Customer Information. Mill Creek Brand Coffee. Mill Creek Brand Fractional Pack Coffee. Mill Creek Brand Flavored Coffee

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1 General Order Form Please complete this form and it back to Fax: Phone: Customer Information Company Name: Contact Person: Address: Phone Number: Order Date: Delivery Date: Mill Creek Brand Coffee Mill Creek Brand Fractional Pack Coffee Private Reserve 3625 Private Reserve 1.5 oz. / 36 Ct oz. / 36 Ct oz. / 36 Ct oz. / 96 Ct. Classic Limberlost oz. / 96 Ct oz. / 36 Ct. Classic Limberlost oz. / 96 Ct oz. / 96 Ct. Firebrand oz. / 36 Ct oz. / 96 Ct. Brazilian Arabica oz. / 36 Ct oz. / 36 Ct. Select Blend oz. / 36 Ct oz. / 20 Ct. Summer Blend (Seasonal) oz. / 20 Ct oz. / 96 Ct. Savanna Blend oz. / 36 Ct oz. / 20 Ct. Gemini Blend oz. / 48 Ct oz. / 20 Ct. Gemini Blend Decaf oz. / 48 Ct oz. / 75 Ct. Mill Creek Brand Flavored Coffee Caramel Nut Biscotti Chocolate Macadamia Cinnamon Hazelnut Coconut Crème Brule Kahlua Cream Maple Cinnamon Pumpkin Spice Rain Forest Nut Southern Pecan

2 English Toffee Hazelnut Holiday Blend Sticky Buns Sugar Cookie Toasted Almond Assorted Flavors Mill Creek Coffee- Product Order Form Mill Creek Brand Liquid Coffee Black Cold Brew Concentrate Black Cold Brew Concentrate Latte Cold Brew Concentrate Latte Cold Brew Concentrate oz. / 1 Ct. House Blend Dark Roast 8 oz. / 20 Ct. House Blend Dark Roast Decaf /2 Gal. / 2 Ct. 1/2 Gal. / 2 Ct. 8 oz. / 1 Ct. 8 oz. / 20 Ct. Ground Coffee Green Mountain Coffee Pre-Measured Packets Breakfast Blend 1603 Caramel Vanilla Cream 2.2 oz. / Island Coconut (Seasonal) Nantucket Blend 1631 Colombian Supreme Popayan oz. / Our Blend oz. / Colombian Supreme Decaf 1672 Pumpkin Spice (Seasonal) 1695 Dark Magic 1660 Rain Forest Nut 1686 Cinnamon Sugar Cookie (Seasonal) 1687 Southern Pecan 1689 Hazelnut Decaf 1696 Wild Mountain Blueberry 1685 Toasted Marshmallow Mocha (Seasonal) 1694 Starbucks Portion Packs Breakfast Blend oz. / House Blend oz. /

3 Caribou Coffee Decaf Seattle's Best Level 3 Seattle's Best Level 3 Decaf Folgers Classic Roast oz. / Maxwell House Master Blend 1.75 oz. / 42 Ct. Maxwell House MB Decaf 1.75 oz. / 42 Ct. Maxwell House Special Delivery.09 oz. / 40 Ct. Maxwell House SD Decaf oz. / 42 Ct. 1.1 oz. / 42 Ct. 1.2 oz. / 42 Ct. 1.3 oz. / 42 Ct. Whole Bean Coffee Mill Creek Brand Whole Bean Coffee Firebrand 6462 Excelso Mill Creek House Blend Mill Creek House Blend lb. / 3 Ct. Excelso lb. / 3 Ct. Organic Mexican Fair Trade Organic Mexican Fair Trade lb. / 2 Ct lb. / 2 Ct. Espresso Espresso Decaf Pods Baronet Coffee Pods 1711 Hazelnut Fair Trade Organic French Roast 1759 Chocolate Babka 1759 Fair Trade Organic Small Village 1756 Crème Brule Dark Kenya AA 1737 Sumatra 1742 Donut Shop 1723 Tanzanian Peaberry 1751 Estate Costa Rican (Limited Edition) 1750 Cinnamon Hazelnut 1748

4 Terra Leaf Tea Pods from Baronet Coffee English Breakfast Black Tea Citron Green Tea Bigelow Tea Individual Teabags Green Tea Green Tea 7564 American Breakfast 7540 Green Tea Ct. Cinnamon Stick 7544 Green Tea Decaf 7579 Constant Comment 7545 Green Tea with Lemon 7565 Darjeeling 7548 Jasmine Green Tea 7567 Earl Grey 7549 Earl Grey Decaf Ct. Cinnamon Apple 7543 English Teatime 7560 Cozy Chamomile 7546 English Teatime Decaf 7578 Cranberry Apple I Love Lemon 7566 Lemon Lift 7568 Lemon Ginger 7570 Plantation Mint 7574 Mint Medley 7569 Raspberry Royal 7575 Orange Spice 7571 Vanilla Chai 7577 Sweet Dreams 7580 Tahitian Breeze 7576 Herb Tea Lipton Tea Natural Black Tea 7482 Natural Black Tea Decaf Ct. Novus Tea

5 Herbal Tea Citrus Chamomile Classic Mint Herbal Lemon Ginger Oolong Tea Traditional Oolong Green Tea Jasmine Green Tea Black Tea English Breakfast Sapphire Earl Grey Extras Flavored Syrups Flavor Caramel 7449 Caramel - Sugar Free Flavor Irish Cream Raspberry 7467 Hazelnut 7460 Vanilla 7470 Hazelnut - Sugar Free 7475 Vanilla - Sugar Free 7478 Hot Cocoa Nestle Rich Chocolate Nestle No Sugar Added Swiss Miss with Marshmallows Swiss Miss No Sugar Added Cappuccino Mix Almond Joy 7342 Peanut Butter Cup 7356 Chai Tea 7370 Pumpkin Spice 7346 English Toffee 7343 White Chocolate Caramel York Peppermint Patty Fat Free 7354 Nestle Hot Chocolate Whipper Mix lb. / Cookies and Cream 7345

6 Nissin Ramen Noodle Soup / Popcorn / Quaker Oats Chicken Ramen Noodles 3202 Spicy Chicken Ramen Noodles Act II Butter Popcorn Ct Quaker Instant Oatmeal Cups Apple Cinnamon 3215 Beef Ramen Noodles 3202 Quaker Instant Oatmeal Cups Maple Brown Sugar 3215 Shrimp Ramen Noodles 3202 Juice and Bottled Water Veryfine 100% Apple Juice Veryfine 100% Orange Juice Veryfine 100% Apple Cranberry Welch's 100% Apple Juice Welch's 100% Grape Juice oz. / 24 Ct. Welch's Cranberry Juice 11.5 oz. / 24 Ct. Crystal Light Lemonade 11.5 oz. / 24 Ct. Crystal Light Iced Tea 5.5 oz. / 48 Ct. Crystal Light Raspberry Lemonade 5.5 oz. / 48 Ct. Nirvana Natural Spring Water oz. / 48 Ct. 24 oz. / 24 Ct. Creamers and Sweeteners Canisters Creamer oz. / 1 Ct. Sugar oz. / 1 Ct. Sugar and Sweeteners Sugar Packets Equal Sweetener Equal Sweetener Splenda Sweetener Splenda Sweetener Splenda Sweetener Sweel N' Low Sweetener Grindstone Sweetener (Pink) Grindstone Sweetener (Pink) Grindstone Sweetener (Yellow) Grindstone Sweetener (Yellow) Grindstone Sweetener (Blue) Grindstone Sweetener (Blue) Kraft Honey Packets Ct.

7 Sweel N' Low Sweetener 7251 Coffee-Mate Powder and Liquid Cuplets Original Flavor - Powder Original Flavor Lite - Powder Original Flavor - Liquid Original Flavor - Liquid - Powder Sugar Free - Powder - Liquid Chocolate Chip Cookie Dough- Liquid oz. / 1 Ct. Hazelnut - Powder 11 oz. / 1 Ct. Hazelnut - Liquid Café Mocha - Liquid 360 Ct. Irish Cream - Liquid 15 oz. / 1 Ct. Italian Sweet Cream - Liquid 10.2 oz. / 1 Ct. Vanilla Caramel - Liquid Salted Caramel- Liquid oz. / 1 Ct. International Delight Liquid Creamer Cuplets 7181 Half & Half Ct. Half & Half Ct. 180 Ct. Hazelnut Ct. Cups, Lids and Stir Stix Cups oz. / oz. / 500 Ct oz. / oz. / 500 Ct oz. / Perfect Touch Cups oz. / oz. / Perfect Touch Cups oz. / oz. / Perfect Touch Cups oz. / oz. / Perfect Touch Cups oz. / 500 Ct oz. / Soho Paper Hot Cup oz. / 500 Ct. Paper Cold Cups oz. / 2,500 Ct. Green Mountain Paper Hot Cups oz. / Translucent Cold Cups oz. / 2,500 Ct. Green Mountain Paper Hot Cups oz. / Translucent Cold Cups oz. / 5 Sleeves Green Mountain Paper Hot Cups oz. / 800 Ct oz. / Green Mountain Plastic Cold Cups oz. / 600 Ct.

8 oz. / Poly Paper Cups Printed oz. / 1,000 Ct oz. / Poly Paper Cups Printed oz. / 1,000 Ct. Poly Paper Cups Printed oz. / 1,000 Ct. Cold Cup Translucent oz. / 1,000 Ct. Lids and Stir Stix Lids FTL Lift N Lock 4601 Lids FTL Lift N Lock 8 oz. / Dome Lids - White oz. / oz. / Soho Tear Tab Lids 4761 Fits Multiple s Lids FTL Lift N Lock oz. / Green Mountain Dome Hot Lids 3783 Fits GM/PT/Solo Lids FTL Lift N Lock oz. / Green Mountain Flat Plastic Lids 3877 Fits GM/PT/Solo Perfect Touch Dome Lids oz. / Cold Dome with Hole Lids 4250 Perfect Touch Dome Lids oz. / 500 Ct. Cold Straw Slot Lids 4259 Dome Lids oz. / Plastic Stir Stix in. / Dome Lids oz. / Plastic Stir Stix in. / Napkins Ct. 4-Cup Beverage Tray Ct. White Plastic Forks 9421 Hot Cup Sleeves 9571 White Plastic Knives 9422 Trash Bags - 30 Gallon 9451 White Plastic Spoons 9423 Trash Bags - 55 Gallon 9431 Heavyweight Fork 9424 Pastry Bags Ct. Heavyweight Knife 9425 Coffee Filters Cup / Heavyweight Spoon 9426 Carafe on the go (96 oz. disposable container) 9550 Flex Straws 9291 Carafes on the go (96 oz. disposable container) 9552 Bath Tissue (2 Ply) Ct. Case Household Paper Towels (2 Ply) 9221 Case Multifold Towels X 2 9 Styrofoam Plates 9429 Sleeve of Styrofoam Plates 9430 Case of 500 Paper Products 1 Ct. 16 Ct. Case

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