SUNSHINE GROCERY SERVICE

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1 SUNSHINE GROCERY SERVICE To: Emily Helter Cell: Re: Grocery Order Deliver Name: Arrival Date: Phone: Reservation #: Rental Home: Total Pages Sent: Order Date: Try to be as specific as possible if you want certain brands or sizes. If item brand requested can not be found, I authorize the closest substitution available. Check one: Yes No. Grocery Department: Gatorade Capri Sun Juice - Apple Juice - Cranberry Juice - Other Rice - / Instant Vegetables - Canned Baked Beans Tomatoes - Canned Mac-n-Cheese Pasta Pasta Sauce Parmesan Cheese Soup Soup Candy Marshmallows Ravioli / Beefaroni / Spaghettios Canned Tuna - Oil / Water Salsa - Mild / Med / Hot Taco Seasoning Flour Tortillas / Taco Shells Cheez-its Crackers Graham Crackers Cookies Diapers Baby Food Miscellaneous Baby Needs Spices

2 Spices Pam Cooking Spray Vinegar - Red Wine / White Olive Oil Oil - Canola / Vegetable Salad Dressing Salad Dressing Grocery Department con't: Muffin Mix Brownie Mix Cake Mix Icing Mayo Horseradish Mustard Ketchup Cocktail Sauce Hot Sauce Meat Marinade BBQ Sauce A-1 Sauce / Worsteshire Sauce Sugar - Bag / Cubes / Box Sugar - Substitute Pickles - Sweet / Dill / Chips / Spears / Whole Relish - Sweet / Dill Pancake Mix Pancake Syrup Honey Oatmeal Granola Bars Pop Tarts Cereals Cereals Cereals Coffee - / Decaf / Ground / Instant Coffee Creamer - Non-Dairy Hot Chocolate Tea - Bags / Instant Jelly / Jam / Preserves Peanut Butter - Creamy / Crunchy Charcoal Lighter Fluid Paper Towels Toilet Paper

3 Napkins Paper Plates Plastic Cups Baggies - Sandwich / Quart / Gallon Aluminum Foil Plastic Wrap / Saran Wrap Laundry Detergent Fabric Softener Dish Washing Liquid Dish Washing Sponges Mosquito Repellant Fruit Roll-ups Peanuts - Salted / No Salt / Lightly Salted Grocery Department con't: Misc Nuts - Cashews / Almonds / Pecans Kool-Aid Lemonade Microwave Popcorn Combos Chex Mix Pringles Pretzels Potato Chips Tostitos - / Scoops / Lime Doritos Coke - 6pk / 12pk / Reg / Diet / Caff Free Pepsi - 6pk / 12pk / Reg / Diet / Caff Free 7-Up / Root Beer / Dr.Pepper / 6pk / Fresca / Ginger Ale Club Soda - 1-liter / 2-liter Tonic Water - 1-liter / 2-liter Other Beverage Wine - Brand, Varietal, 1.5 or 750ml Wine - Brand, Varietal, 1.5 or 750ml Drink Mixers - Daquiri / Pina Colada / Maragarita Drink Mixers - Daquiri / Pina Colada / Maragarita Bottled Water - Gallon / 12pk / 24pk Flavored Water Bread - White Bread - Whole Wheat Bread - Other Hot Dog Buns Hamburger Buns Bagels

4 English Muffins Beer - Bottles / Cans / 6pk / 12-pk / 24- Beer - Bottles / Cans / 6pk / 12-pk / 24- Disposable Camera / Waterproof Camera Miscellaneous Grocery Miscellaneous Grocery Frozen Food Department French Fries / Tater Tots / Hash Browns Cheese Sticks Hot Pockets Pizza Rolls Frozen Pizzas Apple Juice - Frozen Orange Juice - Frozen Frozen Drink Mixers Frozen Vegetables Frozen Vegetables Frozen Waffles Frozen Foods, con't Frozen Fruit - Strawberries / Blueberries Cool Whip Ravioli - Cheese / Beef Tortellini Ice Cream Sandwiches Juice Bars Fudgsicles Ice Cream - Half Gallon / Pint Ice Cream - Half Gallon / Pint Ice - 10-lb / 20-lb Miscellaneous Frozen Item Miscellaneous Frozen Item Dairy Department: Milk - Whole / Reduced Fat / Fat Free / Skim Eggs - Medium / Large / XL Dairy Creamer - or Flavored Whipping Cream Hash Browns Yogurt - Flavors? Sour Cream Butter / Margarine Ready-To-Bake Cookies Cinnamon Rolls Biscuits

5 Cream Cheese Cheddar Cheese - Block / Sliced / Shredded Feta Cheese - Block / Crumbles Blue Cheese - Block / Crumbles American Cheese - Sliced Mozzarella Cheese - Block / Sliced / Shredded Provolone Cheese - Block / Sliced Monterrey Jack Cheese - Block / Sliced Swiss Cheese - Block / Sliced String Cheese - Mozzarella / Cheddar Miscellaneous Dairy Item Miscellaneous Dairy Item Meat Department: Bacon - Pork / Turkey Breakfast Sausage - Links / Patties Other Sausage Lunch Meats - Ham / Turkey / Bologna Hot Dogs Bratwurst Lunchables Chicken - Boneless Skiness Breast Chicken - Whole / Drumsticks / Wings Pork Meat Department, con't Pork Ribs Turkey Steak Steak Ground Beef Hamburger Patties Miscellaneous Meat Item Seafood Department: Salmon Fish - Tilapia / Tuna / Grouper / Catfish Miscellaneous Fish Fillet Shrimp - Size / Lbs Scallops - Bay / Sea Lobster - Small / Medium / Large Miscallaneous Seafood Produce Department: Orange Juice

6 Fruit Salad - Watermelon / Cantaloupe / Honeydew Watermelon - Whole / Half / Quarter Pineapple - Whole / Cored / Chunks Cantaloupe - Whole / Chunks Cherries Grapes Strawberries Blueberries Raspberries Avocados Tomatoes - Cherry / Grape / Vine Ripe / Slicing Onions - Green / White / Red / Yellow Garlic Potatoes - Baking / Sweet / Red Grapefruit Oranges / Tangerines Lemons Limes Bananas - Green / Yellow Mushrooms - Whole / Sliced Yellow Squash Zucchini Squash Asparagus Broccoli Cauliflower Corn - Bulk / Prepack Brussel Sprouts Peppers - Green / Red Eggplant Cabbage - Green / Red Produce Department, con't Carrots - Baby / / Shredded Celery Cucumbers Fresh Spices Fresh Spices Fresh Salsa Refrigerated Salad Dressings Lettuce - Iceberg Lettuce - Romaine / Other Spinach Pears Peaches / Plum / Nectarines Apples

7 Miscellaneous Produce Miscellaneous Produce Miscellaneous Produce Deli Department: Ham - lbs? / Thin Sliced / Turkey - lbs? / Thin Sliced / Roast Beef - lbs? / Thin Sliced / Pork - lbs? / Thin Sliced / Salami - lbs? / Thin Sliced / Other Lunchmeat - lbs? Thin Sliced / Cheddar Cheese - lbs? / Thin Sliced / Swiss Cheese - lbs? / Thin Sliced / American Cheese - lbs? / Thin Sliced / Muenster Cheese - lbs? / Thin Sliced / Provolone Cheese - lbs? / Thin Sliced / Mozzarella Cheese - lbs? Thin Sliced / Fresh Mozzarella Balls Other Cheese - lbs? Thin Sliced / Potato Salad - 16oz / 32 oz Macaroni Salad - 16oz / 32 oz Pasta Salad - 16oz / 32oz Fresh Olives Wraps Chilled Fried Chicken - 8-piece Mixed Fried Chicken Wings - / Hot&Spicy Platters - Vegetable / Small / Med / Large Platters - Cubanitos / Sub / Ringleader / Size Platters - Fresh Cut Fruit / Small / Med / Large Miscallenous Deli Bakery Department: Bread - Sliced / Unsliced Bread - Sliced / Unsliced Sub Rolls Hamburger Buns

8 Bakery Department, con't Hot Dog Buns Miscellaneous Rolls - Dinner / Kaiser Donuts - Glazed / Choc Glazed / Powdered Bagels Muffins Key Lime Pie Carrot Cake Bar Cookies - Choc Chip / Sugar Sugar-Free Cookies Brownies Birthday Cake - 8" round / Quarter Sheet Miscellanous Bakery Item Miscellanous Bakery Item Message: Miscellaneous: (Fill in any missing items on this list) Liqour: (Fill in any missing items on this list)

9 GROCERY ORDER CONSENT PAGE I authorize the full amount of the groceries including a surcharge of 40% to be charged to my credit card. Name on Credit Card: Card Type: Credit Card # Expiration Date: Card Holder Address: City: State: Zip Code: CVV Code: Card Holder Signature: Date:

Please be as specific as possible and inform us of any allergies or other details

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