Orde o Maine DOC Quarter Ault

Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

PRICE

QTY TOTAL

PRICE

ITEM #

DRINKS

Coffee

Cafe Genial 3 oz. Cafe De Olla Instant Coffee with

Cinnamon

Keefe 3 oz. Alturo Blend Coffee K H C D R

$3.65 / EA

$2.50 / EA

80007662

10243

ITEM DESCRIPTION

ITEM #

Golden Valley 20 oz. Corn Flakes Cereal K R

$4.50 / EA

80001729

Golden Valley Cereal 20 oz. Frosted Shredded

Wheat R

$4.50 / EA

10363

Kellogg¡¯s 3.1 oz. Apple Jacks Cereal Resealable

Package K

$2.50 / EA

80006256

Oatmeal

Tea

Bigelow 1.37 oz. Perfect Peach Herbal Tea (20 Ct.)

K

$5.80 / BX

80001194

Bigelow 1.64 oz. Vanilla Chai Tea (20 Ct.)

$5.35 / BX

10595

Bigelow 1.73 oz. Spiced Chai Black Tea (20 Pk.)

$5.80 / BX

80000680

Malt-O-Meal 1.23 oz. Apple & Cinnamon Instant

Oatmeal (Single Serve) K

$0.50 / EA

6087

Granola Bars

Nature Valley 1.49 oz. Peanut Butter Granola Bar K

$8.50 / EA

$1.30 / EA

4466

80007922

Tampico .77 oz. SF Citrus Punch Drink Mix

(6 Pk.) D

80008647

Cappuccino

Keefe 8 oz. French Vanilla Cappuccino K H C R

Kar¡¯s 2 oz. All Energy Trail Mix K

$1.00 / EA

5866

Kar¡¯s 3.5 oz. Sweet N Salty Trail Mix C

$1.45 / EA

5865

Kellogg¡¯s 1.3 oz. Original Rice Krispies Treats

$0.90 / EA

2381

Kings Nut 2 oz. Sweet & Salty Mix

$1.10 / EA

80005496

Kings Nut 3.25 oz. Roasted & Salted Sunflower

Kernels K H

$1.10 / EA

80003356

Kings Nut 6 oz. Roasted & Salted Sunflower Kernels $1.80 / EA

80003375

Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese

Potato Chips K H

$0.70 / EA

80000963

7637

$1.45 / EA

80007188

Moon Lodge 1.5 oz. Stuffed Jalapeno Potato Chips

KH

$0.70 / EA

7 Days 2.65 oz. Chocolate Croissant K

7 Days 2.65 oz. Soft Croissant with Dulce de Leche

Caramel Filling

$1.45 / EA

80007190

Planters 2 oz. Tropical Fruit & Nut Trail Mix

$1.45 / EA

80001255

$1.45 / EA

80007191

Snyder¡¯s 2.25 oz. Honey Mustard and Onion Pretzel $1.25 / EA

Pieces K D

9553

7 Days 2.65 oz. Strawberry Vanilla Croissant K

Dolly Madison 2.7 oz. Golden Creme Cakes (2 Pk.)

$1.10 / EA

80006321

Snyder¡¯s 2.25 oz. Hot Buffalo Wing Pretzel Pieces

KD

$1.10 / EA

6108

Hostess 5 oz. Berries & Cream Cheese Danish

$2.10 / EA

80002460

Snyder¡¯s 2.25 oz. Jalapeno Pretzel Pieces K D

$1.25 / EA

2299

Mrs. Freshley¡¯s 4 oz. Raspberry Dreamies (2 Pk.)

$1.55 / EA

80001118

TGI Fridays 1 oz. Cheddar and Sour Cream Potato

Skins Snacks K

$0.80 / EA

80003514

Andy Capp¡¯s .85 oz. Hot Fries

$0.70 / EA

6743

The Whole Shabang 1.5 oz. Extreme Ripple Potato

Chips K H

$0.80 / EA

80002293

Cactus Annie¡¯s 2 oz. Hot & Spicy Pork Rinds

$1.35 / EA

80008355

The Whole Shabang 2 oz. Pork Rinds D

$1.65 / EA

80003053

Doritos 7.5 oz. Spicy Sweet Chili Chips

$2.40 / EA

80005365

The Whole Shabang 6 oz. Extreme Kettle Cooked

Potato Chips K

$2.00 / EA

80003393

El Sabroso 1.5 oz. Guacachip Tortilla Chips

$1.60 / EA

80006900

El Sabroso 3 oz. Guacamole Flavored Tortilla Chips

$1.85 / EA

7089

$2.95 / PK

80001489

Gardetto¡¯s 2.5 oz Original Recipe Snack Mix

$1.50 / EA

80006670

Jensen¡¯s Orchard 2 oz. Veggie Chips

$2.00 / EA

7779

$2.25 / EA

6607

Kar¡¯s 1.25 oz. Sweet ¡®n Salty Mix

$1.00 / EA

9791

Moon Lodge 2.8 oz. Butter Light Microwave Popcorn $0.75 / EA

K

5376

Chips & Snacks

$1.95 / EA

3701

$2.75 / BX

80001146

Cocoa

Swiss Miss 4.38 oz. Hot Cocoa w/Marshmallows

(6 Pk.)

ITEM #

7081

Starburst 0.43 oz. Zero Sugar Singles To Go All Pink $3.95 / BX

Strawberry Drink Mix (6 Pk.) K D

$3.95 / BX

QTY TOTAL

PRICE

PRICE

7166

Drink Mixes

Lemon-Lime Gatorade 2.12 oz. (makes 1 quart)

ITEM DESCRIPTION

$1.30 / EA

Pastries & Snack Cakes

Creamer

Nestle Coffee-Mate 10.2 oz. Creamer - Sugar Free

Hazelnut K D

QTY TOTAL

PRICE

PRICE

FOOD & SNACKS

Cereal

Cap¡¯n Crunch¡¯s 3.1 oz. Oops! All Berries Cereal

Pouch

$2.50 / EA

80007766

Cinnamon Toast Crunch 2 oz Cereal Cup Single

Serve

$2.60 / EA

80006664

Golden Valley 20 oz. Chocolate Frosted Flakes

Cereal K R

$4.50 / EA

80002971

Total

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

Pudding

Kraft 14 oz. Chocolate Pudding Cup (4 Pk.) K

Popcorn

Fiddle Faddle 6 oz. Butter Toffee Popcorn with

Peanuts K

Total

Total

Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

Moon Lodge 3.53 oz. Caramel Popcorn K H D

Moon Lodge 5 oz. Jalapeno Cheddar Popcorn D

PRICE

ITEM #

$1.00 / EA

7758

$1.60 / EA

QTY TOTAL

PRICE

ITEM DESCRIPTION

QTY TOTAL

PRICE

PRICE

ITEM #

Corner Store 4 oz. Gummi Bears Candy

$1.35 / EA

80005555

Corner Store 4 oz. Sour Neon Worms Candy

$1.35 / EA

80005556

Candy

80006283

Nuts

$2.65 / EA

80003352

E.Z. Digby¡¯s 2.75 oz. Bit-O-Honey C

$1.45 / EA

40626

Kings Nut 3 oz. Roasted Unsalted Peanuts

$1.10 / EA

80003355

Funables 2.5 oz. Mixed Berries Fruit Snack

$0.95 / EA

80009183

Kings Nut 7 oz. Salted Peanuts K H

$1.60 / EA

80003376

Rocky Road 1.65 oz. Candy Bar

$1.65 / EA

7016

The Whole Shabang 1.75 oz. Peanuts K H C D

$1.25 / EA

80002177

Russell Stover 1.125 oz. Mint Dream

$1.80 / EA

6876

Sour Patch 3 oz. Gummi Watermelon Candy C

$1.35 / EA

80002126

Austin Pepperjack Sandwich Crackers (8 Pk.) K

$3.15 / BX

80007339

Swedish Fish 3 oz. Red Candy C

$1.35 / EA

80005733

Cheez-It .75 oz. Crackers Made w/Whole Grain

$0.60 / EA

80002393

Wheat Thins 1.75 oz. Crackers

$0.90 / EA

9461

Cookies

Bud¡¯s Best 6 oz. Bite Size Chocolate Chip Cookies

$1.85 / EA

80006956

Classic Cookie 3 oz. Soft Baked Peanut Butter

Cookie with Reese¡¯s Peanut Butter Chips

$1.95 / EA

80006960

Famous Amos 2 oz. Chocolate Chip Cookies K

$0.85 / EA

Grandma¡¯s 2.5 oz. Chocolate Chip Cookies

Brushy Creek 1.625 oz. Hot Summer Sausage G

$1.36 / EA

80001716

Brushy Creek 1.625 oz. Regular Summer Sausage G

$1.25 / EA

80001715

Jack Link¡¯s 1 oz. Hot Wild Snack Stick

$1.90 / EA

80003440

Real Snacks .5 oz. Mini Original Kosher Beef Stick

K

$1.25 / EA

80009136

Chicken of the Sea 3.53 oz. Sardines in Louisiana

Hot Sauce K

$1.45 / EA

10358

Chicken of The Sea 5 oz. Mackerel Fillets in

Soybean Oil D

$2.40 / EA

80008442

$5.35 / EA

1722

Brushy Creek 11.25 oz. Lasagna with Beef in Sauce $2.40 / EA

1721

Ready-To-Eat Meals

Sauces

Sweet Baby Ray¡¯s 1.5 oz. Original BBQ Sauce Pouch $0.85 / EA

(1 pouch)

10914

Viva Pancho Salsa 5 oz. Picante Hot Sauce C

1700

$1.15 / EA

Brushy Creek 11.25 oz. Beef in Barbecue Sauce

Spices & Seasonings

$1.95 / EA

ITEM #

Seafood

9824

Classic Cookie 3 oz. Soft Baked Chocolate Chip

Cookie with Hershey¡¯s Mini Kisses

QTY TOTAL

PRICE

PRICE

Meat Snacks

Kings Nut 2.5 oz. Roasted & Salted Cashews K H

Crackers

ITEM DESCRIPTION

Brushy Creek 5 oz. Chicken Vienna Sausage D

$1.75 / EA

80002944

$2.35 / EA

80008566

$1.50 / EA

80000147

Colonna Brothers 3 oz. Ground Cinnamon K D

$1.55 / EA

80007071

Hormel 2.5 oz. Spam Single D

Colonna Brothers 3 oz. Imitation Bacon Bits K

$1.75 / EA

80007065

Vegetables

850

Colonna Brothers Spices 2.5 oz. Salt Free Original

Blend K

$1.75 / EA

80007074

$1.30 / EA

80001046

Colonna Brothers Spices 4.75 oz. Seasoned Salt

KD

$1.75 / EA

80007072

Brushy Creek 8 oz. Cajun Style Rice with Chicken

& Sausage

$3.45 / EA

80003084

Grandma¡¯s 2.5 oz. Soft Peanut Butter Cookies

$1.30 / EA

7790

Taco Bell 1 oz. Original Taco Seasoning Mix D

$1.15 / EA

80002308

Minute Rice 2 oz. White Rice

$0.85 / EA

80008370

Keebler 11.5 oz. Whoopsy! Fudge Stripes Fudge

Mint Cookies K

$3.80 / EA

80006977

Minute Rice 8 oz. White Rice Clear Resealable

Pouch

$1.65 / EA

80005364

Lil¡¯ Dutch Maid 13 oz. Lemon Creme Cookies

$2.15 / EA

80002084

Sevilla 4.4 oz. HOT Chili Flavor Refried Beans &

Rice K H C

$1.50 / EA

5940

Sevilla 4 oz. Red Beans & Rice

$1.40 / EA

80008372

Idahoan 2 oz. Instant Mashed Potatoes

Lil¡¯ Dutch Maid 5 oz. Duplex Creme Cookies

$1.00 / EA

80002230

Marianitas 6.53 oz Coconut Cookies Galletas

$1.45 / EA

80008610

Uncle Al¡¯s 5 oz. Chocolate Cremes Cookies

$1.45 / EA

5792

Rice

Cheese

City Cow 4 oz. White Queso Dip C D R G

$1.85 / EA

6017

Painted Cow 2 oz. Cream Cheese Pouch

$0.75 / EA

80003625

Risparmio 3 oz. Grated Parmesan Cheese Blend

$1.85 / EA

80007075

Velveeta 4 oz. Nacho Cheese Dip w/Jalapenos

Snack Spread Tub C R G

$1.90 / EA

9398

Total

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

Total

Beans

Total

Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

PRICE

ITEM #

$3.95 / EA

9484

QTY TOTAL

PRICE

Soup

Lipton 2.2 oz. Cup-a-Soup Beefy Onion Soup Mix

(2 Pk.)

ITEM DESCRIPTION

QTY TOTAL

PRICE

PRICE

ITEM #

$3.50 / EA

80002209

Styling Products & Accessories

Scunci Ponytail (18 Ct.)

Knorr 4.1 oz. Pasta Sides Cheesy Spinach Dip

Fettuccini

$3.80 / EA

80001123

Mama 2.1 oz. Pork Flavour Noodles

$1.00 / EA

10098

Protein Bars

Elementz 15 oz. Deep Sea Minerals Invigorating

Body Wash

$3.00 / EA

24943

Elementz 15 oz. Sea Algae Extracts Relaxing Body

Wash

$3.00 / EA

24945

$2.35 / EA

26294

Tiger¡¯s Milk 1.23 oz. Protein Rich Nutrition Bar D

$1.25 / EA

21869

Dial 3.5 oz. Antibacterial Soap (1 bar)

$1.50 / EA

20920

Zest 4 oz. Aqua Pure Soap (1 bar)

$2.65 / EA

80000487

Lotion

HEALTH & BEAUTY

Ethnic Hair Care

African Pride 12 oz. Shampoo & Conditioner 2 in 1

$6.75 / EA

80007171

Cantu 13 oz. Shea Butter Oil Moisturizer

$8.70 / EA

80007174

Cantu Shea 16 oz. Repair Cream Leave-In Conditioner

$7.00 / EA

80007896

Luster¡¯s 8 oz. Pink Oil Moisturizer

$6.50 / EA

20380

Ors 8.5 oz. Olive Oil Moisturizer Hair Lotion

$8.00 / EA

80007897

Suave 10 oz. Advanced Therapy Lotion

$3.95 / EA

21926

Vaseline 10 oz. Cocoa Butter Deep Conditioning

Lotion

$5.85 / EA

24605

Vaseline 10 oz. Total Moisture Aloe Fresh Lotion

$5.85 / EA

26065

Vaseline 10 oz. Total Moisture Lotion

$5.85 / EA

21876

GoodSense 10mg Famotidine Tablets (30 Ct.)

$6.50 / EA

24733

Goodsense Omeprazole Heartburn Relief (14 Ct.)

$14.80 / EA

24352

Pepcid 20 mg. Acid Reducer (8 Ct.)

$7.90 / EA

20896

Cover Girl Brow & Eyemakers - Midnight Black

(2 Pk.)

$4.75 / PK

22003

Cover Girl Brow & Eyemakers - Rich Brown (2 Pk.)

$4.75 / PK

22004

Cover Girl Perfect Blend Eyeliner - Basic Black

$6.00 / EA

22179

Cover Girl Perfect Blend Eyeliner - Black Brown

$6.00 / EA

22189

Cover Girl Perfect Blend Eyeliner Pencil - Charcoal

$6.00 / EA

22188

Cover Girl Perfect Blend Eyeliner Pencil - Smoky

Taupe

$6.00 / EA

22009

Cover Girl Foundation Smoothers - Ivory

$9.50 / EA

24154

Cover Girl Liquid Foundation - Classic Tan

$9.50 / EA

24160

Cover Girl Liquid Foundation - Soft Honey

$9.50 / EA

24208

Cover Girl Smoothers Hydrating Makeup - Classic

Ivory

$9.50 / EA

24155

Blistex .21 oz. Medicated Lip Ointment

$2.85 / EA

20519

Cerave 1 oz. Moisturizer w/Retinol

$27.85 / EA

80006327

$2.35 / EA

24937

Deodorant

$2.10 / EA

20641

Cover Girl Smoothers Hydrating Makeup - Creamy

Natural

24066

24939

Lady Speed Stick Invisible Dry 1.4 oz. Anti-Perspirant Shower Fresh

$9.50 / EA

Elementz 15 oz. Hydrating Conditioner Almond/Shea $2.35 / EA

Elementz 15 oz. Thickening Shampoo w/Aloe &

Ginseng

$2.35 / EA

24936

Secret 1.7 oz. Powder Fresh Deodorant

$2.75 / EA

21046

Cover Girl Smoothers Hydrating Makeup - Natural

Beige

$9.50 / EA

24157

Pantene Pro V 12.6 oz. Classic Clean 2-in-1 Shampoo and Conditioner

$7.85 / EA

80001604

Midol Max Strength (16 Ct.)

$6.00 / EA

22359

Clear 6.4 oz. Gel Toothpaste C

$3.10 / EA

21500

Suave 15 oz. Daily Clarifying Shampoo

$3.00 / EA

80007177

Colgate Classic Soft Toothbrush

$0.95 / EA

80002159

Suave 15 oz. Men¡¯s Hair & Body Wash

$3.85 / EA

80004575

Vitamins & Supplements

Suave 15 oz. Waterfall Mist Conditioner

$3.75 / EA

80007178

$6.75 / EA

22850

Elementz 15 oz. Daily Shampoo Eucalyptus & Mint

Dental Care

Glucosamine Sulfate - 500 mg

Total

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

QTY TOTAL

PRICE

Women Only Items

Skin Care

Hair Care

ITEM #

Cosmetics

Soap

Promax 2.64 oz. Double Fudge Brownie Protein

Bar K D

PRICE

Pharmaceuticals

Body Wash

Noodles

ITEM DESCRIPTION

Total

Total

Order Form Maine DOC Quarter 3 Adult Ordering Dates: August 17 - September 16, 2021

Please complete all info (print clearly).

SHIP TO:

We cannot send orders from one inmate to another.

Inmate¡¯s Name

ID#

Institution/Dorm/Housing#

Street Address

City

State

SENDER:

Zip

REQUIRED for order fulfillment.

Street Address

State

Zip

Phone Number

Email

(You will receive confirmation emails when the order is placed and shipped.)

CALCULATE AMOUNT DUE:

TAX

Merchandise Total:

Processing Fee:

$5.00

x

x

TOTALS

1.055

1.055

=

=

$5.28

TOTAL AMOUNT DUE:

¡§ Money Order

Make check or money order payable to ACCESS SECUREPAK

¡§ VISA

¡§ MasterCard

¡§ Discover

SALES TAX: Tax rate of 5.5% on merchandise and shipping and

handling fee applies as required by the state.

ELIGIBILITY: Access Securepak verifies inmate eligibility before

shipping packages, if applicable.

Cardholder Name

Cardholder Signature

/

Daytime Phone Number

/

Today¡¯s Date mm/dd/yyyy

Credit Card Number

/

Expiration Date

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.

Tax calculation example:

$42.52 merchandise total + $5.00 shipping and handling fee =

$47.52 subtotal

$47.52 subtotal x 0.055 tax rate = $2.61 tax due

$47.52 subtotal + $2.61 tax due = $50.13 total due

SELECT PAYMENT METHOD:

¡§ Cashier¡¯s Check

WAYS TO ORDER:

Online:

Phone: 1-800-546-6283

Mail: Access Securepak (ME), 10880 Linpage Place, St. Louis, MO

63132

Fax: 1-866-754-2813

ACCEPTABLE FORMS OF PAYMENT:

? Credit/Debit Cards¡ªVISA, MasterCard, Discover

? Prepaid cards that have a verifiable United States address

? Cashier¡¯s check

? Money order

Sender¡¯s Name

City

PROGRAM DATES:

Ordering Begins: August 17, 2021

Ordering Ends: September 16, 2021

Postmark date for mail orders: September 9, 2021

Orders must be received by: September 16, 2021

Delivery to facility: Weekly

Security Code

Security code is last

three digits of account

number panel.

LIMITS: Maximum of 1 package no more than $50.00 of product

per inmate, per week

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 website for the latest updates on

this package program.

CUSTOMER SERVICE:



Automated system is available 24 hours a day, seven days a week

1-800-546-6283

Live bilingual representatives are available Monday through Friday,

8:30 a.m.¨C11:59 p.m. EST, and Saturday, 11 a.m.¨C5 p.m. EST.

 ................
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