Order Form MI QTR 1 & 2 2017 Effective January 2017€¦ · Order Form MI QTR 1 & 2 2017 Effective January 2017 Please complete all info on reverse ... $3.63 / EA 2011 Keefe 8 oz

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

Total Total Total

Order Form MI QTR 1 & 2 2017 Effective January 2017Please complete all info on reverse (print clearly).

ITEM DESCRIPTION PRICE ITEM # QTY TOTALPRICE

DRINKS

Coffee, Tea, Cocoa & Cappuccino

Bigelow 1.1 oz. Six Assorted Teas (18 Pk.) K H G S $3.71 / BX 2128

Bigelow Earl Grey Decaffeinated Tea (20 Ct.) $3.96 / BX 2037

Bigelow Green Tea (20 Ct.) K $3.96 / BX 2094

Folger’s 4 oz. Traditional Roast Coffee K H R $5.55 / EA 2045

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

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

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

Keefe 3 oz. Decaffeinated Freeze Dried Coffee K H C R

$3.63 / EA 2011

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 H C R

$4.28 / EA 2017

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 G

$1.73 / EA 2044

Paramount 8 oz. Non-Dairy Creamer K H C R $1.40 / EA 2021

Sweetener

Sweetmate 3.5 oz. Saccharin (100 Ct.) K H G S $1.89 / BX 2216

Drink Mixes

Carnation 12.6 oz. French Vanilla Instant Breakfast Drink (10 Pk.)

$7.88 / BX 2135

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

Gatorade 7.5 oz. Fruit Punch Drink Mix H R $2.10 / EA 2194

Hawaiian Punch 0.75 oz. Singles To Go Polar Blast (8 Pk.)

$1.94 / BX 2506

Jolly Rancher Singles To Go 0.62 oz. Green Apple (6 Pk.) G S

$1.94 / BX 2507


Keefe 12 oz. Orange Flavored Breakfast Drink K H C R

$1.89 / EA 2320

Kool-Aid 12 oz. Cherry Drink Mix K H C R $2.19 / EA 2332

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

Kool-Aid 12 oz. Watermelon/Strawberry Drink Mix K H C R

$2.19 / EA 2228

Nestle 12.6 oz. Carnation Instant Breakfast Variety Pack (10 Pk.)

$7.88 / BX 2090

Orange Crush .55 oz. Sugar Free Drink Mix (6 Pk.) $1.94 / BX 2508

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

$3.39 / EA 2346

Milk

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

FOOD & SNACKS

Salad Dressing

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

Cereal & Cereal Bar

Golden Valley 20 oz. Chocolate Frosted Flakes Cereal K R

$4.25 / EA 5104

Golden Valley 20 oz. Cinnamon Squares Cereal K C R

$4.85 / EA 3357

Golden Valley 20 oz. Frosted Flakes Cereal K R $3.54 / EA 3358

Golden Valley 20 oz. Raisin Bran Cereal K R $3.99 / EA 3342

Ralston 12.3 oz. Fruit & Cream Variety Instant Oatmeal (10 Ct.) K

$2.22 / BX 6534

Ralston 13.5 oz. Variety Instant Oatmeal (10 Pk.) K $2.49 / BX 6505

Zippy Cakes 1.3 oz. Strawberry Cereal Bar K $0.27 / EA 6540

Pastries & Snack Cakes

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

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

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

$3.99 / BX 4054

Hostess 13.58 oz. Twinkies (10 Ct.) $3.35 / BX 4055


Hostess 9.1 oz. Milky Way Brownie (6 Ct.) $3.85 / BX 4052

Kellogg’s 14.1 oz. Cinnamon Roll Pop Tarts (8 Pk.) $2.76 / BX 4459

Kellogg’s 14.1 oz. Frosted Cookies & Creme Pop Tarts (8 Pk.)

$2.76 / BX 3092

Kellogg’s 14.7 oz. Frosted Strawberry Pop Tarts (8 Pk.)

$2.76 / BX 3197

Kellogg’s 14 oz. Pop Tarts Brown Sugar Cinnamon (8 Pk.)

$2.76 / BX 3195

Market Square 12 oz. Peanut Butter Wafers (6 Pk.) K

$2.25 / BX 3333

Market Square 6 oz. Monster Iced Buneez (Honey Bun) K C

$0.77 / EA 3274

Otis Spunkmeyer 3.5 oz. Marble Loaf Cake K $0.99 / EA 4470

Otis Spunkmeyer 4 oz. Lemon Loaf Cake with Lemon Icing K

$0.99 / EA 4468

Zippy Cakes 12 oz. Swiss Rolls (6 Pk.) K $2.15 / BX 3331

Zippy Cakes 16 oz. Oatmeal Cremes (12 Pk.) K $1.83 / BX 3330

Zippy Cakes 4.25 oz. Strawberry Cheese Danish K C

$0.74 / EA 4431

Zippy Cakes 4.75 oz. Chocolate Iced Honey Bun K C $0.63 / EA 3273

Zippy Cakes 4 oz. Iced Swirl Cinnamon Roll K C $0.72 / EA 3248

Chips

“The Whole Shabang” 6 oz. Extreme Ripple Potato Chips HCHIPS LIMIT 10

$1.75 / EA 6852

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

$1.95 / EA 6692

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

$1.97 / EA 6150

Cactus Annie’s 11 oz. “The Whole Enchilada” Party Mix K H CCHIPS LIMIT 10

$1.94 / EA 6349

Cactus Annie’s 11 oz. Cheese Crunchy K H C G SCHIPS LIMIT 10

$1.97 / EA 6117

Cactus Annie’s 12 oz. Hot & Spicy Corn Chips K H C G SCHIPS LIMIT 10

$1.97 / EA 6171

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

$1.89 / EA 6119

Cactus Annie’s 13 oz. Corn Chips K H C G SCHIPS LIMIT 10

$1.89 / EA 6155


Total Total Total



Cactus Annie’s 9.5 oz. Hot! Hot! Hot! Cheese Crunchy K H C GCHIPS LIMIT 10

$1.97 / EA 6348

Cheetos 8 oz. Flamin’ Hot Crunchy C GCHIPS LIMIT 10

$2.19 / EA 6198

Doritos 8 oz. Nacho Cheese Chips CCHIPS LIMIT 10

$2.26 / EA 6151

Fritos 10.5 oz. Chili Cheese Corn Chips CCHIPS LIMIT 10

$2.72 / EA 2739

Moon Lodge 6 oz. Buffalo Wing/Blue Cheese Potato Chips K HCHIPS LIMIT 10

$1.29 / EA 6148

Moon Lodge 6 oz. Hot!, Hot!, Hot! BBQ Potato Chips K H G SCHIPS LIMIT 10

$1.29 / EA 6698

Moon Lodge 6 oz. Ripple Potato Chips K H G SCHIPS LIMIT 10

$1.26 / EA 6081

Moon Lodge 6 oz. Sour Cream & Onion Potato Chips K H GCHIPS LIMIT 10

$1.29 / EA 6143

Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips CHIPS LIMIT 10

$1.97 / EA 2736

Snacks & Nuts

“The Whole Shabang” 1.75 oz. Peanuts K $0.80 / EA 6805

“The Whole Shabang” 6 oz. Snack Mix K S $2.25 / EA 5156

Andy Capp’s .85 oz. Hot Fries $0.38 / EA 6114

Cracker Jack 4 oz. Popcorn $1.55 / EA 5109

Kings Nut 10 oz. Mixed Nuts w/Peanuts $3.50 / EA 6241

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

Kings Nut 3.25 oz. Healthy Mix $1.25 / EA 6213

Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels

$0.72 / EA 6391

Kings Nut 4 oz. Tropical Mix $0.98 / EA 6393

Kings Nut 8 oz. Roasted & Salted Cashews $3.98 / EA 6208

Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $0.42 / EA 6607

Moon Lodge 1.75 oz. Salted Peanuts K C G $0.42 / EA 6606

Moon Lodge 11 oz. Pretzels Mini Twists K CCHIPS LIMIT 10

$1.44 / EA 6108

Moon Lodge 2.8 oz. Extra Butter Microwave Popcorn K

$0.51 / EA 6201


Moon Lodge 2.8 oz. Kettle Corn Microwave Popcorn K G

$0.47 / EA 6611

Moon Lodge 2.8 oz. Natural Microwave Popcorn K $0.51 / EA 6200

Moon Lodge 5 oz. Jalapeno Cheddar Popcorn CHIPS LIMIT 10

$1.35 / EA 6218

Crackers

Austin 1.38 oz. Cheese/Peanut Butter Sandwich Crackers K

$0.50 / EA 3223

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

Golden Valley 15.1 oz. Snack Crackers K $2.67 / BX 3114

Golden Valley 16 oz. Saltine Crackers (Box) K H $1.70 / BX 3112

Golden Valley 9 oz. Cheese Crackers K G S $2.51 / EA 3146

Nabisco 16 oz. Premium Unsalted Crackers (Box) K $2.97 / BX 3098

Ralston 14.4 oz. Honey Graham Crackers K $2.63 / EA 6744

Cookies

Market Square 14 oz. Chocolate Cremes Cookies K H

$1.83 / EA 3008

Zippy Cakes 2.75 oz. Soft Baked Chocolate Chip Cookies (2 Pk.) K

$0.53 / EA 3010

Zippy Cookies 14 oz. Duplex Cremes Cookies K H $1.89 / EA 3007

Zippy Cookies 14 oz. Lemon Cremes Cookies K H $1.83 / EA 3060

Zippy Cookies 14 oz. Peanut Butter Creme Cookies K H

$1.83 / EA 3033

Zippy Cookies 16 oz. Chocolate Chip Cookies K H $2.25 / EA 3050

Zippy Cookies 16 oz. Vanilla Wafers K H $1.98 / EA 3052

Zippy Cookies 2.75 oz. Sugar Free Strawberry Creme Wafers K H

$1.05 / EA 4429

Candy

Chewy Lemonhead 4 oz. - Redrific $1.01 / EA 4168

Chewy Red Hots 4 oz. $1.01 / EA 4167

Chick-O-Stick .7 oz. (Atkinson’s) K C G $0.20 / EA 4019


E.Z. Digby’s 3.25 oz. Now & Laters Assorted C $0.77 / EA 4151

E.Z. Digby’s 3 oz. Atomic Fire Balls C $0.69 / EA 4146

E.Z. Digby’s 3 oz. Mary Janes C $0.85 / EA 4118

GoLightly 2.75 oz. Sugar Free Butterscotch Candy K C G

$2.13 / EA 4304

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

Kit Kat 1.5 oz. Bar K $1.02 / EA 4039

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

Pay Day 1.85 oz. Bar K $1.02 / EA 4020

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

Sathers 3.75 oz. All Stars Assorted Candies C $0.80 / EA 4152

Sathers 3.75 oz. Starlite Mints C $0.68 / EA 4145

Sathers 4.25 oz. Jelly Beans C $0.77 / EA 4121

Sathers 4.25 oz. Lemon Drops C $0.65 / EA 4110

Sathers 4 oz. Sour Neon Worms $1.01 / EA 4166

Snickers 1.86 oz. Bar K G $1.02 / EA 4010

Starburst 7.2 oz. Fruit Chews Bag R $2.85 / EA 4163

Sweet ‘n Low 2.75 oz. Sugar Free Fruit Flavors Hard Candy K

$2.13 / EA 2556

Twizzlers 5 oz. Strawberry Twists K $2.15 / EA 4117

Spices & Seasonings

Pepper (10 Pk.) $0.29 / SP 2036

Pepper Shaker 1.5 oz. K G S $1.26 / EA 6498

Salt (10 Pk.) $0.26 / SP 2035

Salt Shaker 4 oz. K G S $0.48 / EA 6497

Spice Classics 4.75 oz. Seasoned Salt K $1.73 / EA 5776

Spice Grocers 1 oz. Vegetable Flakes K $1.47 / EA 3780


Total Total Total



SpiceCo 2.5 oz. Garlic Powder K G $1.31 / EA 6258

Condiments & Spreads

Keefe 18 oz. Chunky Peanut Butter H C R G S $3.29 / EA 6418

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

Poco Pac 1 oz. Strawberry Jam (10 Pk.) K $1.97 / EA 6371

Poco Pac Pure Honey (10 Pk.) K H $1.50 / PK 6358

Squeez-Ums .15 oz. Mustard (12 Pk.) K H G $0.80 / STR 6263

Squeez-Ums .31 oz. Ketchup (12 Pk.) K H G $0.80 / STR 6264

Squeez-Ums .31 oz. Mayonnaise (12 Pk.) K H G $0.87 / STR 6262

Squeez-Ums 1 oz. Grape Jelly (10 Pk.) K H $1.97 / EA 6370

Sauces

Brushy Creek 4 oz. Italian Pasta Sauce C G $0.69 / EA 6294

Cactus Annie’s 11 oz. Regular Picante Sauce $2.05 / EA 6509

Hunts 18 oz. BBQ Sauce $1.91 / EA 6249

Squeez-Ums .24 oz. Hot Sauce (12 Pk.) K H G $0.51 / STR 6268

Pickles

Van Holten’s 9.6 oz. Dill Pickle K G S $0.72 / EA 6501

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

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

Peppers

Cactus Annie’s 12 oz. Sliced Jalapeno Peppers K H C R G

$2.88 / EA 6628

Cheese

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

City Cow 4 oz. Sharp Cheddar Cheese Stick C G $1.94 / EA 6422

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

Velveeta 1.5 oz. Instant Spicy Nacho Cheese Sauce K H C

$1.55 / EA 6425

Velveeta 8 oz. Sharp Cheddar Cheese Snack Spread Tub C R G

$1.77 / EA 6442


Velveeta 8 oz. Spicy Jalapeno Cheese Snack Spread Tub C R G

$1.77 / EA 6444

Meat Snacks

Bridgford 3.5 oz. Sliced Pepperoni G $2.35 / EA 3559

Brushy Creek .78 oz. Single Serve Bacon (6 slices) $2.37 / EA 4901

Brushy Creek 1.625 oz. Hot Summer Sausage G S $0.57 / EA 6709

Brushy Creek 5 oz. Beef Salami Stick G S $1.48 / EA 6716

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

$1.48 / EA 3584

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

$1.58 / EA 6717

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

$1.58 / EA 2624

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

Jack Link’s 1.2 oz. Jalapeno Beef & Cheese Stick $1.19 / EA 2617

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

O’Brien’s 1.13 oz. Hot & Spicy Sausage G $0.77 / EA 6322

Seafood

Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean Oil K H G

$1.52 / EA 6178

Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce K H G

$0.95 / EA 6721

Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard Sauce K H G

$0.95 / EA 6189

Fresh Catch 3.53 oz. Mackerel Flakes in Chili Oil with Jalapenos K H G

$1.85 / EA 6660

Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $1.95 / EA 6191

Fresh Catch 3.53 oz. Yellowfin Tuna Steak in Spicy Thai Chili Sauce K H G

$3.30 / EA 4900

Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G

$2.25 / EA 6826

Ready-To-Eat Meals

Brushy Creek 10 oz. Roast Beef and Gravy S $5.30 / EA 6759

Brushy Creek 11.25 oz. Beef Stew G $1.79 / EA 6176


Brushy Creek 11.25 oz. Chili No Beans $2.18 / EA 6172

Brushy Creek 11.25 oz. Chili with Beans G $2.01 / EA 6173

Brushy Creek 11.25 oz. Hot Chili with Beans (HOT) G

$2.03 / EA 6174

Brushy Creek 11.25 oz. Low Fat Spicy Chili w/Beans $1.95 / EA 2672

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

Brushy Creek 5 oz. Chicken Vienna Sausage $2.25 / EA 4508

Brushy Creek 5 oz. Pulled Chicken in Buffalo Style Sauce G

$4.52 / EA 6147

Brushy Creek 5 oz. Spicy Chicken Vienna Sausage $2.25 / EA 4520

Brushy Creek 7 oz. Chunk Ham with Natural Juices $4.05 / EA 4393

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

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

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

Vegetables

Brushy Creek 7 oz. Whole Kernel Corn H G S $1.43 / EA 6741

Keefe Kitchens 4 oz. Instant Potatoes K $1.14 / EA 4460

Rice

Keefe 6.5 oz. Pre-Cooked Long Grain Brown Rice K C R G S

$1.46 / EA 6051

Keefe 8 oz. Pre-Cooked Long Grain Rice K H C R G S

$1.35 / EA 6050

Uncle Ben’s 7 oz. Instant Rice Clear Resealable K H C R

$1.31 / EA 2790

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

Zatarain’s 8.8 oz. Big Easy Rice - Jambalaya $3.95 / EA 6780

Beans

Brushy Creek 10 oz. Seasoned Pinto Beans in Sauce $2.05 / EA 4383

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

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


Total Total Total



Velveeta 4 oz. Spicy, Cheesy Refried Beans K H C $1.04 / EA 2669

Tortillas

Cactus Annie’s 8 oz. Flour Tortillas (6 Pk.) K C R $0.92 / EA 6600

Chi-Chi’s 9 oz. White Corn Tortillas (10 Pk.) $1.20 / EA 6620

Mission Jalapeno Flavored Tortillas (6 Pk.) R $2.52 / EA 6493

Ramen

Maruchan 3 oz. Beef Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6048

Maruchan 3 oz. Cajun Chicken Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6013

Maruchan 3 oz. Cajun Shrimp Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6053

Maruchan 3 oz. Chicken Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6046

Maruchan 3 oz. Chili Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6026

Maruchan 3 oz. Low Sodium Beef Ramen CRAMEN LIMIT 30

$0.34 / EA 6066

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

$0.34 / EA 6065

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

$0.34 / EA 6067

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

$0.34 / EA 6094

Maruchan 3 oz. Roast Beef Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6014

Maruchan 3 oz. Roast Chicken Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6015

Maruchan 3 oz. Texas Beef Flavor Ramen CRAMEN LIMIT 30

$0.34 / EA 6018

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

$0.63 / EA 6034

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

$0.63 / EA 6036

Maruchan Instant Lunch 2.25 oz. Cheddar Cheese RAMEN LIMIT 30

$0.63 / EA 6042

Noodles

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

HEALTH & BEAUTY

Shampoo & Conditioner

Amercare .25 oz. Dandruff Shampoo $0.11 / EA 5227

Crawford 4 oz. Balsam & Protein Conditioner C $1.05 / EA 4874


Crawford 4 oz. Balsam & Protein Shampoo C $1.05 / EA 6845

Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash

$2.51 / EA 361

Elementz 15 oz. Dandruff Shampoo Almond/Shea $2.55 / EA 362

Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.02 / EA 358

Elementz 15 oz. Thickening Shampoo w/Aloe & Ginseng

$2.05 / EA 355

Freshscent .34 oz. Shampoo & Conditioner $0.10 / EA 90

Goodsense 8.5 oz. Shampoo Coal Tar 5% $4.62 / EA 28

Suave 12 oz. Daily Clarifying Shampoo $2.25 / EA 501

Suave 12 oz. Juicy Green Apple Shampoo $2.25 / EA 4229

Suave 12 oz. Refreshing Waterfall Mist Conditioner $2.25 / EA 502

Hair Care

6.5” Afro Comb $0.15 / EA 87

7” Professional Comb (plastic) $0.11 / EA 805

Elementz 15 oz. Styling Gel w/Aloe Vera $2.80 / EA 363

Goody Braided Elastic Pony Tail Holders (Black) (18 Ct.) C

$1.25 / PK 858

Luster’s 8 oz. Pink Oil Moisturizer $6.23 / EA 68

Military Style Brush $1.62 / EA 815

Murray’s 4 oz. Superior Hair Dressing Pomade $2.53 / EA 56

Shower Cap (disposable) $0.07 / EA 840

Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $2.44 / EA 48

Softee 8 oz. Curl Activator Gel $4.75 / EA 65

Sulfur8 2 oz. Medicated Original Conditioner $3.92 / EA 31

Sulfur8 7.5 oz. Medicated Shampoo $3.92 / EA 30

Body Wash

Power Up 15 oz. Inspired by Gucci Body Wash $3.64 / EA 376

Power Up 15 oz. Inspired by Polo Body Wash $3.64 / EA 364


Soap

Ambi 3.5 oz. Complexion Cleansing Soap (1 Bar) $2.24 / EA 395

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

Neutrogena 3.5 oz. Facial Bar Soap (1 Bar) $3.84 / EA 444

Next 1 3oz. Deodorant Soap $0.53 / EA 4851

Next1 5 oz. Anti-bacterial Sport Soap (1 Bar) C $0.64 / EA 426

Next1 5 oz. Cocoa Butter Soap (1 Bar) C $0.65 / EA 397

Next1 5 oz. Moisturizing Soap (1 Bar) C $0.64 / EA 424

Skin Care Products

Ambi 2 oz. Fade Skin Cream $7.28 / EA 265

Chap Stick .15 oz. Regular Flavor (Blister Pack) $1.71 / EA 4205

Chap-Et 1 oz. Lip Conditioner $1.01 / EA 273

Crawford 4 oz. Cocoa Butter Lotion C $0.51 / EA 6872

Crawford 4 oz. Skin Care Lotion C $0.60 / EA 210

Dial 12 oz. Advanced Therapy Lotion $3.38 / EA 203

Dr. Sheffield’s 1.25 oz. Antifungal Cream $1.06 / EA 244

Freshscent .25 oz. Hand & Body Lotion $0.06 / EA 435

GoodSense 4 oz. SPF 30 Sunscreen Lotion $3.06 / EA 280

Heritage 3 oz. Medicated Anti-Fungal Powder $2.35 / EA 720

Heritage 4.5 oz. Skin Cream Lotion $1.67 / EA 240

Hydrocortisone Cream 1% - 1 oz. Tube $1.79 / EA 249

Infuzed Island Naturals 15 oz. Body Lotion Cocoa & Shea Butter

$1.70 / EA 214

Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion

$2.17 / EA 212

Maximum Strength 1 oz. Acne Treatment Cream $1.62 / EA 255

Muscle Rub 3 oz. $2.24 / EA 260

NewDay 13 oz. Bath & Shower Powder $1.62 / EA 202


Total Total Total



NewDay 1 oz. Petroleum Jelly Tube $0.75 / EA 6878

NewDay Cotton Swabs (300 Ct.) C $1.54 / EA 772

Pacific Stone Pumice Sponge $2.75 / EA 5785

Softee 6 oz. Cocoa Butter Cream $1.16 / EA 274

Tolnaftate .5 oz. Antifungal Cream $1.41 / EA 251

Tone 12 oz. Cocoa Butter Lotion $3.89 / EA 208

Deodorant

Crawford .5 oz. Speed Stick C $0.40 / EA 6870

Freshscent .12 oz. Gel Deodorant $0.10 / EA 391

Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.58 / EA 102

Power-Up 2.5 oz. Clear Deodorant - Drive C $2.28 / EA 107

Power-Up 3 oz. Force Clear Roll On A/P Deodorant $2.58 / EA 118

Speed Stick 3 oz. Ultimate Sport A/P Deodorant $3.49 / EA 115

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

$3.49 / EA 114

Dental Care

Aquafresh 5.6 oz. Sensitive Toothpaste $3.71 / EA 390

Colgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $3.82 / EA 506

Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste

$2.80 / EA 516

Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $1.47 / EA 530

Dental Floss Threaders (25 Ct.) $3.00 / BX 479

Effergrip 2.5 oz. Cream Tube $4.55 / EA 8668

Floss Loops (30 Pk.) $2.69 / EA 544

Freshmint .28 oz. Gel Toothpaste $0.11 / EA 437

Freshmint Denture Tablets (40 Ct.) $2.80 / BX 590

Freshmint Toothpaste .85 oz. $0.17 / EA 537

NWI Denture Toothbrush $0.45 / EA 529


Oraline 4 in. Security Flex Crossover Toothbrush $0.20 / EA 587

Percara 8 oz. Oral Health Rinse Mouthwash $1.02 / EA 684

Sea Bond Denture Bath $2.07 / EA 596

White Toothbrush Cap (*toothbrush not included) $0.23 / EA 582

Shaving Products

Magic Cream 6 oz. Depilatory $3.25 / EA 320

Spring Fresh .25 oz Shave Cream $0.07 / EA 341

Vitamins & Body Building

Athletes Needs Vitamin E100 (100 Ct.) $5.55 / EA 884

Centrum Silver (125 Ct.) $19.60 / EA 568

Mason Naturals Multi-Vitamin w/Iron (100 Ct.) $2.77 / EA 681

Mason Naturals Multivitamin No Iron (100 Ct.) $2.32 / EA 680

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 Protein - 16 oz. $15.51 / EA 3670

Vitamin C 500 mg. (100 Ct.) $4.34 / EA 685

Pharmaceuticals

Advil Single Pack (2 tablets) $0.55 / EA 612

Aleve 220 mg. (24 Ct.) $4.72 / EA 473

Alka Seltzer Plus Cold Medicine (2 Pk.) $0.90 / EA 567

Alka Seltzer Plus Cold Relief (20 Ct.) $8.09 / BX 566

Antacid Tablets (2 Tablets) $0.14 / EA 573

Bayer Aspirin Tablets (2 tablets) $0.37 / EA 616

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

Dr. Scholl’s Medicated Corn Removers $3.29 / EA 722

Good Sense .5 oz. Tetrasine Eye Drops $1.99 / EA 693


Good Sense Antacid Tablets (150 Ct.) $3.85 / EA 618

Good Sense Cherry Cough Drops (30 Ct.) C R $0.93 / EA 671

Good Sense Honey Lemon Cough Drops (30 Ct.) C R

$0.93 / EA 678

Good Sense Sugar Free Cherry Cough Drops (25 Ct.) C R

$1.62 / EA 3679

Goodsense 12 oz. Liquid Antacid $2.64 / EA 635

Goodsense 2 oz. Hemorrhoidal Ointment $3.16 / EA 651

Goodsense 5mg Laxative Bisacodyl Tablets (25 Ct.) $1.39 / EA 650

Goodsense 75mg Ranitidine Acid Reducer (30 Ct.) $3.41 / EA 673

Goodsense 8 oz. Liquid Stomach Relief $2.13 / EA 655

Goodsense Loratidine 10mg Allergy Medicine (10 Ct.)

$1.90 / EA 3674

Konsyl-D 14 oz. Psyllium Based Laxative Fiber $5.93 / EA 656

Medicated Chest Rub 3.53 oz. $2.13 / EA 259

Mediproxen Generic Aleve 220 mg. (1 Tablet) $0.19 / EA 728

Metamucil Orange Smooth Daily Fiber Supplement (1 Ea.)

$0.75 / EA 5183

NewDay 200mg Ibuprofen Tablets (50 Ct.) $2.12 / EA 6876

NewDay 325mg Aspirin (100 Ct.) C $1.16 / EA 3684

NewDay Acetaminophen 325 mg (100 Ct.) C $1.98 / EA 3682

NewDay Allergy Tablets (24 Ct.) C $0.87 / EA 662

Non-Aspirin 325mg (2 Tablets) $0.07 / EA 614

Rolaids Regular Strength Antacid (3 Rolls) $2.42 / PK 640

CLOTHING & APPAREL

Hats

Cool Stretch Cap - Black $2.65 / EA 837

Do-Rag - Black $2.65 / EA 835

Sunglasses


Total Total Total



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

WOMEN’S ONLY ITEMS

Health & Beauty

Cover Girl Brown Mascara Lash Blast Clump Crusher

$6.78 / EA 1747

Cover Girl Smoothers Concealer Light $7.63 / EA 534

Cover Girl Smoothers Concealer Medium $7.63 / EA 545

Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash

$2.08 / EA 336

Goody Plastic Side Combs (2 Pk.) $1.43 / EA 801

La Pointe 4 oz. Spa Collection - Exotic Mango Blend $2.80 / EA 5103

Lady Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh

$2.38 / EA 386

Massengill 4.5 oz. Vinegar & Water Douche $2.66 / EA 700

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

Playtex Gentle Glide Tampons (20 Pk.) $7.66 / BX 710

Power-Up 2 oz. A/P Deodorant - Bloom C $2.28 / EA 106

Preference Panty Shields (22 Pk.) $1.12 / EA 713

Preference Super Maxi Pad (22 Ct.) $2.10 / BX 792

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

Regular Maxi Pads (24 Pk.) $2.10 / BX 712

Secret 1.7 oz. Wide Solid Powder Fresh Deodorant $2.27 / EA 276

Wet n Wild Mega Protein Mascara C137 - Very Black $1.65 / EA 1214

Wet n Wild Mega Retractable Black Eyeliner $1.89 / EA 5563

Wet n Wild Mega Retractable Dark Brown Eyeliner $1.89 / EA 5505

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

SHOES

Shoe Accessories

Kiwi 36” Shoe Laces Flat Athletic - White $0.86 / EA 4220


Sandals

Crawford Deluxe Shower Shoes Small 7 #3854, Medium 8 #1875, Large 9 #3856, XL 10 #3857, 2XL 11 #3858

$3.60 / EA 1875-3858

ELECTRONICS

Electronic Accessories

6 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

Earbuds

Koss KE5K- 4 Earbuds EARBUDS LIMIT 1

$6.00 / EA 1255

Maxell Clear Earbuds CEARBUDS LIMIT 1

$5.48 / EA 4786

Skull Candy “Smokin 2” Earbuds EARBUDS LIMIT 1

$29.99 / EA 7168

Typewriter Accessories

Carbon Paper 8.5” x 11”, 10 Sheets $1.43 / EA 1066

Typing Paper - 500 Sheets $5.88 / EA 3923

THE GENERAL STORE

Greeting Card

Acetate Thinking of You Card $0.84 / EA 964

Calendar

Calendar $1.83 / EA 4552

Stationery

#10 Envelope $0.04 / EA 8666

#10 Stamped Envelope $0.51 / EA 1001

Bic Black Cristal Pen (2 Pk.) $1.04 / EA 863

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

Bic Blue Cristal Pen (2 Pk.) $1.04 / EA 862

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

Brown Kraft Catalog Envelope - 10” x 15” $0.22 / EA 383

Document File w/Velcro Strap $1.47 / EA 382


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

Games

Aviator - US Playing Cards $1.74 / EA 5953

Chess Set with Board $6.70 / EA 1315

Double Six Dominoes $2.91 / EA 1310

Pinochle Aviator US Playing Cards $1.74 / EA 1319

Miscellaneous

1.6 Quart Round Serving Saver Bowl With Lid $2.37 / EA 1401

Acrylic Mirror without Magnet 6” x 4.5” C $1.83 / EA 1343

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

Clear Cosmetic Bag (Hair Dryer Not Included) $5.52 / EA 1465

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

Cooks Spork - Tan $0.32 / EA 4808

Fingernail Clipper without File C $0.64 / EA 861

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 22 oz. Tumbler (w/Lid) $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

Slant Tip Deluxe Tweezers $0.42 / EA 752

Toilet Paper (One Roll) $0.78 / EA 770

Two Piece Soap Dish C $0.45 / EA 491


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 shipped and received.)

SHIP TO:

SENDER:

We cannot send orders from one inmate to another.

REQUIRED for order fulfillment.

CALCULATE AMOUNT DUE:TAX TOTALS

Food (Non-Taxable) x N/A =

Non-Food (6% Sales Tax)

Subtotal (Can’t exceed $85)

Handling Fee: $4.00 x $0.24 = $4.24

TOTAL AMOUNT DUE:

Credit Card Number

/

Expiration Date Security Code

Security code is last three digits of account number panel.

SELECT PAYMENT METHOD:

¨ Institutional Check ¨ 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/ /

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 12/31/2016 through the Kiosk but is not approved until

1/1/2017 the order will still count as a Qtr. 4 package.

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

4. Kiosk orders will be assessed a $2.00 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. Prisoner’s 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 received 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, 2017 – March 31, 2017

Quarter 2: April 1, 2017 – June 30, 2017

ORDERS RECEIVED AFTER THE DEADLINE MAY BE

PROCESSED THE FOLLOWING QUARTER.

4 EASY WAYS TO PLACE AN ORDER:1. ONLINE: MICHIGANPACKAGES.COM2. PHONE: 1-855-768-07893. MAIL: Access Securepak (MI)10880 Linpage 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 and Institutional Checks. 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 order 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) $85.00 order per inmate per quarterEach 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: $2.00 for all inmate orders $2.00 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 al-lergens 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, 2017 to be processed by Access Securepak by March 31, 2017.Quarter 2 – All orders must be postmarked by June 23, 2017 to be processed by Access Securepak by June 30, 2017. *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, 2017.Quarter 2 – All orders must be submitted by 11:59 p.m. June 30, 2017. *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

Documents

Order Form MI QTR 1 & 2 2017 Effective January 2017€¦ · Order Form MI QTR 1 & 2 2017 Effective January 2017 Please complete all info on reverse ... $3.63 / EA 2011 Keefe 8 oz