Order Form Michigan DOC Q1 - Q2 Family & Friends Q1 ... · PDF fileKeefe 12 oz. Orange...

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

Total Total Total

Order Form Michigan DOC Q1 - Q2 Family & Friends Q1: January 1 - March 31, 2018 Q2: April 1 - June 30, 2018Please 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 Ct.) K H G S $3.83 / BX 2128

Bigelow Earl Grey Decaffeinated Tea (20 Ct.) $4.29 / BX 2037

Bigelow Green Tea (20 Ct.) K $4.29 / BX 2094

Folger’s 4 oz. Traditional Roast Coffee K H C R $5.80 / EA 2045

Hostess 6.75 oz. Twinkie Cappuccino $1.75 / EA 2206

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

Keefe 3 oz. 100% Colombian Coffee K H C R S $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

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

Crystal Light SF Variety Flavors Drink Stick (6 Pk.) $2.05 / SP 2138


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

$1.94 / BX 2506

Jolly Rancher Singles To Go Sugar Free 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/Country Time/Tang Drink Stick (6 Pk.) $2.15 / SP 2139

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

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

$3.39 / EA 2346

Nutritional Drinks

New Leaf 2 oz. Chocolate Health Shake K $1.20 / EA 2134

New Leaf 2 oz. Vanilla Health Shake $1.20 / EA 2136

Milk

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

FOOD & SNACKS

Cereal & Cereal Bar

Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.27 / EA 6540

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

Golden Valley Cereal 20 oz. Berries Bunch O’Krunch K R

$4.85 / EA 3359

Golden Valley Cereal 20 oz. Chocolate Frosted Flakes K R

$4.25 / EA 5104

Golden Valley Cereal 20 oz. Cinnamon Squares K R $4.85 / EA 3357

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

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


Pastries & Snack Cakes

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

Golden Valley 4 oz. Everything Bagel K H $0.70 / EA 2298

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

Hostess 11.25 oz. Chocolate Frosted Mini Donuts $3.50 / EA 2597

Hostess 11.25 oz. White Fudge Ding Dongs (12 Ct.) $4.99 / BX 4089

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 Brownies (6 Ct.) $3.85 / BX 4052

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 16 oz. Oatmeal Creme Pies (12 Pk.) K

$1.88 / BX 3330

Market Square Bakery 4.25 oz. Strawberry Cheese Danish K C

$0.74 / EA 4431

Market Square Bakery 4.75 oz. Mega Chocolate Iced Honey Bun K C

$0.63 / EA 3273

Market Square Bakery 4 oz. Iced Cinnamon Roll K C $0.72 / EA 3248

Market Square Bakery 6 oz. Monster Iced 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

$0.99 / EA 4468

Quaker 6.72 oz. Chewy Chocolate Chip Granola Bars (8 Pk.) K

$5.20 / BX 6404


Total Total Total



Chips

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

Cactus Annie’s 2 oz. Hot & Spicy Pork Rinds C G SCHIPS LIMIT 10

$0.89 / EA 6127

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

$2.21 / EA 6198

Doritos 7.5 oz. Spicy Sweet Chili Tortilla Chips CHIPS LIMIT 10

$2.75 / EA 6204

Doritos 8 oz. Nacho Cheese Chips CCHIPS LIMIT 10

$2.28 / EA 6151

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

$1.44 / EA 6108

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

Moon Lodge 6 oz. Stuffed Jalapeno Potato Chips K H SCHIPS LIMIT 10

$1.29 / EA 6101

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

$1.99 / EA 2736

The Whole Shabang 6 oz. Extreme Kettle Cooked Potato Chips K HCHIPS LIMIT 10

$1.90 / EA 6069


The Whole Shabang 6 oz. Original Potato Chips K HCHIPS LIMIT 10

$1.75 / EA 6080

Snacks & Nuts

Cracker Jack 4.125 oz. Popcorn $1.58 / EA 5109

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

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

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

Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels K H G S

$0.72 / EA 6214

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

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 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 6019

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

The Whole Shabang 1.75 oz. Peanuts K H C $0.80 / EA 6805

The Whole Shabang 4 oz. Potato Sticks $1.40 / EA 6210

The Whole Shabang 6 oz. Snack Mix K H C $2.25 / EA 5156

Crackers

Austin 1.38 oz. Peanut Butter on Cheese Sandwich Crackers (1 Pk.) K

$0.50 / EA 3223

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

Golden Valley 13.7 oz. Snack Crackers $2.34 / BX 3114

Golden Valley 16 oz. Saltine Crackers (Box) K H $1.70 / BX 3107

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

Nabisco 9.1 oz. Wheat Thins Original $3.95 / EA 3118


Cookies

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. Chocolate Chip Cookies K H

$2.25 / EA 3050

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

Market Square Bakery 2.75 oz. Soft Baked Choco-late Chip Cookies (2 Pk.) K

$0.53 / EA 3010

Rippin Good 16 oz. Fig Bar Cookies $4.99 / EA 3014

Candy

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

Atomic 3 oz. FireBall Candy C $0.69 / EA 4146

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

Chewy Red Hots 4 oz. $1.01 / EA 4167

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

Lemonheads 3 oz. Original Candy $0.90 / EA 3088

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

Now & Later 3.25 oz. Assorted Candy $0.77 / EA 4151

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

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


Total Total Total



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

Sathers 3 oz. Vanilla Caramels C $0.99 / EA 4156

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

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

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

Sour Patch 3 oz. Gummi Watermelon Candy C $1.09 / EA 4024

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

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

Salad Dressing

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

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 4506

Hunts 18 oz. BBQ Sauce $1.91 / EA 6249

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

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

Condiments & Spreads

Keefe 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

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

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

Squeez-Ums .31 oz. Ketchup (12 Pk.) K H G $0.81 / STR 6764

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

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


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

Spices & Seasonings

Pepper (10 Pk.) $0.29 / SP 2036

Pepper Shaker 1.5 oz. K G S $1.27 / EA 6498

Salt (10 Pk.) $0.26 / SP 2035

Salt Shaker 4 oz. K G S $0.50 / EA 6497

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

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

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

Pickles

Van Holten’s 9.6 oz. Dill Pickle K C G S $0.72 / 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 S $0.72 / EA 6502

Peppers

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

$2.88 / EA 6506

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 4 oz. Nacho Cheese Dip w/Jalapenos Snack Spread Tub C R G

$1.55 / EA 6445

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

Aufschnitt 1.5 oz. Kosher Beef Stick $2.60 / EA 4744


Aufschnitt 1.5 oz. Kosher Beef Stick - Spicy $2.60 / EA 4745

Aufschnitt 2 oz. Kosher Beef Jerky - Original $6.99 / EA 4740

Aufschnitt 2 oz. Kosher Beef Jerky - Spicy $6.99 / EA 4742

Aufschnitt 2 oz. Kosher Beef Jerky - Teriyaki $6.99 / EA 4741

Aufschnitt 2 oz. Kosher Beef Stick - Garlic $2.60 / EA 4743

Bridgford 3.5 oz. Sliced Pepperoni G $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 $0.57 / EA 3581

Brushy Creek 5 oz. Beef Salami Stick G S $1.48 / EA 3583

Brushy Creek 5 oz. Hot Beef & Chicken Halal Sausage H G

$2.15 / EA 6144

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

$1.48 / EA 3487

Brushy Creek 5 oz. Original Beef & Chicken Halal Sausage H G

$2.15 / EA 6141

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

$1.58 / EA 3585

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

$1.58 / EA 2624

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

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

O’Briens 1.125 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


Total Total Total



Fresh Catch 3.53 oz. Sardines in Hot Tomato Sauce K H G S

$1.65 / EA 6181

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

$2.25 / EA 6826

Ready-To-Eat Meals

Brushy Creek 11.25 oz. Beef Stew G $1.82 / EA 6176

Brushy Creek 11.25 oz. Chili No Beans $2.49 / EA 6172

Brushy Creek 11.25 oz. Chili with Beans G $2.20 / EA 6173

Brushy Creek 11.25 oz. Chili with Beans Hot! G $2.22 / EA 6174

Brushy Creek 11.25 oz. Lean Chili No Beans $2.60 / EA 4737

Brushy Creek 11.25 oz. Lean Chili w/Beans $2.60 / EA 4536

Brushy Creek 11.25 oz. Low Fat Spicy Chili w/Beans $2.13 / EA 2672

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

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

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

Hormel 2.5 oz. Spam Single G S $2.15 / EA 6757

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

My Own Meal 10 oz. Old World Stew $6.30 / EA 6121

Pizza Kit (2 pk) 7” Crust $3.19 / EA 6055

Vegetables

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

Keefe Kitchens 4 oz. Instant Potatoes K H $1.21 / EA 4460

Libby 13 oz. Mixed Vegetables $1.90 / EA 4739


Libby’s 13 oz. Cut Green Beans Pouch K $2.45 / EA 2518

Libby’s 13 oz. Sliced Carrots Pouch K $2.45 / EA 2511

Libby’s 13 oz. Sweet Peas Pouch K $2.45 / EA 2520

Rice

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

$1.46 / EA 6051

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

$1.35 / EA 6050

Minute 8 oz. White Rice Clear Pouch $1.50 / EA 2307

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

Beans

Brushy Creek 10 oz. Black Beans G $2.05 / EA 2630

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

Sevilla 4.4 oz. HOT Chili Flavor Refried Beans & Rice K H C

$1.07 / EA 6711

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

Tortillas

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

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 6003

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 Flavor 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 - Cajun Style with Shrimp RAMEN LIMIT 30

$0.63 / EA 6033

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

Noodles

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

HEALTH & BEAUTY

Ethnic Hair Care

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

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

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

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


Total Total Total



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

$1.25 / PK 858

Military Style Brush $1.62 / EA 815

Shower Cap (disposable) $0.07 / EA 840

Shampoo & Conditioner

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

Crawford 4 oz. Balsam & Protein Conditioner C $1.05 / EA 2

Crawford 4 oz. Balsam & Protein Shampoo C $1.05 / EA 1

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

Pantene 12.6 oz. Fine Volume Shampoo $7.99 / EA 18

Pantene 12 oz. Classic Clean Conditioner $7.89 / EA 19

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

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

Irish Spring 3.2 oz. Original Soap (3 Pk.) $3.49 / PK 452

Next 1 - 3 oz. Deodorant Soap $0.53 / EA 439

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

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

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

Skin Care Products

Acne Treatment Cream 1 oz. Benzoyl Peroxide Xtra-Strength

$1.62 / EA 242

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

Chap-Et .16 oz. Lip Conditioner $1.01 / EA 273

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

Crawford 4 oz. Cocoa Butter Lotion C $0.51 / EA 215

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

Dial 12 oz. Advanced Therapy Hand & Body 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 1 oz. Hydrocortisone (1% Cream) $1.79 / EA 249

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 Facial Cleanse $1.67 / EA 240

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

Muscle Rub 3 oz. $2.24 / EA 260


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

NewDay 1 oz. Petroleum Jelly Tube $0.75 / EA 220

NewDay Cotton Swabs (300 Ct.) C $1.48 / 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 123

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 Pk.) $3.00 / BX 479

Effergrip 2.5 oz. Denture Adhesive Cream Tube $4.55 / EA 595

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


Total Total Total



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

Freshmint .85 oz. Toothpaste $0.17 / EA 537

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

NWI Denture Toothbrush $0.45 / EA 529

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

Percara 8 oz. Oral Health Rinse $1.02 / EA 500

Sea Bond Denture Bath $2.07 / EA 596

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

Soft Picks Original Teeth Cleaners (40 Pk.) $4.90 / PK 870

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

Keefe 2 oz. Strawberry Meal Replacement $1.00 / EA 4738

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

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

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

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

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


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 Tablets (20 Ct.) $8.09 / BX 566

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

GoodSense .5 oz. Tetrasine Eye Drops $1.99 / EA 693

Goodsense 12 oz. Liquid Antacid $2.64 / EA 191

Goodsense 2 oz. Hemorrhoidal Ointment $3.16 / EA 651

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

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

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

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

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

GoodSense Honey Lemon Cough Drops (30 Ct.) C R $0.93 / EA 199

Goodsense Loratidine 10mg Allergy Medicine (10 Ct.)

$1.96 / EA 3674

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

$1.62 / EA 3679

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

Medicated 3.53 oz. Chest Rub $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


Moore Medical Antacid Tablets (2 Pk.) $0.14 / EA 573

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

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

RejuviLife 200 mg Ibuprofen (24 count) $1.87 / EA 3690

RejuviLife 325 mg Acetaminophen (24 count) $1.24 / EA 3688

RejuviLife 325 mg Aspirin (24 count) $0.98 / EA 6874

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

CLOTHING & APPAREL

Accessories

Cool Stretch Cap - Black $2.65 / EA 837

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

Wave Enforcer Black Wave Cap $2.65 / EA 835

WOMEN’S ONLY ITEMS

Women’s Only Items

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

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

Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspi-rant 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 (Regular) 20 Pk. $7.66 / BX 710

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


Total Total Total



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

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

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

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

Secret 1.7 oz. 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 Eyeliner - Black $1.89 / EA 5563

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

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

SHOES

Sandals

Crawford Deluxe Shower Shoes Small, Medium, Large, XLarge, 2XL

$3.60 / EA 1875,3854-3858

Shoe Accessories

Comfort Plus Insoles 1 pair (2 Pk.) C $3.50 / EA 1706

J.T. Foote Odor Absorbing Comfort Insoles $2.95 / EA 1705

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

ELECTRONICS

Earbuds

Koss KE5K- 4 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 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


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 1010

#10 Stamped Envelope $0.53 / 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

Document File w/Velcro Strap $1.47 / EA 382

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

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 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


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 22 oz. Thermal Mug C $2.25 / EA 4234

Clear Cosmetic Bag (Hair Dryer Not Included) $5.52 / EA 797

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 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 placed and shipped.)

SHIP TO:

SENDER:

We cannot send orders from one inmate to another.

REQUIRED for order fulfillment.

CALCULATE AMOUNT DUE:TAX TOTALS

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

Subtotal ( Cannot Exceed $85) =Processing Fee: $4.00 x 1.06 = $4.24

GRAND TOTAL AMOUNT DUE:

Credit Card Number

/

Expiration Date Security Code

Security code is last three digits of account number panel.

SELECT PAYMENT METHOD:

¨ Inmate - Kiosk Ordering ¨ Cashier’s Check ¨ Money OrderMake check or money order payable to ACCESS SECUREPAK

¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid

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 12/31/2017 through the Kiosk but is not approved until 1/1/2018 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.

ORDERING DATES:

Quarter 1: January 1, 2018 – March 31, 2018

Quarter 2: April 1, 2018 – June 30, 2018

ORDERS RECEIVED AFTER THE DEADLINE

MAY BE PROCESSED THE FOLLOWING QUARTER.

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) $85.00 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: $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 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 23, 2018 to be processed by Access Securepak by March 31, 2018.Quarter 2 – All orders must be postmarked by June 22, 2018 to be processed by Access Securepak by June 30, 2018. *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, 2018.Quarter 2 – All orders must be submitted by 11:59 p.m. June 30, 2018. *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

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.

4 EASY WAYS TO PLACE AN ORDER:

ONLINE: MICHIGANPACKAGES.COM

PHONE: 1-855-768-0789

MAIL: Access Securepak (MI)

10880 Lin Page Place

St. Louis, MO 63132

FAX: 1-866-754-2813

Order Form Michigan DOC Q1 - Q2 Family & Friends Q1 ... · PDF fileKeefe 12 oz. Orange...

Documents

Transcript of Order Form Michigan DOC Q1 - Q2 Family & Friends Q1 ... · PDF fileKeefe 12 oz. Orange...