Order Form Michigan DOC Quarter 3 & Effective July 2017 Please complete all info on reverse (print clearly).

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1 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY DRINKS Coffee, Tea, Cocoa & Cappuccino Bigelow 1.1 oz. Six Assorted Teas (18 Pk.) K H G S $3.83 / 2128 Hawaiian Punch 0.75 oz. Singles To Go Polar Blast (8 Pk.) Jolly Rancher Singles To Go 0.62 oz. Green Apple (6 Pk.) G S $1.94 / $1.94 / Quaker Variety Flavor Instant Oatmeal (10 Pk.) $2.69 / Pastries & Snack Cakes Golden Valley 4 oz. Cinnamon Raisin Bagel K H C $ Bigelow Earl Grey Decaffeinated Tea (20 Ct.) $4.29 / Bigelow Green Tea (20 Ct.) K $4.29 / Folger s 4 oz. Traditional Roast Coffee K H R $5.80 Keefe 10 oz. Hot Cocoa w/mini Marshmallows C R $1.64 Keefe 3 oz. 100% Colombian Coffee S $3.62 Keefe 3 oz. Alturo Blend Coffee G $3.06 Keefe 3 oz. Decaffeinated Freeze Dried Coffee $3.63 Keefe 8 oz. French Vanilla Cappuccino $1.65 Keefe Tea Bags (48 Ct.) K G S $1.98 / Maxwell House 4 oz. Select Roast Coffee Pouch Swiss Miss 9 oz. Hot Cocoa Mix (9 servings) G Creamer Paramount 6.75 oz. French Vanilla Non-Dairy Creamer K H G $4.28 $1.79 $ Keefe 12 oz. Orange Flavored Breakfast Drink $1.89 Kool-Aid 12 oz. Cherry Drink Mix $2.19 Kool-Aid 12 oz. Tropical Punch Drink Mix Kool-Aid 12 oz. Watermelon/Strawberry Drink Mix Nestle 12.6 oz. Carnation Instant Breakfast Variety Pack (10 Pk.) Sweet Fusions 19 oz. Tea w/lemon Tea Pouch K H C $2.19 $2.19 $7.88 / $3.39 Variety Pack Drink Stick (6 Ct.) $2.15 / Milk Paramount 10 oz. Instant Nonfat Dry Milk K H $3.57 FOOD & SNACKS Nutritional Drinks New Leaf 2 oz. Chocolate Health Shake $1.20 New Leaf 2 oz. Vanilla Health Shake $1.20 Cereal & Cereal Bar Golden Valley 4 oz. Everything Bagel K H $0.70 Golden Valley 4 oz. Plain Bagel K H C $0.60 Hostess 12.7 oz. Ding Dongs Chocolate Cake w/ Creamy Filling (10 Ct.) $3.99 / Hostess oz. Twinkies (10 Ct.) $3.35 / Hostess 4.5 oz. Apple Pie $1.00 Hostess 9.1 oz. Milky Way Brownie (6 Ct.) $3.85 / Kellogg s 14.1 oz. Frosted Cookies & Creme Pop Tarts (8 Pk.) Kellogg s 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.) Kellogg s 14.7 oz. Frosted Strawberry Pop Tarts (8 Pk.) Market Square Bakery 10 oz. Donut Stix (6 Pk.) K Market Square Bakery 12 oz. Peanut Butter Wafers (6 Pk.) K Market Square Bakery 12 oz. Swiss Rolls (6 Pk.) K $2.76 $2.76 / $2.76 / $2.15 / $2.30 / $2.20 / Paramount 8 oz. Non-Dairy Creamer $1.40 Sweetener Sweetmate 3.5 oz. Saccharin (100 Ct.) K H G S $1.89 / Drink Mixes Country Time 12 oz. Lemonade Drink Mix Crystal Light SF Variety Flavors Drink Stick (6 Pk.) $2.19 $2.05 / Golden Valley 1.3 oz. Strawberry Cereal Bar K $0.27 Golden Valley 20 oz. Berries Bunch O Krunch Cereal K R Golden Valley 20 oz. Chocolate Frosted Flakes Cereal K R Golden Valley 20 oz. Cinnamon Squares Cereal K R $4.85 $4.25 $4.85 Golden Valley 20 oz. Frosted Flakes Cereal K R $3.54 Quaker Regular Flavor Instant Oatmeal (12 Pk.) $2.60 / Market Square Bakery 16 oz. Oatmeal Cremes (12 Pk.) K Market Square Bakery 4.25 oz. Strawberry Cheese Danish K C Market Square Bakery 4.75 oz. Mega Honey Bun Chocolate Iced C Market Square Bakery 4 oz. Iced Swirl Cinnamon Roll K C Market Square Bakery 6 oz. Monster Iced Honey Bun K C $1.88 / $0.74 $0.63 $0.72 $

2 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips CHIPS LIMIT 10 The Whole Shabang 6 oz. Extreme Kettle Cooked Potato Chips K H CHIPS LIMIT 10 The Whole Shabang 6 oz. Original Potato Chips K H CHIPS LIMIT 10 $1.99 $1.90 $ Crackers Austin 1.38 oz. Cheese/Peanut Butter Sandwich Crackers K $0.50 Cheez-It 1.5 oz. Cheddar Crackers K $0.83 Golden Valley 13.7 oz. Snack Cracker $ Snacks & Nuts Chex Mix 8.75 oz. Traditional K $3.55 Combos 6.3 oz. Pepperoni Pizza H G S $3.65 Cracker Jack oz. Popcorn $1.58 Kings Nut 10 oz. Mixed Nuts w/peanuts $3.50 Kings Nut 2.5 oz. Honey Roasted Peanuts G S $0.74 Kings Nut 3.25 oz. Health Mix $ Golden Valley 16 oz. Saltines Crackers (Box) K H $1.70 / Golden Valley 9 oz. Cheese Crackers K G S $2.51 Nabisco 9.1 oz. Wheat Thins Original $3.95 Cookies Market Square Bakery 14 oz. Chocolate Creme Cookies K H Market Square Bakery 14 oz. Duplex Creme Cookies K H $1.83 $ Kings Nut 3.25 oz. Roasted & Salted Sunflower Kernels K H G S $ Market Square Bakery 14 oz. Lemon Cremes Cookies K H $ Kings Nut 4 oz. Tropical Mix $ Market Square Bakery 14 oz. Peanut Butter Creme Cookies K H $ Moon Lodge 1.75 oz. Hot, Hot, Hot! Peanuts K C G $ Market Square Bakery 16 oz. Chocolate Chip Cookies K H $ Moon Lodge 1.75 oz. Salted Peanuts K C G $0.42 Moon Lodge 11 oz. Pretzels Mini Twists K C $1.44 Moon Lodge 2.8 oz. Extra Butter Microwave Popcorn K Moon Lodge 2.8 oz. Kettle Corn Microwave Popcorn K G $0.51 $ Market Square Bakery 16 oz. Vanilla Wafers K H $1.98 Market Square Bakery 2.75 oz. Soft Baked Chocolate Chip Cookies (2 Pk.) K $0.53 Rippin Good 16 oz. Fig Bar Cookies $4.99 Candy Moon Lodge 2.8 oz. Natural Microwave Popcorn K $0.51 The Whole Shabang 1.75 oz. Peanuts K $0.80 The Whole Shabang 6 oz. Snack Mix K $ Assorted 3.25 oz. Now & Later Candy C $0.77 Atkinsons.7 oz. Chick-O-Stick K C G $0.21 Atomic 3 oz. FireBall C $0.69 Chewy Lemonhead 4 oz. - Redrific $ Chewy Red Hots 4 oz. $

3 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY E.Z. Digby s 3 oz. Mary Janes C $0.85 GoLightly 2.75 oz. Sugar Free Butterscotch Candy K C G $2.13 Jolly Rancher 3.7 oz. Assorted Flavors C $0.90 Kit Kat 1.5 oz. Bar K $1.02 M&M s 1.74 oz. Peanut Candy K G $1.02 Reese s 1.5 oz. Peanut Butter Cups K G $1.02 Sathers 3.75 oz. All Stars Assorted Candies C $0.80 Sathers 3.75 oz. Starlite Mints C $0.68 Sathers 3 oz. Vanilla Caramels C $0.99 Sathers 4.25 oz. Jelly Beans C $0.77 Sathers 4.25 oz. Lemon Drops C $0.65 Sathers 4 oz. Sour Neon Worms $1.01 Snickers 1.86 oz. Bar K $1.02 Sour Patch 3 oz. Gummi Watermelon Candy C $1.09 Twizzlers 5 oz. Strawberry Twists K $2.15 Salad Dressing Kraft 1.5 oz. Ranch Salad Dressing Packet $0.60 Condiments & Spreads Keefe Kitchens 18 oz. Chunky Peanut Butter G S Keefe Kitchens 18 oz. Creamy Peanut Butter K C R G S $3.29 $3.29 Poco Pac 1 oz. Strawberry Jam (10 Pk.) K $2.05 Squeez-Ums.15 oz. Mustard (12 Pk.) K H G $0.81 / STR Squeez-Ums.31 oz. Ketchup (12 Pk.) K H G $0.81 / STR Squeez-Ums.31 oz. Mayonnaise (12 Pk.) K H G $0.88 / STR Squeez-Ums 1 oz. Grape Jelly (10 Pk.) K H $2.00 Squeez-Ums Pure Honey (10 Pk.) K H $1.50 / PK Tokyo Diner 6 oz. Soy Sauce K C R $1.49 Sauces Brushy Creek 4 oz. Italian Pasta Sauce C G $0.69 Cactus Annie s 11 oz. Regular Picante Sauce $2.05 Hunts 18 oz. BBQ Sauce $1.91 Sevilla 1.5 oz. Sazon con Culantro Y Achiote K H C $1.13 Squeez-Ums.24 oz. Hot Sauce (12 Pk.) K H G $0.51 / STR Spices & Seasonings Pepper (10 Pk.) $0.29 / Pepper Shaker 1.5 oz. K G S $1.27 Salt (10 Pk.) $0.26 / Salt Shaker 4 oz. K G S $0.50 Spice Classics 4.75 oz. Seasoned Salt K $1.73 SpiceCo 2.5 oz. Garlic Powder K G $1.31 Pickles Van Holten s 9.6 oz. Dill Pickle K C G S $0.72 Van Holten s 9.6 oz. Hot & Spicy Pickle K C G $0.72 Van Holten s 9.6 oz. Zesty Garlic Pickle K H C G S Peppers Cactus Annie s 12 oz. Sliced Jalapeno Peppers G $0.72 $ Cheese City Cow 4 oz. Provolone Cheese Stick C G $1.94 City Cow 4 oz. Sharp Cheddar Cheese Stick C G $1.94 Philly 2 oz. Cream Cheese w/jalapenos $0.68 Velveeta 4 oz. Nacho Cheese Dip w/jalapenos Snack Spread Tub C R G Velveeta 8 oz. Sharp Cheddar Cheese Snack Spread Tub C R G Velveeta 8 oz. Spicy Jalapeno Cheese Snack Spread Tub C R G Meat Snacks $1.55 $1.77 $1.77 Bridgford 3.5 oz. Sliced Pepperoni G $2.35 Brushy Creek.78 oz. Single Serve Bacon (6 slices) C Brushy Creek oz. Hot Summer Sausage G $2.59 $0.57 Brushy Creek 5 oz. Beef Salami Stick G S $1.48 Brushy Creek 5 oz. Hot Beef & Chicken Halal Sausage H G Brushy Creek 5 oz. Hot Summer Sausage Made with Beef and Chicken G Brushy Creek 5 oz. Original Beef & Chicken Halal Sausage H G Brushy Creek 5 oz. Original Summer Sausage Made with Beef and Chicken G Brushy Creek 5 oz. Turkey Summer Sausage Honey Brown Sugar G $2.15 $1.48 $2.15 $1.58 $1.58 Jack Link s.9 oz. Original Beef Jerky $1.88 O Briens oz. Beef & Cheddar Sticks G $1.00 O Briens oz. Hot & Spicy Sausage G $

4 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Seafood Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean Oil K H G Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce K H G Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard Sauce K H G Fresh Catch 3.53 oz. Mackerel Flakes in Chili Oil with Jalapenos K H G Fresh Catch 3.53 oz. Salmon Flakes in Water K H G $1.52 $0.95 $0.95 $1.85 $ My Own Meal 10 oz. Chicken & Rice $6.20 Pizza Kit (2 pk) 7 Crust $3.19 Vegetables Keefe Kitchens 4 oz. Instant Potatoes K H $1.21 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 $ Maruchan 3 oz. Low Sodium Chicken Flavor Ramen C Maruchan 3 oz. Low Sodium Chili Flavor Ramen C 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 Fresh Catch 3.53 oz. Smoked Baby Clams H G $3.15 Fresh Catch 4.23 oz. Chunk Light Tuna in Water K H G Ready-To-Eat Meals $2.25 Brushy Creek oz. Beef Stew G $1.82 Brushy Creek oz. Chili No Beans $2.49 Brushy Creek oz. Chili with Beans G $2.20 Brushy Creek oz. Chili with Beans Hot! G $2.22 Brushy Creek oz. Low Fat Spicy Chili w/ Beans Brushy Creek 4.5 oz. Premium Chicken Breast G S Brushy Creek 5 oz. Chicken Vienna Sausage G S $2.13 $3.42 $2.25 Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.25 Brushy Creek 8 oz. Cajun Style Rice with Chicken & Sausage G $3.95 Hormel 2.5 oz. Spam Single G S $2.15 My Own Meal 10 oz. Beef Stew $6.30 My Own Meal 10 oz. Cheese Tortellini $ Minute 8 oz. White Rice Clear Pouch $1.50 Velveeta 2 oz. Spicy, Cheesy Rice K H C $0.69 Beans Brushy Creek 10 oz. Black Beans G $2.05 Sevilla 4.4 oz. Chili Flavor Refried Beans & Rice K H Sevilla 4.4 oz. HOT Chili Flavor Refried Beans & Rice K H C $1.07 $1.07 Sevilla 8 oz. Refried Beans K H R $1.62 Tortillas Cactus Annie s 8 oz. Flour Tortillas (6 Pk.) $0.92 Mission Jalapeno Flavored Tortillas (6 Pk.) R $2.52 Ramen Maruchan 3 oz. Beef Flavor Ramen C Maruchan 3 oz. Cajun Chicken Flavor Ramen C Maruchan 3 oz. Cajun Shrimp Flavor Ramen C Maruchan 3 oz. Chicken Flavor Ramen C Maruchan 3 oz. Chili Flavor Ramen C Maruchan 3 oz. Low Sodium Beef Ramen C Maruchan Instant Lunch 2.25 oz - Cajun Shrimp Maruchan Instant Lunch 2.25 oz. - California Veggie Maruchan Instant Lunch 2.25 oz. - Hot & Spicy Beef Noodles $0.63 $0.63 $0.63 Velveeta 3 oz. Macaroni and Cheese K H C $1.20 HEALTH & BEAUTY Shampoo & Conditioner Amercare.25 oz. Dandruff Shampoo $0.11 Crawford 4 oz. Balsam & Protein Conditioner C $1.05 Crawford 4 oz. Balsam & Protein Shampoo C $1.05 Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash Elementz 15 oz. Dandruff Shampoo Almond/ Shea Elementz 15 oz. Hydrating Conditioner Almond/ Shea Elementz 15 oz. Thickening Shampoo w/aloe & Ginseng $2.51 $2.55 $2.02 $2.05 Freshscent.34 oz. Shampoo & Conditioner $0.10 Goodsense 8.5 oz. Shampoo Coal Tar 5% $

5 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Suave 12 oz. Daily Clarifying Shampoo $ Grandpa s 3.25 oz. Pine Tar Soap (1 Bar) $ NewDay 13 oz. Bath & Shower Powder $ Suave 12 oz. Juicy Green Apple Shampoo $ Irish Spring 3.2 oz. Original Soap (3 Pk.) $3.49 / PK 0452 NewDay 1 oz. Petroleum Jelly Tube $ Suave 12 oz. Refreshing Waterfall Mist Conditioner $ Next 1-3 oz. Deodorant Soap $ NewDay Cotton Swabs (300 Ct.) C $ Hair Care Next 1-5 oz. Anti-bacterial Sport Soap (1 Bar) C $ Pacific Stone Pumice Sponge $ Afro Comb $ Professional Comb (plastic) $0.11 Elementz 15 oz. Styling Gel w/aloe Vera $ Next 1-5 oz. Cocoa Butter Soap (1 Bar) C $0.65 Next 1-5 oz. Moisturizing Soap (1 Bar) C $0.64 Skin Care Products Softee 6 oz. Cocoa Butter Cream $1.16 Tolnaftate.5 oz. Antifungal Cream $1.41 Tone 12 oz. Cocoa Butter Lotion $ Goody Braided Elastic Pony Tail Holders (Black) (18 Ct.) C $1.25 / PK Military Style Brush $1.62 Pantene 12.6 oz. Fine Volume Shampoo $7.99 Pantene 12 oz. Classic Clean Conditioner $7.89 Shower Cap (disposable) $0.07 Ethnic Hair Care Ambi 2 oz. Fade Skin Cream $7.28 Chap Stick.15 oz. Regular Flavor (Blister Pack) $1.71 Chap-Et.16 oz. Lip Conditioner $1.01 Crawford 4 oz. Cocoa Butter Lotion C $0.51 Crawford 4 oz. Skin Care Lotion C $0.60 Dial 12 oz. Advanced Therapy Lotion $ Deodorant Crawford.5 oz. Speed Stick C $0.40 Freshscent.12 oz. Gel Deodorant $0.10 Power-Up 2.5 oz. Clear A/P Deodorant - Force C $2.58 Power-Up 2.5 oz. Clear Deodorant - Drive C $2.28 Power-Up 3 oz. Force Clear Roll On A/P Deodorant $ Luster s 8 oz. Pink Oil Moisturizer $6.23 Murray s 4 oz. Superior Hair Dressing Pomade $2.53 Softee 5 oz. Coconut Oil Hair & Scalp Conditioner $2.44 Softee 8 oz. Curl Activator Gel $4.75 Sulfur8 2 oz. Medicated Original Conditioner $3.92 Sulfur8 7.5 oz. Medicated Shampoo $3.92 Body Wash Power Up 15 oz. Inspired by Gucci Body Wash $3.64 Power Up 15 oz. Inspired by Polo Body Wash $3.64 Soap Ambi 3.5 oz. Complexion Cleansing Soap (1 Bar) $ Dr. Sheffield s 1.25 oz. Antifungal Cream $1.06 Freshscent.25 oz. Hand & Body Lotion $0.06 Goodsense 1 oz. Hydrocortisone 1% Cream $1.79 GoodSense 4 oz. F 30 Sunscreen Lotion $3.06 Heritage 3 oz. Medicated Anti-Fungal Powder $2.35 Heritage 4.5 oz. Skin Cream Facial Cleanse $1.67 Infuzed Island Naturals 15 oz. Body Lotion Cocoa & Shea Butter Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion $1.70 $2.17 Maximum Strength 1 oz. Acne Treatment Cream $1.62 Muscle Rub 3 oz. $ Speed Stick 3 oz. Ultimate Sport A/P Deodorant $3.49 Speed Stick 3 oz. Ultimate Sport Anti-Perspirant/Deodorant Gel C Dental Care $3.49 Aquafresh 5.6 oz. Sensitive Toothpaste $3.71 Colgate 4.6 oz. 2-in-1 Icy Blast Toothpaste C $3.82 Colgate 4 oz. Great Regular Flavor Anticavity Toothpaste Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C $2.80 $1.47 Dental Floss Threaders (25 Ct.) $3.00 / Effergrip 2.5 oz. Cream Tube $4.55 Floss Loops (30 Pk.) $

6 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Freshmint.28 oz. Gel Toothpaste $ Alka Seltzer Plus Cold Relief (20 Ct.) $8.09 / 0566 NewDay Acetaminophen 325 mg (100 Ct.) C $ Freshmint.85 oz. Toothpaste $ Bayer Aspirin Tablets (2 tablets) $ NewDay Allergy Tablets (24 Ct.) C $ Freshmint Denture Tablets (40 Ct.) $2.80 / 0590 Bug X 2 oz. Deet-Free Insect Repellent $ Non-Aspirin 325mg (2 Tablets) $ NWI Denture Toothbrush $ Dr. Scholl s Medicated Corn Removers $ Rolaids Regular Strength Antacid (3 Rolls) $2.42 / PK 0640 Oraline 4 in. Security Flex Crossover Toothbrush $0.20 Percara 8 oz. Oral Health Rinse Mouthwash $ GoodSense.5 oz. Tetrasine Eye Drops $1.99 Goodsense 12 oz. Liquid Antacid $ CLOTHING & APPAREL Accessories Sea Bond Denture Bath $ Goodsense 2 oz. Hemorrhoidal Ointment $ Cool Stretch Cap - Black $ White Toothbrush Cap (*toothbrush not included) $ Goodsense 5mg Laxative Bisacodyl Tablets (25 Ct.) $ Kierto Black Soft Sunglasses Case w/drawstring $ Shaving Products Magic Cream 6 oz. Depilatory $3.25 Spring Fresh.25 oz Shave Cream $0.07 Vitamins & Body Building Athletes Needs Vitamin E100 (100 Ct.) $5.55 Centrum Silver (125 Ct.) $19.60 Mason Naturals Multi-Vitamin w/iron (100 Ct.) $2.77 Mason Naturals Multivitamin No Iron (100 Ct.) $2.32 Naturalist Vitamin C 500 mg. (100 Ct.) $ Goodsense 75mg Ranitidine Acid Reducer (30 Ct.) $3.41 Goodsense 8 oz. Liquid Stomach Relief $2.13 GoodSense Antacid Tablets (150 Ct.) $3.85 GoodSense Cherry Cough Drops (30 Ct.) C R $0.93 GoodSense Honey Lemon Cough Drops (30 Ct.) C R Goodsense Loratidine 10mg Allergy Medicine (10 Ct.) GoodSense Sugar Free Cherry Cough Drops (25 Ct.) C R $0.93 $1.96 $ Wave Enforcer Black Wave Cap $2.65 WOMEN S ONLY ITEMS Women s Only Items Cover Girl Brown Mascara Lash Blast Clump Crusher $6.78 Cover Girl Smoothers Concealer Light $7.63 Cover Girl Smoothers Concealer Medium $7.63 Elementz 15 oz. Deep Sea Minerals Invigorating Body Wash La Pointe 4 oz. Spa Collection - Exotic Mango Blend $2.08 $ Sundown Naturals 1200 mg Fish Oil (100 Ct.) $ Konsyl-D 14 oz. Psyllium Based Laxative Fiber $ Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh $ Ultra Fit 2.3 oz. Chocolate Peanut Butter Nutrition Bar $2.49 Ultra Whey 16 oz. Protein $15.51 Pharmaceuticals Advil Single Pack (2 tablets) $0.55 Aleve 220 mg. (24 Ct.) $4.72 Alka Seltzer Plus Cold Medicine (2 Pk.) $ Medicated 3.53 oz. Chest Rub $2.13 Mediproxen Generic Aleve 220 mg. (1 Tablet) $0.19 Metamucil Orange Smooth Daily Fiber Supplement (1 Ea.) $0.75 Moore Medical Antacid Tablets (2 Pk.) $0.14 NewDay 200mg Ibuprofen Tablets (50 Ct.) $2.12 NewDay 325mg Aspirin (100 Ct.) C $ Massengill 4.5 oz. Vinegar & Water Douche $2.66 Midol Max Strength (16 Ct.) $4.40 Playtex Gentle Glide Tampons (20 Pk.) $7.66 / Power-Up 2 oz. A/P Deodorant - Bloom C $2.28 Preference Panty Shields (22 Pk.) $1.12 Preference Super Maxi Pad (22 Ct.) $2.10 /

7 ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY ITEM DESCRIPTION ITEM # QTY Preference Super Tampon (40 Ct.) $5.88 / Regular Maxi Pads (24 Pk.) $2.10 / Secret 1.7 oz. Wide Solid Powder Fresh Deodorant $ THE GENERAL STORE Greeting Card Acetate Thinking of You Card $0.84 Calendar 0964 Address Book Small 2.5 x 4 $0.77 Clear 22 oz. Thermal Mug C $2.25 Clear Cosmetic Bag (Hair Dryer Not Included) $ Wet n Wild Mega Protein Mascara C137 - Very Black $1.65 Wet n Wild Mega Retractable Black Eyeliner $1.89 Wet n Wild Mega Retractable Dark Brown Eyeliner $1.89 Wet n Wild Silk Finish Breeze Lipstick $0.98 SHOES Sandals Crawford Deluxe Shower Shoes Small 7 #3854, Medium 8 #1875, Large 9 #3856, XL 10 #3857, 2XL 11 #3858 Shoe Accessories $3.60 Kiwi 36 Shoelaces Flat Athletic - White $0.86 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 $29.99 $ Ft. Non-Coiled Headphone Ext w/mini Jack $ Ft. Extension Cord $2.96 Headphone Adapter for Mono Stereo (Mini) $1.56 Typewriter Accessories Carbon Paper 8.5 x 11, 10 Sheets $1.43 Typing Paper Sheets $ , Calendar $1.83 Stationery #10 Envelope $0.04 #10 Stamped Envelope $0.51 Bic Black Cristal Pen (2 Pk.) $1.04 Bic Black Cristal Pen Medium (10 Pk.) $2.39 / CS Bic Blue Cristal Pen (2 Pk.) $1.04 Bic Blue Cristal Pen Medium (10 Pk.) $2.39 / CS Brown Kraft Catalog Envelope - 10 x 15 $0.22 Document File w/velcro Strap $1.47 Unisource Envelope #6 3/4 $0.07 White Paper Pad 8.5 x 11 (50 Sheet Pad) $1.12 / PAD Yellow #2 Pencil w/eraser $0.14 Games Aviator - US Playing Cards $1.83 Aviator Pinochle US Playing Cards $1.83 Chess Set with Board $6.70 Double Six Dominoes $2.91 Miscellaneous 1.6 Quart Round Serving Saver Bowl With Lid $2.37 Acrylic Mirror without Magnet 6 x 4.5 C $ Coffee Cup w/handle 12 oz. $0.81 Cooks Spork - Tan $0.32 Fingernail Clipper without File C $0.64 Foam Ear Plugs $0.23 Head Band (White) $1.11 Photo Album - Lg. Hard Cover (24 pgs.) 7 x 8.5 $2.65 Plastic 22 oz. Tumbler (w/lid) $0.41 Plastic ID Holder $1.02 Plastic Spork $0.08 Singer Sewing Kit without Scissors $1.82 Slant Tip Deluxe Tweezers $0.42 Toilet Paper (One Roll) $0.78 Two Piece Soap Dish C $

8 SHIP TO: We cannot send orders from one inmate to another. PROGRAM ORDERING INFORMATION: 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: (You will receive confirmation s when the order is placed and shipped.) TAX ID# REQUIRED for order fulfillment. S Food (Non-Taxable): x N/A = Non-Food (Taxable): x.06 Subtotal (Must Not = Exceed $85) Processing Fee: $ $0.24 = $4.24 SELECT PAYMENT METHOD: Cashier s Check Money Order Make check or money order payable to ACCESS SECUREPAK AMOUNT DUE: VISA MasterCard Discover Prepaid 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 3: July 1, 2017 September 30, 2017 Quarter 4: October 1, 2017 December 31, 2017 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. Prisoner s fount 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) $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 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. Cardholder Name Cardholder Signature Daytime Phone Number / / Today s Date mm/dd/yyyy 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 3 All orders must be postmarked by September 22, 2017 to be processed by Access Securepak by September 30, Quarter 4 All orders must be postmarked by December 22, 2017 to be processed by Access Securepak by December 31, *If Orders are not received by the respective postmark dates above, the orders may be processed in the next quarter. INMATE ORDERING: Quarter 3 All orders must be submitted by 11:59 p.m. September 30, Quarter 4 All orders must be submitted by 11:59 p.m. December 31, *Any orders rejected because of insufficient funds will be cancelled. You cannot go back and submit an order for a previous quarter. Credit Card Number / Expiration Date Security Code Security code is last three digits of account number panel. 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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