Kiosk but

is not approved until 4/1/2020 the order will still count as a Qtr. 1 package.

3. Package limit still remains at (1) package per quarter regardless of order method.

4. Kiosk orders will be assessed a $3.00 handling fee.

Prisoners are prohibited from receiving Securepak orders purchased by or on behalf of another prisoner, parolee or probationer. Prisoners also are prohibited from receiving Securepak orders known to be purchased by a family member of another prisoner, parolee or probationer unless the purchaser is also a family member of the prisoner receiving the items. A “family member” is defined as a grandparent, parent, stepparent, spouse, mother-in-law, father-in-law, child, stepchild, grandchild, sibling, stepbrother, and stepsister, an aunt and/or uncle also is considered a family member if there is adequate verification that the aunt and/or uncle served as a surrogate parent of the prisoner. Prisoners found to be involved in sending or receiving items through a prohibited source or by otherwise violating the Securepak Program policy may be prohibited from purchasing and/or receiving items through the Securepak Program. If an order is returned from the Michigan Department of Corrections due to it being from an unauthorized source or for any other violation of Department Policy, you will receive a refund of the purchased price of your order but any handling fee you incurred will not be refunded.

ORDERING DATES: Quarter 1: January 1, 2020 – March 31, 2020

Quarter 2: April 1, 2020 – June 30, 2020

ORDERS RECEIVED AFTER THE DEADLINE MAY BE PROCESSED THE FOLLOWING QUARTER.

4 EASY WAYS TO PLACE AN ORDER: 1. ONLINE: MICHIGANPACKAGES.COM 2. PHONE: 1-855-768-0789 3. MAIL: Access Securepak (MI)

10880 Lin Page Place St. Louis, MO 63132 4. FAX: 1-866-754-2813

WHAT DO I NEED TO KNOW? PAYMENT INFORMATION: Credit/Debit Cards—VISA, MasterCard, Discover, Prepaid cards that have a verifiable United States address, Cashier’s check, Money order. We do not accept personal checks and will return them to the sender. Credit/debit and prepaid cards will be charged on the day the order is placed. Refunds or credits will be applied to the card used for the order (allow additional time for refunds/credits on prepaid cards). Access Securepak reserves the right to remove one or more items from the order due to insufficient payment. OUT OF STOCK PRODUCT: If an item becomes out of stock after an orders has been processed Access Securepak will hold the order up to 10 business days to allow that out of stock item to become available. If after those 10 business days the out of the stock item is still not available, Access Securepak will remove the item from the order and issue a refund back to the purchaser. DELIVERY OF PACKAGES: Orders will arrive at the facilities weekly. LIMITS: (1) $100.00 order per inmate per quarter Each Security Level has specific item restrictions and quantity limits. To view these restrictions and quantity limits for your inmate’s security level visit our website at

michiganpackages.com or call 1.855.768.0789 for more information. For mailed in orders, if items are selected and not allowed within the inmate’s security level, those items will be removed and refunded per MDOC.

SALES TAX: Access Securepak is applying sales tax on all non-food items as required by the state. Sales tax is NOT included in the selling prices of the non-food items. HANDLING FEE: $3.00 for all inmate orders

$3.00 for all family/friends web orders $4.00 for family/friends mail, phone & fax orders

CATALOG CHANGES: Every effort has been made to show and describe the merchandise as accurately as possible. Because many manufacturers change an item’s design, color, package size and style after our catalog is produced, we reserve the right to discontinue or change product specifications without prior notice. We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product descriptions, pricing and special offers are not binding on Access Securepak, and we may make adjustments at any time. Additionally, many of our food items may contain common allergens such as milk, eggs, wheat and peanuts. Before consuming a food item, please consult the product packaging for specific information on its ingredients. Prices and offers are subject to change and available while supplies last. Always consult the michiganpackages.com website for the latest updates on this package program. Access Securepak reserves the right to “drop” one or more items from the order due to an insufficient amount paid for orders received. FAMILY/FRIENDS ORDERING: Quarter 1 – All orders must be postmarked by March 24, 2020 to be processed by Access Securepak by March 31, 2020. Quarter 2 – All orders must be postmarked by June 23, 2020 to be processed by Access Securepak by June 30, 2020.

*If Orders are not received by the respective postmark dates above, the orders may be processed in the next quarter. INMATE ORDERING: Quarter 1 – All orders must be submitted by 11:59 p.m. March 31, 2020. Quarter 2 – All orders must be submitted by 11:59 p.m. June 30, 2020.

*Any orders rejected because of insufficient funds will be cancelled. You cannot go back and submit an order for a previous quarter.

CUSTOMER SERVICE: ONLINE: MICHIGANPACKAGES.COM PHONE: 1-855-768-0789

• Automated System: 24 hours a day / 7 days a week • Customer Service Representative: Monday – Friday 8:30 a.m. – 11:59 p.m. EST and Saturday 11:00 a.m. – 5:00 p.m. EST

CALCULATE AMOUNT DUE:Merchandise Sales Tax TOTALS

Food (Non-Taxable): N/A =

Non-Food (6% Sales Tax): x 1.06 =

Subtotal (Merchandise cannont exceed $100.00):

Handling Fee: $4.00 + $0.24 = $4.24

TOTAL AMOUNT DUE:

8