Order Form Philadelphia - PA Effective December 2017 - Kosher H - Halal C - Clear D - Diabetic R -...

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

Total Total

Order Form Philadelphia - PA Effective December 2017Please complete all info on reverse (print clearly). / Por favor complete toda la información al reverso (escriba claramente)

DESCRIPTION/DESCRIPCIÓN PRICE/PRECIO ITEM #/NO. DE ARTÍCULO

TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

NON-TAXABLEDRINKSCoffee & CappuccinoKeefe .81 oz. French Vanilla Cappuccino (Single Serve) K G S $0.35 / EA 905

Keefe 1.5 g. Freeze Dried Coffee (Single Serve) K H G S $0.39 / EA 235

Keefe 3 oz. Colombian Blend Premium Coffee K H R $4.50 / EA 10244

Keefe 4 oz. Instant Coffee K H $3.80 / EA 21

Maxwell House 4 oz. Dark Roast Espresso K H C R $4.45 / EA 10704

Nescafe 1.7 grams Taster’s Choice Decaf. Stick K H G S $0.37 / EA 4452

Hot CocoaKeefe .8 oz. Single Serve Hot Cocoa K G $0.35 / EA 114

TeaKeefe Tea Bags (48 Ct.) K G S $2.30 / BX 416

CreamerInternational Delight .44 oz. Caramel Macchiato Liquid Cream-er (10 Ct.) K G S

$2.00 / SP 80004557

International Delight French Vanilla Liquid Creamer (10 Pk.) $2.00 / SP 80004554

International Delight Hazelnut Liquid Creamer (10 Pk.) K $2.00 / SP 80004555

International Delight Original Creamer (10 Pk.) $2.00 / SP 80004553

Sugar & SweetenerSugar Packets (20 Pk.) K H $0.80 / EA 1136

Sweetmate 3.5 oz. Saccharin (100 Ct.) K H G S $2.30 / BX 9719

Nestea 5.5 oz. Tea w/Lemon and Sugar K H $1.50 / EA 71545

Nutritional DrinksNew Leaf 2 oz. Chocolate Health Shake K $1.70 / EA 80003592

New Leaf 2 oz. Vanilla Health Shake $1.70 / EA 80003593

FOOD & SNACKSGranola & Cereal BarsMrs. Freshley’s 1.3 oz. Apple Cinnamon Cereal Bar $0.46 / EA 5025

Mrs. Freshley’s 1.3 oz. Blueberry Cereal Bar $0.46 / EA 5024

Quaker .84 oz. Chewy Chocolate Chip Granola Bar (1 Pk.) K $0.50 / EA 9366

CerealMalt-O-Meal .75 oz. Tootie Fruities Cereal (Single Serve) K $0.50 / EA 5669

Malt-O-Meal 1.25 oz. Raisin Bran Cereal (Single Serve) K $0.50 / EA 5654


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Malt-O-Meal 1 oz. Frosted Flakes Cereal (Single Serve) K $0.50 / EA 5667

OatmealQuaker Instant Oatmeal - Maple Brown Sugar (1 Pk.) $0.45 / SP 80004562

Quaker Instant Oatmeal - Original Flavor (1 Pk.) $0.45 / SP 80004561

Toaster PastriesKellogg’s 3.5 oz. Frosted Strawberry Pop-Tarts (2 Pk.) $1.10 / EA 10547

Kellogg’s 3.68 oz. Smores Pop-Tarts (2 Pk.) $1.15 / EA 6398

Pastries & Snack CakesCloverhill 4.25 oz. Apple Danish K C $1.35 / EA 4650

Golden Valley 4 oz. Plain Bagel K H C $0.80 / EA 80000495

Hostess 3.03 oz. M & M Brownie (2 Pk.) $1.80 / EA 80003801

Hostess 3.17 oz. Chocolate CupCakes (2 Pk.) $1.50 / EA 80000343

Hostess 3.7 oz. Glazed Donettes $1.45 / EA 80003805

Hostess 3.81 oz. Vanilla Zingers (3 Pk.) $1.75 / EA 80000346

Hostess 3 oz. Powdered Sugar Donettes $1.45 / EA 80003798

Hostess 4.5 oz. Apple Pie $1.50 / EA 80005968

Market Square Bakery 10 oz. Donut Stix (6 Pk.) K $2.78 / BX 6051

Market Square Bakery 12 oz. Peanut Butter Wafers (6 Pk.) K $2.78 / BX 6052

Market Square Bakery 12 oz. Swiss Rolls (6 Pk.) K $2.78 / BX 6055

Market Square Bakery 16 oz. Oatmeal Creme Pies (12 Pk.) K $2.78 / BX 6053

Market Square Bakery 4.25 oz. Strawberry Cheese Danish K C $1.40 / EA 6058

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

$1.05 / EA 6540

Market Square Bakery 4.75 oz. Mega Buneez K C $0.99 / EA 6044

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

$1.00 / EA 6538

Market Square Bakery 4 oz. Iced Swirl Cinnamon Roll K C $0.99 / EA 6057

Market Square Bakery 6 oz. Monster Iced Honey Bun K C $1.15 / EA 6043

Otis Spunkmeyer 3.5 oz. Marble Loaf Cake K $1.35 / EA 80003171

Otis Spunkmeyer 4 oz. Cinnamon Crumb Loaf Cake $1.35 / EA 80003170

Otis Spunkmeyer 4 oz. Lemon Loaf Cake with Lemon Icing $1.35 / EA 80003169


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Chips & SnacksAndy Capp’s .85 oz. Hot Fries $0.65 / EA 6743

Cactus Annie’s 1.5 oz. Nacho Cheese Tortilla Chips K H G $0.80 / EA 920

Cactus Annie’s 10 oz. Nacho Cheese Tortilla Chips K H C G $2.07 / EA 911

Cactus Annie’s 11 oz. “The Whole Enchilada” Party Mix K H C $2.35 / EA 902

Cactus Annie’s 11 oz. Cheese Crunchy K H C G S $2.85 / EA 7996

Cactus Annie’s 12 oz. Barbeque Corn Chips K H C G S $2.32 / EA 7990

Cactus Annie’s 2 oz. Cheese Puffs K H $0.91 / EA 7994

Cheetos 1.75 oz. Flamin’ Hot Crunchy G $0.90 / EA 7690

Cheetos 2 oz. Cheese Crunchy C G $0.80 / EA 7689

Del Monte 1.5 oz. Raisins K G S $0.75 / EA 819

Doritos 1.75 oz. Cool Ranch Chips $0.95 / EA 80003280

Doritos 1.75 oz. Nacho Cheese Chips $0.95 / EA 10513

Fritos 2 oz. Chili Cheese Corn Chips $1.00 / EA 10446

Kellogg’s 1.3 oz. Original Rice Krispies Treats $1.15 / EA 2381

Moon Lodge 1.5 oz. BBQ Potato Chips K H $0.65 / EA 6023

Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese Potato Chips K H

$0.65 / EA 80000963

Moon Lodge 1.5 oz. Hot!Hot!Hot! Barbeque Potato Chips K H $0.65 / EA 6026

Moon Lodge 1.5 oz. Regular Potato Chips K H $0.65 / EA 6022

Moon Lodge 1.5 oz. Sour Cream and Onion Potato Chips K H S $0.65 / EA 6024

Moon Lodge 1.5 oz. Stuffed Jalapeno Potato Chips $0.70 / EA 7637

Moon Lodge 11 oz. Pretzels Mini Twists K C $1.85 / EA 5139

Sunsweet 8 oz. Chopped Dates $2.64 / EA 10609

The Whole Shabang 1.5 oz. Potato Chips K H $0.65 / EA 6025

PopcornMoon Lodge 3.53 oz. Caramel Popcorn K H G $1.00 / EA 7758

Moon Lodge 5 oz. Jalapeno Cheddar Popcorn $1.95 / EA 80000562

Moon Lodge 5 oz. White Cheddar Popcorn K H G $1.95 / EA 5133

NutsKings Nut 2.5 oz. Roasted & Salted Cashews K H C $2.09 / EA 80003352


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Kings Nut 4 oz. Tropical Mix $1.25 / EA 80003373

Kings Nut 8 oz. Roasted & Salted Cashews K G S $6.70 / EA 80003377

Moon Lodge 1.75 oz. Salted Peanuts K C G $0.65 / EA 7550

CrackersAustin 1.38 oz. Toasted Peanut Butter Sandwich Crackers (1 Pk.)

$0.75 / EA 80000115

Cheez-It 1.5 oz. Cheddar Crackers K $0.75 / EA 9590

Golden Valley 13.7 oz. Snack Crackers $2.81 / BX 80005523

CookiesGamesa 4.94 oz. Marias Cookies $1.10 / EA 80005515

Market Square Bakery 16 oz. Vanilla Wafers K H $2.60 / EA 6070

Market Square Bakery 2.75 oz. Soft Baked Oatmeal Raisin Cookies (2 Pk.) K

$0.95 / EA 7648

Market Square Bakery 2.75 oz. Sugar Free Strawberry Creme Wafers K H

$0.75 / EA 6069

Market Square Bakery 6 oz. Chocolate Chip Cookies K H C $1.30 / EA 6072

Market Square Bakery 6 oz. Peanut Butter Creme Cookies K H C

$1.30 / EA 10055

Oreo 2.4 oz. Cookies $0.80 / EA 80003305

Candy3 Musketeers 1.92 oz. Bar K $1.05 / EA 10503

Atkinsons .7 oz. Chick-O-Stick K C G $0.35 / EA 1477

Baby Ruth 2.1 oz. Bar K G $1.05 / EA 844

Cordial 6 oz. Milk Chocolate Covered Cherries (10 pcs.) $2.95 / EA 80001174

Hershey’s 1.45 oz. Milk Chocolate Bar w/Almonds K $1.05 / EA 1779

Hershey’s 3 oz. SF Dark Chocolate Candy Bar Miniatures $3.85 / EA 2776

Hershey’s 5.3 oz. Miniatures Bag K $3.49 / EA 865

Jolly Rancher 3.7 oz. Assorted Flavors C $1.25 / EA 40601

Lemonheads 4 oz. Redrific Candy $1.30 / EA 80006094

Lifesavers .72 oz. PepOMint Roll $0.50 / EA 1120

M&M’s 1.74 oz. Peanut Candy K G $1.05 / EA 955

M&M’s Peanut 5.3 oz. Candy $2.94 / EA 9732

M&M’s Plain 5.3 oz. Candy $2.94 / EA 9733


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Nestle 1.9 oz. Butterfinger Bar K G $1.05 / EA 80000662

Old Dominion 6 oz. Peanut Brittle $2.45 / EA 80003030

Reese’s 1.5 oz. Peanut Butter Cups K G $1.05 / EA 1949

Sathers 1.75 oz. Sugar Free Wild Fruit C $0.70 / EA 40615

Sathers 3.75 oz. Starlight Mints $0.95 / EA 80006101

Sathers 3 oz. Vanilla Caramels C $1.15 / EA 40629

Sathers 4.25 oz. Jelly Beans $1.26 / EA 80006097

Sathers 4.25 oz. Root Beer Barrels $1.00 / EA 80006098

Sathers 4.25 oz. Sour Fruit Balls C $1.15 / EA 40607

Snickers 4.4 oz. Miniatures K $2.15 / EA 6090

Starburst 7.2 oz. Fruit Chews Bag R $3.25 / EA 1640

Twix 1.79 oz. Chocolate Caramel Cookie Bars K $1.05 / EA 799

CondimentsSqueez-Ums .15 oz. Mustard (12 Pk.) K H G $1.05 / STR 6513

Squeez-Ums .31 oz. Ketchup (12 Pk.) K H G $1.07 / STR 6514

Squeez-Ums .31 oz. Mayo - Single Packet K H G $0.14 / STR, / EA 6510

Squeez-Ums .31 oz. Mayonnaise (12 Pk.) K H G $1.14 / STR, / EA 6510

SpreadsGolden Harvest 12 oz. Honey $3.60 / EA 80001536

Squeez-Ums 1 oz. Grape Jelly (1 Pk.) K H G $0.21 / EA 4787

Squeez-Ums 2 oz. Peanut Butter (1 Pk.) K H $0.80 / EA 80003920

Squeez-Ums Pure Honey (10 Pk.) K H $1.10 / PK 6522

Sauces & DressingBrushy Creek 4 oz. Italian Pasta Sauce C G $1.10 / EA 2587

Kraft 1.5 oz. Ranch Salad Dressing Packet $0.77 / EA 4535

Pickles & PeppersTitos .7 oz. Pickled Jalapeno Pepper Slices C G S $0.55 / EA 1590

Van Holten’s 9.6 oz. Dill Pickle K C G S $1.02 / EA 381

CheeseCactus Annie’s 2 oz. Cheddar Cheese Squeeze Snack G $0.80 / EA 2586

Cactus Annie’s 2 oz. Jalapeno Cheese Squeeze Snack G $0.80 / EA 2585

City Cow 4 oz. Hot Pepper Cheese Stick C G S $1.80 / EA 178


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

City Cow 4 oz. Nacho Cheese Dip with Jalapenos C R G $1.45 / EA 2858

City Cow 4 oz. Provolone Cheese Stick C G $2.50 / EA 2131

Philly 2 oz. Cream Cheese w/Jalapenos $1.15 / EA 10911

Meat SnacksBridgford 3.5 oz. Sliced Pepperoni G $3.50 / EA 7905

Brushy Creek 1.625 oz. Hot Summer Sausage G $1.39 / EA 80001716

Brushy Creek 1.625 oz. Regular Summer Sausage $1.39 / EA 80001715

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

$3.01 / EA 80001722

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

$3.01 / EA 80001720

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

$2.62 / EA 80001724

O’Briens 1.125 oz. Beef & Cheddar Sticks G $1.34 / EA 2228

O’Briens 1.13 oz. Beef Sticks Hickory Smoked G $1.17 / EA 5379

SeafoodChicken of the Sea 3.53 oz. Smoked Clams in Oil $2.45 / EA 80005308

Fresh Catch 3.53 oz. Fillets of Mackerel in Brine K H G $2.11 / EA 7935

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

$1.92 / EA 4397

Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $2.10 / EA 4391

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

$3.37 / EA 5696

Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G $2.60 / EA 4317

Ready-To-Eat MealsBrushy Creek 11.25 oz. Beef Stew G $3.05 / EA 1715

Brushy Creek 11.25 oz. Chili with Beans G $3.37 / EA 1711

Brushy Creek 11.25 oz. Chili with Beans Hot! G $3.18 / EA 1712

Brushy Creek 11.25 oz. Lasagna with Beef in Sauce $3.48 / EA 1721

Brushy Creek 11.25 oz. Sloppy Joe Sauce with Beef $4.01 / EA 1723

Brushy Creek 4.5 oz. Premium Chicken Breast G S $3.81 / EA 5360

Brushy Creek 5 oz. Chicken Vienna Sausage G S $2.35 / EA 80002944

Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.35 / EA 80002945

Brushy Creek 5 oz. Jerk Pork G S $3.65 / EA 6300


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Brushy Creek 5 oz. Pulled Chicken in Buffalo Style Sauce G $3.05 / EA 6476

Brushy Creek 6 oz. Beef Barbacoa Shredded Beef with Sauce H

$3.95 / EA 10113

RiceBrushy Creek 8 oz. Cajun Style Rice with Chicken & Sau-sage G

$3.99 / EA 80003084

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

$2.22 / EA 7525

Keefe Kitchens 8 oz. Pre-Cooked Long Grain Rice K C R G S $1.75 / EA 5880

Sevilla 2 oz. Spicy Cheesy Spanish Rice K H $0.75 / EA 10757

BeansSevilla 4.4 oz. Chili Flavor Refried Beans & Rice K H $1.48 / EA 5939

TortillasCactus Annie’s 8 oz. Flour Tortillas (6 Pk.) K H C R $1.50 / EA 5070

RamenMaruchan 3 oz. Beef Flavor Ramen C $0.60 / EA 9

Maruchan 3 oz. Cajun Shrimp Flavor Ramen C $0.55 / EA 15

Maruchan 3 oz. Chicken Flavor Ramen C $0.60 / EA 8

Maruchan 3 oz. Low Sodium Beef Flavor Ramen C $0.60 / EA 6645

Maruchan 3 oz. Low Sodium Chicken Flavor Ramen C $0.60 / EA 6644

Maruchan 3 oz. Shrimp Flavor Ramen C $0.60 / EA 12

Maruchan 3 oz. Texas Beef Flavor Ramen C $0.60 / EA 13

NoodlesVelveeta 3 oz. Macaroni and Cheese K H C $1.20 / EA 4935

Women’s Hygiene

Always Fresh Super Long Maxi Pads (28 Ct.) $8.00 / PK 22890

Massengill 4.5 oz. Vinegar & Water Douche $4.78 / EA 80002146

Playtex Gentle Glide Tampon (Super) 8 Ct. $3.00 / BX 20738

Playtex Gentle Glide Tampons (Regular) 20 Pk. $5.25 / BX 21899

Playtex Stayfree Maxi Pads (Super) 10 Pk. $1.75 / EA 80000659

Playtex Tampon Unscented (Super) 18 Ct. $5.75 / EA 22899

Preference Panty Shields (22 Pk.) $2.10 / EA 21067

Pharmaceuticals

A & D 1.5 oz. Original Skin Ointment $3.03 / EA 80005068


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Diphen (Like Benadryl) $0.15 / EA 21424

Goodsense 12 oz. Milk of Magnesia $2.35 / EA 20848

Goodsense 2 oz. Hemorrhoidal Ointment $4.00 / EA 80000559

Goodsense 4 oz. Tussin DM Cough Formula $3.00 / EA 22718

GoodSense Sugar Free Cherry Cough Drops (25 Ct.) C R $1.90 / EA 22681

Moore Medical 200 MG Ibuprofen (2 Pk.) $0.32 / EA 80003392

Moore Medical Antacid Tablets (2 Pk.) $0.30 / EA 21430

Moore Medical APAP 500 mg (Tylenol) (2 Pk.) $0.22 / EA 24525

Trojan Lubricated Condom (3 Pk.) $1.57 / EA 22818

Uni-Syn Meal Replacement Powder - Strawberry $2.99 / EA 22657

Dental Care

4 1/4” Flexible Medium-Bristle Toothbrush $2.25 / EA 22747

Colgate 4.2 oz. Anti-Cavity Toothpaste $2.70 / EA 26096

Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $1.25 / EA 21017

Effergrip 2.5 oz. Denture Adhesive Cream Tube $2.85 / EA 20312

Freshmint Denture Tablets (40 Pk.) $2.99 / BX 24125

Oraline Security U-Floss $1.25 / BAG 80001012

Ultra Brite 6 oz. Advanced Whitening Toothpaste $2.50 / EA 20640

SKIN CARE

Goodsense 1 oz. Hydrocortisone (1% Cream) $2.20 / EA 80005524

Heritage 3 oz. Medicated Anti-Fungal Powder $2.00 / EA 20329

Hydrocortisone Cream .5% (1 oz. Tube) $2.20 / EA 24723

Muscle Rub 3 oz. $2.20 / EA 24725

NewDay 3.75 oz. Petroleum Jelly C $1.04 / EA 20319

Tolnaftate .5 oz. Antifungal Cream $2.05 / EA 24126

Triple Antibiotic Ointment (1 oz. Tube) $3.15 / EA 24726

SHOES

Cross Strap Thong Sandal X-Large $1.25 / EA 22615

CLOTHING & ACCESSORIES

Shorts

Jam Shorts - Gray Small, Medium, Large, XL $8.00 / EA 51690-02 ______


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Jam Shorts - Gray 2XL, 3XL, 4XL $10.00 / EA 51690-02 ______

Jam Shorts - Gray 5XL $12.00 / EA 51690-02 ______

Jam Shorts - Navy Small, Medium, Large, XL $9.00 / EA 51690-09 ______

Jam Shorts - Navy 2XL, 3XL, 4XL $11.00 / EA 51690-09 ______

Robes

Kimono Waffle Robe $25.00 / EA 5119801001

Terry Velour Bath Robe - White $20.00 / EA 5199701001

Socks

Tube Socks - White (1 Pair) $0.85 / EA 5088801001

TAXABLEFOOD & SNACKS

Drink Mixes

Country Time 6 oz. Lemonade Drink Mix K H C $1.50 / EA 7044

Keefe 12 oz. Georgia Peach Drink Mix K H C R $2.61 / EA 7145

Keefe 12 oz. Orange Flavored Breakfast Drink K H C R $2.61 / EA 7030

Kool-Aid 6 oz. Cherry Drink Mix K H C $1.50 / EA 7042

Kool-Aid 6 oz. Grape Drink Mix K H C $1.50 / EA 7043

Kool-Aid 6 oz. Tropical Punch Drink Mix K H C $1.50 / EA 7041

HEALTH & BEAUTYVitaminsMason Naturals Multivitamin No Iron (100 Ct.) $2.42 / EA 80003631

ShampooCrawford 4 oz. Dandruff Shampoo C $1.30 / EA 20032

Freshscent .34 oz. Shampoo & Conditioner $0.15 / EA 20188

Softee 13.5 oz. 3 in 1 Conditioning Shampoo $5.50 / EA 24716

Suave 12 oz. Daily Clarifying Shampoo $1.60 / EA 26136

ConditionerCrawford 4 oz. Balsam & Protein Conditioner C $0.78 / EA 20025

Suave 12 oz. Refreshing Waterfall Mist Conditioner $1.80 / EA 26137

Ethnic Hair CareDark & Lovely Conditioning Relaxer System $6.90 / EA 22661

Luster’s 8 oz. Pink Oil Moisturizer $4.95 / EA 20380

Percara 16 oz. Styling Gel $2.25 / EA 24341


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Softee 5 oz. African Crown Hair Dress $2.80 / EA 24872

Softee 5 oz. Bergamot Blue Hair Dress $1.90 / EA 22949

Softee 5 oz. Bergamot Green Hair Dress & Pressing Oil $2.80 / EA 22950

Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $1.93 / EA 22951

Styling Products & AccessoriesGoody Large Green Foam Rollers (10 Pk.) $2.15 / EA 20351

Military Style Brush $2.40 / EA 80001297

Body WashElementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash $2.50 / EA 24942

SoapDial 3.5 oz. Soap (1 Bar) $0.85 / EA 20920

Dove 3.17 oz. Moisturizing Beauty Soap (1 Bar) $1.40 / EA 80000661

Irish Spring 3.2 oz. Original Soap (1 Pk.) $0.85 / EA 21487

Next 1 - 5 oz. Anti-bacterial Sport Soap (1 Bar) C $1.31 / EA 22098

Next 1 - 5 oz. Cocoa Butter Soap (1 Bar) C $1.25 / EA 22096

Next 1 - 5 oz. Moisturizing Soap (1 Bar) C $1.10 / EA 22097

LotionCrawford 4 oz. Cocoa Butter Lotion C $1.00 / EA 20033

Dial 12 oz. Advanced Therapy Hand & Body Lotion $4.50 / EA 26045

Heritage 4.5 oz. Skin Cream Facial Cleanse $1.65 / EA 20646

Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion $2.50 / EA 24967

Suave 10 oz. Advanced Therapy Lotion $4.25 / EA 21926

Woltra 1 oz. Cocoa Butter Stick $1.30 / EA 80001561

Skin CareAcne Treatment Cream 1 oz. Benzoyl Peroxide Xtra-Strength $2.50 / EA 24540

Chap-Et .16 oz. Lip Conditioner $1.11 / EA 20517

NewDay 13 oz. Bath & Shower Powder $1.69 / EA 22377

No Rub 12 oz. Saline Solution $5.80 / EA 21986

DeodorantFreshscent 1.5 oz. Deodorant Roll-On Anti-Perspirant $1.15 / EA 20465

Power-Up 2.5 oz. Clear A/P Deodorant - Drive C $2.75 / EA 22336

Power-Up 2 oz. A/P Deodorant - Bloom C $2.90 / EA 22344


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Speed Stick 3 oz. Ultimate Sport A/P Deodorant $3.50 / EA 20068

Suave 1.4 oz. A/P Deodorant - Powder $2.10 / EA 24623

Dental CarePercara 8 oz. Oral Health Rinse $1.20 / EA 80001537

Sea Bond Denture Bath $2.60 / EA 20349

White Toothbrush Cap (*toothbrush not included) $0.35 / EA 21822

Shaving ProductsMagic Cream 6 oz. Depilatory $2.83 / EA 24409

Pro-Tection 7 oz. After-Shave Gel C $2.20 / EA 22318

Pro-Tection 7 oz. Shave Cream $1.65 / EA 22319

PharmaceuticalsGoodSense 4 oz. SPF 30 Sunscreen Lotion $5.95 / EA 20841

NewDay Cotton Swabs (100 Ct.) C R $1.75 / EA 21952

CosmeticsWet n Wild Twin Eyebrow Pencil - Black $1.31 / EA 80002845

SHOES

Basketball Shoes

Rawlings Urban Low Basketball Shoe (White) 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$28.00 / EA 81667-01 ______

Reebok BB4500 Royal Basketball Shoes (White) 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$40.00 / EA 80389-01 ______

Running Shoes

Reebok Classic Leather Running Shoes 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$50.00 / EA 50404-01 ______

Reebok Classic Royal Nylon Women’s Running Shoe (White/Gray) 5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 11

$31.95 / EA 81677-01 ______

Reebok Run Supreme 2.0 LD Running Shoes 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 14

$42.00 / EA 81712-01 ______

Tennis Shoes

Rawlings Marc II Velcro Tennis Shoe 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$25.00 / EA 81670-01 ______

Cross Training Shoes

Rawlings Espy Cross Training Shoe 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14

$25.00 / EA 81668-01 ______

Sandals

Crawford Deluxe Adjustable Velcro Sandals (Black) Small Sizes 6-7 - #22610, Medium Sizes 8-9 - #22611, Large Sizes 10-11 - #22612, XL Size 12 - #22613, 2XL Sizes 13-14 - #22614

$3.25 / EA 22610-99 ______


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Cross Strap Sandals Small- #22602, Medium- #22603, Large- #22604

$1.25 / EA 22602-01 ______

CLOTHING & ACCESSORIES

T-Shirts

Hanes Crew Neck T-Shirt - White (1 Pk.) Small, Medium, Large, XL

$3.29 / EA 51798-01 ______

Hanes Crew Neck T-Shirt - White (1 Pk.) 2XL $3.88 / EA 51798-01 ______

Players Pride Crewneck T-Shirt (2 Pk.) White 4XL, 5XL, 6XL $6.00 / PK 50436-01 ______

Men’s Underclothing

Hanes Men’s Briefs - White (1 Pk) Small, Medium, Large, XL $3.05 / EA 50738-01 ______

Hanes Men’s Briefs - White (1 Pk) 2XL, 3XL $4.75 / EA 50738-01 ______

Players Men’s Boxers - White (1 Pk.) 3XL, 4XL, 5XL, 6XL $6.00 / EA 50416-01 ______

Players Men’s Briefs - White (1 Pk.) 4XL, 5XL, 6XL $6.95 / EA 51610-01 ______

Gildan Men’s Boxers - White (1 Pk.) Small, Medium, Large, XL $4.25 / EA 80187-01 ______

Gildan Men’s Boxers - White (1 Pk.) 2XL (3 Pack) $4.75 / EA 80187-01 ______

Women’s Underclothing

Hanes Her Way Cotton Briefs - White (1 Pk.) 5, 6, 8, 10, 11 $2.15 / EA 50691-01 ______

Hanes No-Wire, Just My Size Bra (White) 38C, 38D, 40C, 40D, 42B, 42C, 42D, 42DD, 44C, 46D, 46DD, 50DD

$12.80 / EA 51222 ______

Manhattan Hosiery Sports Bra - No-Wire (White) Small-32, Medium-34, Large-36, XL-38, 2XL-40, 3XL-42, 4XL-44/46, 5XL-48, 6XL-50

$8.25 / EA 50457-01 ______

Thermals

Indera Mills Thermal Ankle-Length Drawers - Natural Small, Medium, Large, XL

$6.95 / EA 50544-99 ______

Indera Mills Thermal Ankle-Length Drawers - Natural 2XL, 3XL, 4XL

$7.15 / EA 50544-99 ______

Indera Mills Thermal Ankle-Length Drawers - Natural 5XL $8.15 / EA 50544-99 ______

Indera Mills Thermal Long Sleeve Shirt - Natural Small, Medium, Large, XL

$6.95 / EA 50543-99 ______

Indera Mills Thermal Long Sleeve Shirt - Natural 2XL, 3XL, 4XL $7.15 / EA 50543-99 ______

Indera Mills Thermal Long Sleeve Shirt - Natural 5XL $8.15 / EA 50543-99 ______

Pajamas

Blue Pajama Pants Small, Medium, Large, XL, 2XL, 3XL $12.00 / EA 53181-04 ______

Blue Pajama Pants 4XL $13.00 / EA 53181-04 ______

Blue Pajama Pants 5XL $15.00 / EA 53181-04 ______


Total Total



TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

ELECTRONICSRadiosGPX AM FM Digital Radio - Clear $17.00 / EA 8183501099

EarbudsGPX Clear Earbuds C $2.75 / EA 5195501099

HeadphonesKoss KPH7 Headphones $4.75 / EA 5128501099

BatteriesIon 3 “AA” Batteries (4 Pk.) $3.00 / PK 21675

Ion 3 “AAA” Batteries (4 Pk.) $3.00 / PK 21676

THE GENERAL STOREPersonal CareEmery Boards (10 Pk.) $0.69 / PK 20294

Trim Nail Clipper (no file) $0.59 / EA 20656

DetergentAll 2 oz. Ultra Laundry Detergent $0.60 / EA 20667

Heritage 14.4 oz. Concentrated Laundry Detergent $3.00 / EA 21788

Tide 20 oz. Powder Detergent $5.45 / EA 21271

Storage1.6 Quart Round Serving Saver Bowl With Lid $2.70 / EA 24150

Stationery#10 Envelope $0.08 / EA 20240

#10 Stamped Envelope $0.62 / EA 983

Beveled Pink Eraser $0.65 / EA 20251

First Class Stamp $0.49 / EA 928

Golf Pencil $0.09 / EA 20462

No Clasp Envelope 9.5” x 12.5” $0.36 / EA 20243

Security Pen 1 Ct. (Blue) $0.33 / EA 21796

White Paper Pad 8.5” x 11” (50 Sheet Pad) $1.06 / PAD 20235

GamesAviator - US Playing Cards $2.00 / EA 20211

Aviator Pinochle US Playing Cards $2.00 / EA 20215

DictionariesWebster’s New Pocket Dictionary $3.00 / EA 24214

Greeting Cards


TALLA QTY/CANTIDAD

TOTAL/PRECIO TOTAL

Acetate Anniversary Card $0.98 / EA 29026

Acetate Birthday Card $0.98 / EA 29016

Acetate Friendship Card $0.98 / EA 29021

Acetate Get Well Card $0.98 / EA 29018

Gallant Seasonal Greeting Card $0.98 / KIT 80000104

Gallant Spanish Birthday Card $0.98 / EA 80003665

Juvenile Birthday Card $0.98 / EA 29034

Silver Muslim Greeting Card $1.50 / EA 3610

Silver Ramadan Greeting Card $1.03 / EA 3621

Thank You Card $0.98 / EA 29036

Towels & LinensBath Towel 24” x 50” (Grey) $4.40 / EA 5063201002

Bath Towel 24” x 50” (White) $4.40 / EA 5063201001

Towel 24” x 48” White $4.40 / EA 5135501001

Washcloth 12” X 12” (White) $0.60 / EA 20544

Washcloth 12” X 12” (White) $0.93 / EA 5063701001

MiscellaneousAcrylic Mirror without Magnet 6” x 4.5” C $2.80 / EA 20281

Cereal Bowl w/Lid 24 oz. $0.75 / EA 20580

Deluxe White Quarter Socks (1 Pair) $1.35 / EA 5023701099

Hinged Soap Dish (Soap Not Included) C $0.50 / EA 20272

Mesh Orange Laundry Bag 24” x 36” $4.85 / EA 20842

Penn Racquetball (1 Pk.) $1.50 / EA 5019801007

Soup Spoon $0.40 / EA 21091

Toothbrush Holder (Toothbrush Not Included) $0.60 / EA 20275

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.

WAYS TO ORDER Online: phillypackages.comPhone: 1-800-546-6283Mail: Access Securepak (PA), 10880 Linpage Place, St. Louis, MO 63132

ACCEPTABLE FORMS OF PAYMENT: • Credit/Debit Cards—VISA, MasterCard, Discover• Prepaid Account• Prepaid cards that have a verifiable United States address• Cashier’s check• Money orderWe do not accept personal checks and will return them to the sender. Credit/debit and pre-paid cards will be charged on the day the order is placed. Re-funds or credits will be applied to the card used for the order (allow additional time for refunds/credits on pre-paid cards). Access Securepak reserves the right to remove one or more items from the order due to insufficient payment.

SALES TAX: Access Securepak is required by the state of Pennsylvania to collect 8% sales tax on select items. These items are identified on the order form as taxable items.

Tax calculation example: $63.52 non-taxable items = $63.52 subtotal$21.47 taxable items x 1.08 (8% sales tax) tax rate = $23.19 taxable items subtotal$63.52 non-taxable items subtotal + $23.19 taxable items subtotal = $86.71 total due ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable.

LIMITS: maximum $75 of product per inmate per order.

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 specifica-tions without prior notice. We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product descrip-tions, 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 phillypackages.com website for the latest updates on this package program.

In the event of a back order, may we substitute like items of equal or greater value? Note: unless you choose “NO,” we may substitute for out-of-stock or restricted items. YES____ NO____

CUSTOMER SERVICE:phillypackages.comAutomated system is available 24 hours a day, seven days a week1.800-546-6283 Live bilingual representatives are available Monday through Friday, 8:30 a.m.–11:59 p.m. EST, and Saturday, 11 a.m.–5 p.m. EST.

MANERAS DE ORDENAR: Internet: phillypackages.comTeléfono: 1-800-546-6283Correo: Access Securepak® (PA), 10880 Lin Page Pl, St. Louis, MO 63132

FORMAS DE PAGO ACEPTABLES: • Tarjetas de Crédito/Débito—VISA, MasterCard, Discover• Tarjetas Prepagadas con domicilio registrado en los EU • Cheque Cajero• Giro de DineroNo aceptamos cheques personales y serán retornados al remitente. Las tarjetas de Crédito/Débito y Prepagadas serán cobradas el día en que la orden es puesta. Reembolsos o créditos serán aplicados a la tarjeta usada en la orden (permita tiempo adicional para procesar reembolsos / créditos a tarjetas prepagadas). Access Securepak® se reserva el derecho a re-mover uno o más artículos de la orden debido a fondos insuficientes

IMPUESTOS DE VENTA: Access Securepak® es requerido por el estado de Pennsylvania en cobrar 8% de impuestos de venta en ciertos artículos. Estos artículos están identificados en la forma para ordenar.

EJEMPLO PARA CÁLCULO DE IMPUESTO:$63.52 artículos sin impuesto= $63.52 subtotal$21.47 artículos con impuesto x 1.08 (8% impuestos de venta) = $23.19 subtotal de artículos con impuesto$63.52 subtotal de artículos sin impuesto + $23.19 subtotal de artículos con impuesto = $86.71 total a deber

LIMITES: $75 por preso, por orden.

CAMBIOS AL CATALOGO: Todo el esfuerzo se ha hecho en demostrar y describir la mercancía y toda la información lo más correctamente posible. Varias compañías hacen cambios en diseño, color, tamaño del paquete y estilo después de producir el catálogo , por consecuente, nos reservamos el derecho a descontinuar ó cambiar especificaciones del producto sin notificación previa. Lamentamos cualquier cambio que pueda ocurrir y haremos todo el esfuerzo en minimizar estas ocurrencias. Errores inad-vertidos en la descripción de productos, precios y ofertas especiales no son obligatorias a Access Securepak y pueden ser ajustadas por Access Securepak en cualquier momento. Además, varios de nuestros produc-tos pueden contener alergenos comunes como leche, huevos, trigo y cacahuates. Por favor consulte el empaquetado antes de consumirlo para información específica en los ingredientes contenidos en cada producto. Precios y ofertas son sujetas a cambios y son disponibles hasta agotar mercancía. Siempre consulte nuestra página phillypackages.com para las actualizaciones más recientes en este programa.

En caso de que algún artículo no esté disponible, podemos sustituirlo con un artículo similar de igual o más valor? Nota: al menos que elija “NO”, podemos sustituir los artículos no disponibles o restringidos.

___SI ___NO SERVICIO AL CLIENTE: phillypackages.comTeléfono: 1-800-546-6283• Sistema Automático: 24 horas al día / 7 días a la semana• Representante de Servicio al Cliente: Lunes a Viernes 8:30 a.m.– 11:59 pm Hora Este y Sábados 11:00 am – 5:00 pm Hora Este


CALCULATE AMOUNT DUE: CALCULE TOTAL A DEBER:

SUBTOTALS TAX TOTALS

Non-Taxable ItemsArtículos no imponibles:

x =

Taxable Items:Elementos gravables:

x 1.08 =

TOTAL AMOUNT DUE : Total Cantidad a Deber :

Credit Card Number / Número de Tarjeta

/

Expiration Date Fecha de Expiración

Security Code Código de Seguridad

Security Code Código de Seguridad

SELECT PAYMENT METHOD: SELECCIONE MÉTODO DE PAGO:

¨ Cashier’s Check ¨ Money Order Cheque Cajero Giro de Dinero

Make check or money order payable to ACCESS SECUREPAK / Escriba los Cheques y Giro de Dinero a ACCESS SECUREPAK

¨ VISA ¨ MasterCard ¨ Discover ¨ Prepaid

Cardholder Name / Nombre del tarjetahabiente

Cardholder Signature / Firma del tarjetahabiente

Daytime Phone Number Número de Teléfono Date / Fecha mm/dd/yyyy/ /

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