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-6604000K-CUP ORDER FORMDATE: _______________________________________________________CUSTOMER NAME: ________________________________________SHIPPING ADDRESS: ________________________________________ATTN: _______________________________________________________PHONE NUMBER: __________________________________________EMAIL: ______________________________________________________PURCHASE ORDER #: _____________________________________ITEM #DESCRIPTIONPRICEQUANTITYCOFFEEDIE60052101DONUT SHOP BOLD $14.65?DIE60052103JET FUEL BOLD $14.65?DIE60052107BLACK TIGER BOLD $14.65?DIE60052350TREE HUGGER COFFEE $14.65?GMT192619TULLY'S FRENCH ROAST$14.65?GMT192719TULLY'S BREAKFAST BLEND$14.65?GMT192919TULLY'S HOUSE BLEND$14.65?GMT193019TULLY'S ITALIAN ROAST$14.65?GMT4050NEWMAN'S SPECIAL BLEND$16.25?GMT4057KENYAN AA EXTRA BOLD $14.65?GMT4060ORGANIC SUMATRA SUPREME$14.65?GMT4061DARK MAGIC SUPREME, EXTRA BOLD$14.65?GMT4062REVV $14.65?GMT4066DOUBLE BLACK DIAMOND$14.65?GMT6003COLOMBIAN SELECT FAIR TRADE$14.65?GMT64058 O'CLOCK ORIGINAL$14.65?GMT6501REGULAR VARIETY SAMPLER$14.65?GMT6507TULLY'S DARK MEDIUM VARIETY$14.65?GMT6520BREAKFAST BLEND $14.65?GMT6523LAKE AND LODGE$14.65?GMT6534DONUT HOUSE $14.65?GMT6570GREEN MOUNTAIN OUR BLEND$14.65?GMT6602VERMONT COUNTRY BLEND$14.65?GMT6603DONUT SHOP ICED COFFEE$14.65?GMT6606HAWAIIAN COFFEE $14.65?GMT6611BARISTA PRIMA FRENCH ROAST $16.65?GMT6613BARISTA PRIMA COLOMBIA $16.65?GMT6614BARISTA PRIMA ITALIAN $16.65?GMT6663NANTUCKET BLEND $14.65?GMT6694FRENCH ROAST$14.65?GMT6743DIEDRICH MORNING EDITION$14.65?GMT6745DIEDRICH FRENCH ROAST$14.65?GMT6746DIEDRICH RIO BLEND$14.65?GMT6831NANTUCKET ICED COFFEE $14.65?GMT6990MAHOGANY $16.25?GMT6992CARIBOU BLEND$16.25?GMT6994DAYBREAK MORNING BLEND$16.25?GMT6997COLOMBIAN $16.25?GMT86098024WOLFGANG PUCK CHEF'S RESERVE COLOMBIAN$16.25?GMT86103024WOLFGANG PUCK BREAKFAST IN BED$16.25?GMT86106024WOLFGANG PUCK JAMAICA ME CRAZY$16.25?GMT9572STARBUCKS PIKE PLACE$19.75?GMT9573STARBUCKS PIKE PLACE DECAF$19.75?GMT9576STARBUCKS CAFFE VERONA$19.75?GMT9577STARBUCKS VERANDA$19.75?TWCPB4137EMERIL'S BIG EASY BOLD COFFEE$14.65?DECAF COFFEEDIE60224101DONUT SHOP DECAF $14.65?GMT192419TULLY'S FRENCH ROAST DECAF$14.65?GMT192519TULLY'S HOUSE BLEND DECAF$14.65?GMT4051NEWMAN'S SPECIAL DECAF$16.25?GMT4067DARK MAGIC, BOLD, DECAF$14.65?GMT6503DECAF SAMPLER$14.65?GMT6624BARISTA PRIMA ITALIAN DECAF$16.65?GMT6744DIEDRICH MORNING EDITION DECAF$14.65?GMT6995CARIBOU BLEND DECAF$16.25?GMT6999HALF - CAFF BLEND $14.65?GMT7522BREAKFAST BLEND DECAF $14.65?GMT7534DONUT HOUSE DECAF$14.65?GMT7602VERMONT COUNTRY DECAF $14.65?GMT7732FRENCH VANILLA DECAF$14.65?GMT7792HAZELNUT DECAF $14.65?GMT86104024WOLFGANG PUCK CHEF'S RESERVE DECAF COLOMBIAN$16.25?TWCPB4138EMERIL'S JAZZED UP DECAF$14.65?FLAVORED COFFEEDIE60051012BUTTER TOFFEE $14.65?DIE60051046FRENCH VANILLA SUPREME$14.65?DIE60051052HAZELNUT $14.65?DIE60051056MUDSLIDE $14.65?GMT64068 O'CLOCK HAZELNUT$14.65?GMT6502FLAVOR SAMPLER$14.65?GMT6700CARAMEL VANILLA CREAM$14.65?GMT6715CINNAMON ROLL $14.65?GMT6720ISLAND COCONUT (SEASONAL) $14.65?GMT6722CHOCOLATE GLAZED DONUT$14.65?GMT6732FRENCH VANILLA $14.65?GMT6739GOLDEN FRENCH TOAST (SEASONAL)$14.65?GMT6742GINGERBREAD (SEASONAL)$14.65?GMT6752MOCHA NUT FUDGE $14.65?GMT6758PUMPKIN SPICE (SEASONAL)$14.65?GMT6772SOUTHERN PECAN$14.65?GMT6774SPICY EGGNOG (SEASONAL)$14.65?GMT6783WILD MOUNTAIN BLUEBERRY$14.65?GMT6792HAZELNUT $14.65?GMT6832FRENCH VANILLA ICED COFFEE$14.65?GMT86099024WOLFGANG PUCK CREME CARAMEL$16.25?TWCPB4141KAHLUA$14.65?CAFE ESCAPESGMT6801CAFE ESCAPES MILK CHOCOLATE HOT COCOA$16.65?GMT6802CAFE ESCAPES DARK CHOCOLATE HOT COCOA$16.65?GMT6803CAFE ESCAPES CAFE MOCHA $16.65?GMT6805CAFE ESCAPES CHAI LATTE$16.65?GMT6812CAFE ESCAPES CAFE VANILLA$16.65?GMT6813CAFE ESCAPES CAFE CARAMEL$16.65?TEAGMT14731ENGLISH DEVONSHIRE$14.65?GMT14732LEMON ZINGER$14.65?GMT14734AUTHENTIC GREEN TEA$14.65?GMT14735MANDARIN ORANGE SPICE$14.65?GMT14738INDIA SPICE CHAI $14.65?GMT6080BIGELOW ENGLISH BREAKFAST $14.65?GMT6081BIGELOW CHAMOMILE $14.65?GMT6082BIGELOW EARL GRAY$14.65?GMT6084BIGELOW GREEN POMEGRANATE$14.65?GMT6085BIGELOW GREEN TEA$14.65?GMT6086BIGELOW MINT MEDLEY$14.65?GMT6201HOT APPLE CIDER $16.65?GMT6505CELESTIAL TEA SAMPLER$14.65?GMT6821SWEET LEMON BLACK TEA $14.65?GMT6822SWEET PEACH BLACK TEA $14.65?GMT6823BLACK TEA UNSWEETENED $14.65?GMT6824SWEET RASPBERRY BLACK TEA$14.65?GMT6825SOUTHERN SWEET TEA $14.65?GMT6828HALF AND HALF PERFECT ICED TEA$14.65?GMT6846LEMONADE$16.65?GMT6863ACAI BERRY$16.65?GMT6870SNAPPLE LEMON ICED TEA$14.65?GMT6872SNAPPLE PEACH ICED TEA$14.65?GMT14737GREEN TEA DECAF$14.65?GMT14739SLEEPYTIME HERBAL$14.65? ................
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