Order Form Michigan DOC Quarter 1 & 2 Effective January 2019 Please complete all info on reverse (print clearly).

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1 DRINKS Coffee, Tea, Cocoa & Cappuccino Bigelow 1.1 oz. Variety Pack Assorted Teas (18 Ct.) K H G S $3.83 / BX 2128 Hawaiian Punch.75 oz. SF Singles To Go Polar Blast (8 Pk.) Hawaiian Punch.91 oz. SF Singles To Go Berry Blue Typhoon (8 Pk.) G S $1.94 / BX 2506 $1.94 / BX 2528 Duchess 10 oz. Chocolate Gems Donuts $3.00 / EA 2690 Duchess 3 oz. Chocolate Gems Donuts $1.10 / EA 2689 Duchess 4 oz. Cinnamon Roll $0.72 / EA 3248 Bigelow Earl Grey Decaffeinated Tea (20 Ct.) $4.29 / BX 2037 Keefe 12 oz. Orange Flavored Breakfast Drink K H C R $1.89 / EA 2320 Golden Valley 4 oz. Cinnamon Raisin Bagel K H C $0.60 / EA 6612 Keefe 10 oz. Hot Cocoa w/mini Marshmallows C R $1.64 / EA 2117 Kool Aid/Country Time/Tang Drink Stick (6 Pk.) $2.15 / SP 2139 Golden Valley 4 oz. Plain Bagel K H C $0.60 / EA 6610 Keefe 3 oz. 100% Colombian Coffee K H C R S $3.62 / EA 2015 Kool-Aid 12 oz. Grape Drink Mix K H C R $2.19 / EA 2333 Hostess oz. White Fudge Ding Dongs (12 Ct.) $5.19 / BX 4089 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 $3.70 / EA 2011 Kool-Aid 12 oz. Tropical Punch Drink Mix K H C R $2.19 / EA 2331 Sweet Fusions 19 oz. Tea w/lemon Tea Pouch K H C $3.39 / EA 2346 Hostess 12.7 oz. Ding Dongs Chocolate Cake w/ Creamy Filling (10 Ct.) $3.99 / BX 4054 Hostess 3.38 oz. Orange CupCakes (2 Pk.) $1.10 / EA 4159 Keefe 4.5 oz. Instant Coffee $3.00 / EA 2682 Keefe 8 oz. French Vanilla Cappuccino K H C R $1.65 / EA 2041 Nutritional Drinks New Leaf 2 oz. Chocolate Health Shake K $1.20 / EA 2134 Kellogg s 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.) $2.76 / BX 3194 Keefe Tea Bags (48 Ct.) K G S $1.98 / BX 2028 New Leaf 2 oz. Vanilla Health Shake $1.20 / EA 2136 Kellogg s 14.7 oz. Frosted Strawberry Pop-Tarts (8 Pk.) $2.76 / BX 3197 Maxwell House 4 oz. Dark Roast Espresso K H C R $4.75 / EA 2038 Maxwell House 4 oz. Select Roast Coffee Pouch K H C R $4.28 / EA 2017 Milk Paramount 10 oz. Instant Nonfat Dry Milk K H $3.57 / EA 2099 FOOD & SNACKS Market Square Bakery 12 oz. Peanut Butter Wafers (6 Pk.) K Market Square Bakery 4.75 oz. Mega Chocolate Iced Honey Bun K C $2.30 / BX 3333 $0.69 / EA 3273 Swiss Miss 9 oz. Hot Cocoa Mix (9 servings) K H C R G $1.79 / EA 2198 Cereal, Cereal Bars & Granola Bars Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.47 / EA 6540 Market Square Bakery 4 oz. Cinnamon Crumb Cakes (2 Pk.) K $1.00 / EA 3260 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 $1.49 / EA 2021 Golden Valley 20 oz. Frosted Flakes Cereal K R $3.86 / EA 3358 Golden Valley Cereal 20 oz. Berries Bunch O Krunch K R $5.29 / EA 3359 Market Square Bakery 4 oz. Cream Cheese Pound Cakes (2 Pk.) K C Market Square Bakery 6 oz. Monster Iced Honey Bun K C $1.00 / EA 3192 $0.87 / EA 3274 Sweetener Sweet Mate 3.5 oz. Saccharin (100 Ct.) K H G S $1.89 / BX 2216 Golden Valley Cereal 20 oz. Cinnamon Squares K R $5.26 / EA 3357 Golden Valley Cereal 20 oz. Raisin Bran Cereal K R $4.50 / EA 3342 Chips & Snacks Cactus Annie s 10 oz. Cheese Puffs K H C G $1.99 / EA 6692 Drink Mixes Country Time 12 oz. Lemonade Drink Mix K H C R $2.19 / EA 2309 Crystal Light SF Fruit Punch Drink Stick (6 Pk.) $2.15 / SP 4162 Crystal Light SF Variety Flavors Drink Stick (6 Pk.) $2.05 / SP 2138 Gatorade 7.5 oz. Fruit Punch Drink Mix H R $2.75 / EA 2194 Quaker 1.26 oz. Maple Brown Sugar Granola Bar $0.55 / EA 4396 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 Cloverhill 4.25 oz. Strawberry Cheese Danish $0.79 / EA 4431 Cactus Annie s 10 oz. Nacho Cheese Tortilla Chips K H C G Cactus Annie s 11 oz. The Whole Enchilada Party Mix K H C Cactus Annie s 11 oz. Cheese Crunchy K H C G S Cactus Annie s 12 oz. Chili Cheese Corn Chips K H C G $1.97 / EA 6150 $1.94 / EA 6349 $1.97 / EA 6117 $2.35 / EA

2 Cactus Annie s 12 oz. Hot & Spicy Corn Chips K H C G S Cactus Annie s 13 oz. Corn Chips K H C G S Cactus Annie s 2 oz. Hot & Spicy Pork Rinds C G S $2.01 / EA 6171 $1.93 / EA 6155 $0.89 / ea 6127 Popcorn Moon Lodge 2.8 oz. Extra Butter Microwave Popcorn K Moon Lodge 2.8 oz. Kettle Corn Microwave Popcorn K G $0.51 / EA 6201 $0.47 / EA 6019 Market Square Bakery 14 oz. Peanut Butter Creme Cookies K H C $1.83 / EA 3033 Market Square Bakery 16 oz. Vanilla Wafers K H $1.98 / EA 3052 Market Square Bakery 2.75 oz. Soft Baked Chocolate Chip Cookies (2 Pk.) K $0.53 / EA 3010 Cactus Annie s 9.5 oz. Hot! Hot! Hot! Cheese Crunchy K H C G $1.97 / EA 6348 Nuts Kings Nut 10 oz. Mixed Nuts w/peanuts K H $4.02 / EA 6241 Oreo 2.4 oz. Cookies $1.20 / EA 3020 Cheetos 8 oz. Flamin Hot Crunchy C G $2.26 / EA 6198 Doritos 7.5 oz. Spicy Sweet Chili Tortilla Chips Doritos 8 oz. Cool Ranch Chips C Doritos 8 oz. Nacho Cheese Chips C El Sabroso 3 oz. Guacamole Flavored Tortilla Chips $2.80 / EA 6204 $2.28 / EA 2740 $2.32 / EA 6151 $1.75 / EA 3212 Kings Nut 2.5 oz. Honey Roasted Peanuts K H G S $0.74 / EA 6216 Kings Nut 2.5 oz. Roasted & Salted Cashews K H $1.80 / EA 6205 Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $0.46 / EA 6607 Moon Lodge 1.75 oz. Salted Peanuts K C G $0.43 / EA 6606 The Whole Shabang 1.75 oz. Peanuts K H C $0.83 / EA 6805 Candy Atkinsons.7 oz. Chick-O-Stick K C G $0.21 / EA 4019 Atomic 3 oz. Fireball $0.69 / EA 4146 Chewy Lemonheads 4 oz. Redrific Candy $1.01 / EA 4168 GoLightly 2.75 oz. Sugar Free Butterscotch Candy K C G $2.13 / EA 4304 Kings Nut 3.25 oz. Health Mix K H $1.26 / EA 6213 Crackers GoLightly 2.75 oz. Sugar Free Fruit Chews K G $2.13 / EA 4109 Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels K H G S $0.72 / EA 6214 Austin 1.38 oz. Peanut Butter & Jelly Crackers (1 Pk.) K $0.50 / EA 3243 Jolly Rancher 3.7 oz. Assorted Flavors C $0.90 / EA 4135 Kings Nut 4 oz. Tropical Mix K H $0.98 / EA 6217 Moon Lodge 11 oz. Pretzels Mini Twists K C Moon Lodge 6 oz. Buffalo Wing & Blue Cheese Potato Chips K $1.44 / EA 6108 $1.29 / EA 6148 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 K $2.40 / BX 3114 Lemonheads & Friends 4 oz. Fruit Mix Chewy Candy $1.10 / EA 4164 Lemonheads 3 oz. Original Candy $0.90 / EA 3088 M&M Plain 1.69 oz. Candy $1.02 / EA 4000 M&M s Peanut 1.74 oz. Candy $1.02 / EA 4001 Moon Lodge 6 oz. Hot!, Hot!, Hot! BBQ Potato Chips K G S Moon Lodge 6 oz. Ripple Potato Chips K G S Moon Lodge 6 oz. Sour Cream & Onion Potato Chips K G Moon Lodge 6 oz. Stuffed Jalapeno Potato Chips K S Moon Lodge 5 oz. White Cheddar Popcorn K H G The Whole Shabang 6 oz. Original Potato Chips K $1.29 / EA 6698 $1.26 / EA 6081 $1.29 / EA 6143 $1.29 / EA 6101 $1.50 / EA 6083 $1.75 / EA 6080 The Whole Shabang 6 oz. Snack Mix K H C $2.25 / EA 5156 The Whole Shabang 9.5 oz. Extreme Crunchies K H $3.25 / EA 4446 Golden Valley 16 oz. Saltines Crackers (Box) K H $1.86 / BX 3107 Snak Time 3 oz. Crackers $1.50 / EA 2691 Cookies Bud s Best 5.5 oz. Candy n Cookies - Butterfinger Mini Cookies K G S $2.00 / EA 3087 Marias 4.94 oz. Gamesa Cookies $1.00 / EA 3039 Market Square Bakery 14 oz. Chocolate Creme Cookies K H C Market Square Bakery 14 oz. Duplex Creme Cookies K H C Market Square Bakery 14 oz. Lemon Creme Cookies K H C $1.83 / EA 3008 $1.89 / EA 3007 $1.83 / EA 3060 Now & Later 3.25 oz Splits Assorted Candy $1.27 / EA 4170 Now & Later 3.25 oz. Assorted Candy $0.77 / EA 4151 Now & Later 3.25 oz. Assorted Chewy Candy $1.10 / EA 4153 Reese s 1.5 oz. Peanut Butter Cups K G $1.02 / EA 4035 Sathers 3.75 oz. All Star Mix Assorted Candies C $0.80 / EA 4152 Sathers 3.75 oz. Star Brites Mints $0.68 / EA 4145 Sathers 3 oz. Vanilla Caramels C $0.99 / EA 4156 Sathers 5.75 oz. Orange Slices C $1.10 / EA

3 Snickers 1.86 oz. Candy Bar $1.02 / EA 4010 Salt Shaker 4 oz. K G S $0.50 / EA 6497 Brushy Creek 5 oz. Original Beef & Chicken Halal Sausage H G $2.28 / EA 6141 Sour Patch 3 oz. Gummi Watermelon Candy C $1.09 / EA 4024 Swedish Fish 3 oz. Candy - Red $0.95 / EA 3085 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 Brushy Creek 5 oz. Original Summer Sausage Made with Beef and Chicken G $1.66 / EA 3585 Salad Dressing SpiceCo 2.5 oz. Garlic Powder K G $1.31 / EA 6258 Brushy Creek 5 oz. Salami Stick with Beef and Chicken G $1.70 / EA 2385 Kraft 1.5 oz. Ranch Salad Dressing Packet $0.60 / EA 6421 Sauces Brushy Creek 4 oz. Italian Pasta Sauce C G $0.73 / EA 6294 Cactus Annie s 11 oz. Regular Picante Sauce $2.13 / EA 4506 Hunts 18 oz. BBQ Sauce $1.91 / EA 6249 Squeez-Ums 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 Pickles Van Holten s 9.6 oz. Dill Pickle K C G S $0.75 / EA 6501 Van Holten s 9.6 oz. Hot & Spicy Pickle K C G $0.72 / EA 6500 Van Holten s 9.6 oz. Zesty Garlic Pickle K H C G S $0.72 / EA 6502 Peppers Cactus Annie s 12 oz. Sliced Jalapeno Peppers K H C R G Cheese $2.88 / EA 6506 City Cow 4 oz. Hot Pepper Cheese Stick C G S $2.50 / EA 6449 Brushy Creek 5 oz. Turkey Summer Sausage Honey Brown Sugar G $1.66 / EA 2624 Jack Link s.9 oz. Original Beef Jerky $1.88 / EA 6296 O Brien s oz. Beef & Cheddar Sticks G $1.00 / EA 6320 O Brien s oz. Hot & Spicy Sausage G $0.77 / EA 6322 Tomer.9 oz. Original Kosher Beef Stick $1.35 / EA 2681 Tomer 0.9 oz. Beef Stick Hot K $1.35 / EA 2680 Tomer 0.9 oz. Cajun Kosher Beef Stick $1.35 / EA 2679 Keefe Kitchens 18 oz. Chunky Peanut Butter K H C R G S Keefe Kitchens 18 oz. Creamy Peanut Butter K C R G S $3.29 / EA 6418 $3.29 / EA 6417 Keefe Kitchens 18 oz. Mayonnaise K C G S $3.50 / EA 6545 City Cow 4 oz. Provolone Cheese Stick C G $1.94 / EA 6543 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 $1.62 / EA 6445 Seafood Chicken of the Sea 3.53 oz. Smoked Baby Clams in Oil Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean Oil K H G $3.00 / EA 6183 $1.72 / EA 6178 Squeez-Ums.31 oz. Mayonnaise (12 Pk.) K H G $0.88 / STR 6262 Velveeta 8 oz. Sharp Cheddar Cheese Snack Spread Tub C R G $1.84 / EA 6442 Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce K H G $0.95 / EA 6721 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 6264 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 Velveeta 8 oz. Spicy Jalapeno Cheese Snack Spread Tub C R G Meat Snacks $1.84 / EA 6444 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 oz. Hot Summer Sausage G $0.59 / EA 3581 Brushy Creek 5 oz. Hot Beef & Chicken Halal Sausage H G Brushy Creek 5 oz. Hot Summer Sausage Made with Beef and Chicken G $2.28 / EA 6144 $1.56 / EA 3487 Fresh Catch 3.53 oz. Fish Steaks in Oil w/green Chilies K H G Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard Sauce K H G Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G Ready-To-Eat Meals $2.00 / EA 6190 $0.95 / EA 6189 $3.54 / EA 6826 Brushy Creek oz. Beef Stew G $2.04 / EA 6176 Brushy Creek oz. Chili No Beans $3.33 / EA 6172 Brushy Creek oz. Chili with Beans G $2.76 / EA

4 Brushy Creek oz. Chili with Beans Hot! G $2.77 / EA 6174 Sevilla 8 oz. Refried Beans K H R $1.62 / EA 6700 HEALTH & BEAUTY Brushy Creek 4.5 oz. Premium Chicken Breast G S $3.42 / EA 6195 Velveeta 4 oz. Spicy, Cheesy Refried Beans & Rice K H C $1.50 / EA 2670 Ethnic Hair Care Luster s 8 oz. Pink Oil Moisturizer $6.23 / EA 68 Brushy Creek 5 oz. Chicken Vienna Sausage G S $2.25 / EA 4508 Tortillas Murray s 4 oz. Superior Hair Dressing Pomade $2.53 / EA 56 Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.25 / EA 4520 Cactus Annie s 8 oz. Flour Tortillas (6 Pk.) K H C R $0.96 / EA 6600 Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $2.44 / EA 48 Hormel 2.5 oz. Spam Single G S $2.15 / EA 6757 Mission Jalapeno Flavored Tortillas (6 Pk.) R $2.83 / EA 6493 Softee 8 oz. Curl Activator Gel $4.75 / EA 65 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 Pizza Kit (2 pk) 7 Crust $3.19 / EA 6055 Ramen Maruchan 3 oz. Beef Flavor Ramen C Maruchan 3 oz. Cajun Chicken Flavor Ramen C Maruchan 3 oz. Cajun Shrimp Flavor Ramen C $0.34 / EA 6048 $0.34 / EA 6013 $0.34 / EA 6003 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 Vegetables Maruchan 3 oz. Chicken Flavor Ramen C $0.34 / EA Professional Comb (plastic) $0.11 / EA 805 Brushy Creek 7 oz. Whole Kernel Sweet Corn H C G S $1.75 / EA 6741 Maruchan 3 oz. Chili Flavor Ramen C $0.34 / EA 6026 Elementz 15 oz. Styling Gel w/aloe Vera $2.80 / EA 363 Keefe Kitchens 4 oz. Instant Potatoes K H $1.21 / EA 4460 Libby 13 oz. Mixed Vegetables $1.90 / EA 4739 Maruchan 3 oz. Low Sodium Beef Flavor Ramen C Maruchan 3 oz. Low Sodium Chicken Flavor Ramen C $0.34 / EA 6066 $0.34 / EA 6065 Goody Braided Black Elastic Pony Tail Holders (18 Ct.) $1.25 / PK 858 Heritage 8 oz. Alcohol Free Hair Spray $2.16 / EA 94 Libby s 14 oz. Cut Green Beans Pouch K $2.45 / EA 2518 Maruchan 3 oz. Low Sodium Chili Flavor Ramen C $0.34 / EA 6067 Military Style Brush $1.62 / EA 815 Libby s 14 oz. Sliced Carrots Pouch K $2.45 / EA 2511 Libby s 14 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 Keefe Kitchens 8 oz. Pre-Cooked Long Grain Rice K C R G S $1.46 / EA 6051 $1.39 / EA 6050 Minute 8 oz. White Rice Clear Pouch $1.54 / EA 2307 Velveeta 2 oz. Spicy, Cheesy Rice K H C $0.69 / EA 2667 Beans Brushy Creek 8 oz. Dried Black Beans Clear Pouch $2.00 / EA 6329 Sevilla 4.4 oz. Chili Flavor Refried Beans & Rice K H $1.07 / EA 6710 Maruchan 3 oz. Low Sodium Hot & Spicy Vegetable Flavor Ramen Maruchan 3 oz. Roast Beef Flavor Ramen C Maruchan 3 oz. Roast Chicken Flavor Ramen C Maruchan 3 oz. Texas Beef Flavor Ramen C Maruchan Instant Lunch 2.25 oz - Cajun Style with Shrimp Maruchan Instant Lunch 2.25 oz. - California Veggie Maruchan Instant Lunch 2.25 oz. - Hot & Spicy Beef Noodles $0.34 / EA 6094 $0.34 / EA 6014 $0.34 / EA 6015 $0.34 / EA 6018 $0.63 / EA 6033 $0.63 / EA 6034 $0.63 / EA 6036 Velveeta 3 oz. Macaroni and Cheese K H C $1.20 / EA 2664 Shower Cap (disposable) $0.07 / EA 840 Shampoo & Conditioner Amerfresh.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 4

5 Freshscent.34 oz. Shampoo & Conditioner $0.10 / EA 90 Dial 12 oz. Advanced Therapy Hand & Body Lotion $3.38 / EA 203 Speed Stick 3 oz. Ultimate Sport Anti-Perspirant/ Deodorant Gel C $3.49 / EA 114 Goodsense 8.5 oz. Shampoo Coal Tar 5% $4.62 / EA 28 Dr. Sheffield s 1.25 oz. Antifungal Cream $1.06 / EA 244 Dental Care Suave 12 oz. Daily Clarifying Shampoo $2.25 / EA 501 Freshscent.25 oz. Hand & Body Lotion $0.06 / EA 435 Aquafresh 5.6 oz. Sensitive Toothpaste $3.71 / EA 390 Suave 12 oz. Essentials Juicy Green Apple Shampoo $2.25 / EA 4229 Goodsense 1 oz. Hydrocortisone (1% Cream) $1.79 / EA 249 Colgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $3.82 / EA 506 Suave 12 oz. Essentials Refreshing Waterfall Mist Conditioner $2.25 / EA 502 GoodSense 4 oz. SPF 30 Sunscreen Lotion $3.06 / EA 280 Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste $2.80 / EA 516 VO oz. Extra Body Conditioner C $2.20 / EA 11 Heritage 3 oz. Medicated Anti-Fungal Powder $2.35 / EA 720 Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $1.47 / EA 530 VO oz. Extra Body Shampoo C $2.20 / EA 10 Heritage 4.5 oz. Skin Cream Facial Cleanse $1.67 / EA 240 Dental Floss Threaders (25 Pk.) $3.00 / BX 479 Body Wash Infuzed 15 oz. Island Naturals Body Lotion Cocoa & Shea Butter $1.70 / EA 214 Effergrip 2.5 oz. Denture Adhesive Cream Tube $4.55 / EA 595 Power Up 15 oz. Inspired by Gucci Body Wash $3.70 / EA 376 Power Up 15 oz. Inspired by Polo Body Wash $3.70 / EA 364 Soap Ambi 3.5 oz. Complexion Cleansing Soap (1 bar) $2.24 / EA 395 Infuzed 15 oz. Island Naturals 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 Floss Loops (30 Pk.) $2.69 / EA 544 Freshmint.28 oz. Gel Toothpaste $0.11 / EA 437 Freshmint.85 oz. Toothpaste $0.17 / EA 537 Grandpa s 3.25 oz. Pine Tar Soap (1 bar) $6.00 / EA 4564 NewDay 1 oz. Petroleum Jelly Tube $0.75 / EA 220 Freshmint Denture Tablets (40 Pk.) $3.25 / BX 590 Irish Spring 3.2 oz. Original Soap (3 Pk.) $3.49 / PK 452 NewDay Cotton Swabs (300 Ct.) C $1.54 / EA 772 NWI Denture Toothbrush $0.45 / EA 529 Neutrogena 3.5 oz. Facial Bar Soap (1 bar) $3.84 / EA 444 Pacific Stone Pumice Sponge $2.75 / EA 5785 Oraline 4 in. Security Flex Crossover Toothbrush $0.20 / EA 587 Next 1-3 oz. Deodorant Soap (1 bar) $0.53 / EA 439 Softee 6 oz. Cocoa Butter Cream $1.16 / EA 274 Percara 8 oz. Oral Health Rinse $1.02 / EA 500 Next 1-5 oz. Anti-bacterial Sport Soap (1 bar) C $0.64 / EA 426 Tolnaftate.5 oz. Antifungal Cream $1.41 / EA 251 Sea Bond Denture Bath $2.07 / EA 596 Next 1-5 oz. Cocoa Butter Soap (1 bar) C $0.65 / EA 397 Tone 12 oz. Cocoa Butter Lotion $3.89 / EA 208 Sensodyne.8 oz. Extra Whitening Toothpaste $2.25 / EA 4891 Next 1-5 oz. Moisturizing Soap (1 bar) C $0.64 / EA 424 Deodorant Soft Picks Original Teeth Cleaners (40 Pk.) $4.90 / PK 870 Skin Care Crawford.5 oz. Speed Stick C $0.40 / EA 123 White Toothbrush Cap (*toothbrush not included) $0.23 / EA 582 Ambi 2 oz. Fade Skin Cream $7.28 / EA 265 Freshscent.12 oz. Gel Deodorant $0.10 / EA 391 Shaving Products Chap-Et.16 oz. Lip Balm $1.42 / EA 273 Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.58 / EA 102 Freshscent 4 oz. Alcohol-Free After Shave $4.00 / EA 306 ChapStick.15 oz. Regular Flavor (Blister Pack) $1.71 / EA 4205 Power-Up 2.5 oz. Clear Deodorant - Drive C $2.28 / EA 107 Magic Cream 6 oz. Depilatory $3.25 / EA 320 Crawford 4 oz. Cocoa Butter Lotion C $0.51 / EA 215 Power-Up 3 oz. Force Clear Roll On A/P Deodorant $2.58 / EA 118 Spring Fresh.25 oz Shave Cream $0.07 / EA 341 Crawford 4 oz. Skin Care Lotion C $0.60 / EA 210 Speed Stick 3 oz. Ultimate Sport A/P Deodorant $3.49 / EA 115 5

6 Vitamins & Body Building Goodsense 5 mg. Laxative Bisacodyl Tablets (25 Ct.) $1.39 / EA 650 Kierto Black Soft Sunglasses Case w/drawstring $2.90 / EA 4550 Athletes Needs Vitamin E100 (100 Ct.) $5.55 / EA 884 Goodsense 75 mg. Ranitidine Acid Reducer (30 Ct.) $3.41 / EA 673 Mouthguard without strap $1.50 / EA 1633 Mason 30 Ct. Vitamin D $13.00 / EA 658 Goodsense 8 oz. Liquid Stomach Relief $2.13 / EA 655 Wave Enforcer Black Wave Cap $2.65 / EA 835 Mason Naturals Multi-Vitamin w/iron (100 Ct.) $2.77 / EA 681 GoodSense Antacid Tablets (150 Ct.) $3.85 / EA 618 SHOES Mason Naturals Multi-Vitamin w/vitrum Plus (100 Ct.) $11.95 / EA 2581 Goodsense Cherry Cough Drops (30 Ct.) C R $0.93 / EA 671 Shoe Accessories Comfort Plus Insoles 1 pair (2 Pk.) C $3.50 / EA 1706 Mason Naturals Multivitamin No Iron (100 Ct.) $2.32 / EA 680 GoodSense Honey & Lemon Cough Drops (30 Ct.) C R $0.93 / EA 199 Kiwi 36 Shoelaces Flat Athletic - White $0.86 / EA 4220 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 Goodsense Loratidine 10mg Allergy Medicine (10 Ct.) GoodSense Sugar Free Black Cherry Cough Drops (25 Ct.) C R $1.96 / EA 3674 $1.62 / EA 3679 Halls Cherry Flavored Cough Drops (9 Ct.) $1.45 / EA 674 Sandals Charm Tex Shower Shoe Men s - Brown 12, 13, 14, 15, 16 Crawford Deluxe Shower Shoes Small- 7 #20268, Medium- 8 #20265, Large- 9 #20266, XL- 10 #20267, 2XL- 11 #20269 $3.60 / EA $3.60 / EA 1875, 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 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 Natureplex 1 oz. Zit Free Bensoyl Peroxide $1.89 / EA 1872 NewDay 200mg Ibuprofen Tablets (50 Ct.) $2.12 / EA 620 ELECTRONICS Earbuds Koss KE5K- 4 Earbuds EARBUDS LIMIT 1 Skull Candy Smokin 2 Earbuds EARBUDS LIMIT 1 Sun Clear Earbuds (6 ft.) C EARBUDS LIMIT 1 Electronic Accessories $6.00 / EA 1255 $29.99 / EA 7168 $5.48 / EA Ft. Non-Coiled Headphone Ext w/mini Jack $2.24 / EA 7111 Allergy Tablet (1 ea.) $0.10 / EA 579 NewDay 325mg Aspirin (100 Ct.) C $1.16 / EA Ft. Extension Cord $2.96 / EA 7043 Bayer Aspirin Tablets (2 tablets) $0.37 / EA 616 NewDay Acetaminophen 325 mg (100 Ct.) C $1.98 / EA 3682 Headphone Adapter for Mono Stereo (Mini) $1.56 / EA 7101 Bug X 2 oz. Deet-Free Insect Repellent $5.00 / EA 5999 NewDay Allergy Tablets (24 Ct.) C $0.87 / EA 662 Typewriter Accessories Dr. Scholl s Medicated Corn Removers $3.29 / EA 722 Non-Aspirin 325mg (2 Tablets) $0.10 / EA 614 Carbon Paper 8.5 x 11, 10 Sheets $1.43 / EA 1066 GoodSense.5 oz. Tetrasine Eye Drops $1.99 / EA 693 Rolaids Regular Strength Antacid (3 Rolls) $2.42 / PK 640 Typing Paper Sheets $5.88 / EA 3923 Goodsense 12 oz. Liquid Antacid $2.64 / EA 191 GoodSense 15 oz. Psyllium Powder - Natural Orange $6.93 / EA 654 Goodsense 2 oz. Hemorrhoidal Ointment $3.16 / EA 651 CLOTHING & APPAREL Accessories Cool Stretch Cap - Black $2.65 / EA 837 THE GENERAL STORE Calendar Calendar $1.83 / EA

7 Greeting Card Coffee Cup w/handle 12 oz. $0.81 / EA 1411 Midol Max Strength (16 Ct.) $4.40 / EA 3676 Acetate Thinking of You Card $0.84 / EA 964 Stationery #10 Envelope $0.07 / EA 1010 Cooks Spork - Tan $0.32 / EA 4808 Fingernail Clipper without File C $0.64 / EA 861 Natureplex Bella Flore 4.5 oz. Vinegar & Water Douche $2.66 / EA 700 Playtex Gentle Glide Tampons (Regular) 20 Pk. $7.66 / BX 710 #10 Stamped Envelope $0.59 / EA 1001 Foam Ear Plugs $0.23 / EA 3891 Power-Up 2 oz. A/P Deodorant - Bloom C $2.28 / EA 106 Bic Black Cristal Pen (2 Pk.) $1.04 / EA 863 Head Band (White) $1.11 / EA 8251 Preference Panty Shields (22 Pk.) $1.12 / EA 713 Bic Black Cristal Pen Medium (10 Pk.) $2.39 / CS 5898 Photo Album - Lg. Hard Cover (24 pgs.) 7 x 8.5 $2.65 / EA 1125 Preference Super Maxi Pad (22 Pk.) $2.10 / BX 792 Bic Blue Cristal Pen (2 Pk.) $1.04 / EA 862 Plastic Cup 22 oz. w/lid - White $0.41 / EA 1415 Preference Regular Maxi Pads (24 Pk.) $2.10 / BX 712 Bic Blue Cristal Pen Medium (10 Pk.) $2.39 / CS 5894 Plastic ID Holder $1.02 / EA 5099 Preference Super Tampon (40 Pk.) $5.88 / BX 4898 Document File w/velcro Strap $1.47 / EA 382 Plastic Spork $0.08 / EA 1387 Secret 1.7 oz. Powder Fresh Deodorant $2.27 / EA 276 Envelope 10 x15 - White $0.24 / EA 1042 Singer Sewing Kit without Scissors $1.82 / EA 1370 Wet n Wild Mega Protein Mascara - Very Black $2.04 / EA 910 Unisource 15X20 Brown Envelope $1.25 / EA 4530 Slant Tip Deluxe Tweezers $0.42 / EA 752 Wet n Wild Mega Retractable Eyeliner - Black $2.34 / EA 5563 Unisource Envelope #6 3/4 $0.07 / EA 1011 Thermal Mug 22 oz. $2.25 / EA 4234 Wet n Wild Mega Retractable Eyeliner - Dark Brown $2.34 / EA 5505 White Paper Pad 8.5 x 11 (50 Sheet Pad) $1.12 / PAD 1060 Toilet Paper (One Roll) $0.78 / EA 770 Wet n Wild Silk Finish Lipstick - Breeze $0.98 / EA 5940 Yellow #2 Pencil w/eraser $0.14 / EA 1077 Two Piece Soap Dish C $0.45 / EA 491 Games Aviator Pinochle US Playing Cards $1.83 / EA 1305 White Plastic Key Tag - 4 1/2 x 3/4 $1.08 / EA 850 WOMEN S ONLY ITEMS Chess Set with Board $6.70 / EA 1315 Double Six Dominoes $2.91 / EA 1310 Women s Only Items Cover Girl Brown Mascara Lash Blast Clump Crusher $6.78 / EA 1747 Three A Playing Cards $1.00 / EA 1300 Cover Girl Smoothers Concealer - Light $7.63 / EA 534 Miscellaneous Cover Girl Smoothers Concealer - Medium $7.63 / EA Quart Round Serving Saver Bowl With Lid $2.37 / EA 1401 Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash $2.08 / EA 336 Acrylic Mirror without Magnet 6 x 4.5 $1.92 / EA 1343 La Pointe 4 oz. Spa Collection - Exotic Mango Blend $2.80 / EA 5103 Address Book Small 2.5 x 4 $0.77 / EA 1056 Clear Cosmetic Bag $5.52 / EA 797 Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh $2.38 / EA 120 Miconazole 1.59 oz. (Generic Monistat) $7.35 / EA 343 7

8 SHIP TO: Inmate s Name Institution/Dorm/Housing# Street Address City State Zip SENDER: Sender s Name Street Address City State Zip Phone Number CALCULATE AMOUNT DUE: We cannot send orders from one inmate to another. (You will receive confirmation s when the order is placed and shipped.) Food (Non-Taxable) Non-Food (6% Sales Tax) Subtotal (Merchandise Subtotal cannot exceed $100.00) SELECT PAYMENT METHOD: Merchandise ID# REQUIRED for order fulfillment. N/A Sales Tax Handling Fee: $4.00 $0.24 $4.24 Cashier s Check Money Order Make check or money order payable to ACCESS SECUREPAK VISA MasterCard Discover AMOUNT DUE: PROGRAM ORDERING INFORMATION: ATTENTION INMATES PLACING ORDERS FOR THEMSELVES: 1. Inmate placed orders must be entered using the Edge Kiosk within the unit. 2. The order Date is the date used to determine which Quarter the order is counted against. a. Example: If order is placed on 3/31/2019 through the Kiosk but is not approved until 4/1/2019 the order will still count as a Qtr. 1 package. 3. Package limit still remains at (1) package per quarter regardless of order method. 4. Kiosk orders will be assessed a $3.00 handling fee. ORDERING DATES: Quarter 1: January 1, 2019 March 31, 2019 Quarter 2: April 1, 2019 June 30, 2019 ORDERS RECEIVED AFTER THE DEADLINE MAY BE PROCESSED THE FOLLOWING QUARTER. 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: 1. ONLINE: MICHIGANPACKAGES.COM 2. PHONE: MAIL: Access Securepak (MI) Lin Page Place St. Louis, MO FAX: 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) $ 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 for more information. For mailed in orders, if items are selected and not allowed within the inmate s security level, those items will be removed and refunded per MDOC. SALES TAX: Access Securepak is applying sales tax on all non-food items as required by the state. Sales tax is NOT included in the selling prices of the non-food items. HANDLING FEE: $3.00 for all inmate orders $3.00 for all family/friends web orders $4.00 for family/friends mail, phone & fax orders CATALOG CHANGES: Every effort has been made to show and describe the merchandise as accurately as possible. Because many manufacturers change an item s design, color, package size and style after our catalog is produced, we reserve the right to discontinue or change product specifications without prior notice. We regret any changes that might occur and will make every effort to minimize these occurrences. Inadvertent errors in product descriptions, pricing and special offers are not binding on Access Securepak, and we may make adjustments at any time. Additionally, many of our food items may contain common allergens such as milk, eggs, wheat and peanuts. Before consuming a food item, please consult the product packaging for specific information on its ingredients. Prices and offers are subject to change and available while supplies last. Always consult the michiganpackages.com website for the latest updates on this package program. Cardholder Name Cardholder Signature Daytime Phone Number Credit Card Number / Expiration Date Security Code / / Today s Date mm/dd/yyyy Security code is last three digits of account number panel. 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 22, 2019 to be processed by Access Securepak by March 31, Quarter 2 All orders must be postmarked by June 21, 2019 to be processed by Access Securepak by June 30, *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, Quarter 2 All orders must be submitted by 11:59 p.m. June 30, *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: 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

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