Order Form Philadelphia - PA Effective December 2017

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N

NON-TAXABLE

DRINKS Coffee & Cappuccino Keefe .81 oz. French Vanilla Cappuccino (Single Serve) KGS

Keefe 1.5 g. Freeze Dried Coffee (Single Serve) KHGS

Keefe 3 oz. Colombian Blend Premium Coffee KHR

Keefe 4 oz. Instant Coffee KH

Maxwell House 4 oz. Dark Roast Espresso KHCR

Nescafe 1.7 grams Taster's Choice Decaf. Stick KHGS

Hot Cocoa Keefe .8 oz. Single Serve Hot Cocoa KG

Tea Keefe Tea Bags (48 Ct.) KGS

Creamer International Delight .44 oz. Caramel Macchiato Liquid Creamer (10 Ct.) KGS

International Delight French Vanilla Liquid Creamer (10 Pk.)

International Delight Hazelnut Liquid Creamer (10 Pk.) K

International Delight Original Creamer (10 Pk.)

Sugar & Sweetener Sugar Packets (20 Pk.) KH

Sweetmate 3.5 oz. Saccharin (100 Ct.) KHGS

Nestea 5.5 oz. Tea w/Lemon and Sugar KH

Nutritional Drinks New Leaf 2 oz. Chocolate Health Shake K

New Leaf 2 oz. Vanilla Health Shake

FOOD & SNACKS Granola & Cereal Bars Mrs. Freshley's 1.3 oz. Apple Cinnamon Cereal Bar

Mrs. Freshley's 1.3 oz. Blueberry Cereal Bar

Quaker .84 oz. Chewy Chocolate Chip Granola Bar (1 Pk.) K

Cereal Malt-O-Meal .75 oz. Tootie Fruities Cereal (Single Serve) K

Malt-O-Meal 1.25 oz. Raisin Bran Cereal (Single Serve) K

PRICE/PRECIO

$0.35 / EA $0.39 / EA $4.50 / EA $3.80 / EA $4.45 / EA $0.37 / EA

$0.35 / EA

$2.30 / BX

$2.00 / SP $2.00 / SP $2.00 / SP $2.00 / SP

$0.80 / EA $2.30 / BX $1.50 / EA

$1.70 / EA $1.70 / EA

$0.46 / EA $0.46 / EA $0.50 / EA

$0.50 / EA $0.50 / EA

ITEM #/NO. DE TALLA

QTY/ TOTAL/PRECIO

ART?CULO

CANTIDAD

TOTAL

905 235 10244 21 10704 4452

114

416

80004557 80004554 80004555 80004553

1136 9719 71545

80003592 80003593

5025 5024 9366

5669 5654

DESCRIPTION/DESCRIPCI?N Malt-O-Meal 1 oz. Frosted Flakes Cereal (Single Serve) K

Oatmeal Quaker Instant Oatmeal - Maple Brown Sugar (1 Pk.) Quaker Instant Oatmeal - Original Flavor (1 Pk.) Toaster Pastries Kellogg's 3.5 oz. Frosted Strawberry Pop-Tarts (2 Pk.) Kellogg's 3.68 oz. Smores Pop-Tarts (2 Pk.) Pastries & Snack Cakes Cloverhill 4.25 oz. Apple Danish KC Golden Valley 4 oz. Plain Bagel KHC Hostess 3.03 oz. M & M Brownie (2 Pk.) Hostess 3.17 oz. Chocolate CupCakes (2 Pk.) Hostess 3.7 oz. Glazed Donettes Hostess 3.81 oz. Vanilla Zingers (3 Pk.) Hostess 3 oz. Powdered Sugar Donettes Hostess 4.5 oz. Apple Pie 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 Market Square Bakery 16 oz. Oatmeal Creme Pies (12 Pk.) K Market Square Bakery 4.25 oz. Strawberry Cheese Danish KC Market Square Bakery 4.75 oz. Chocolate Iced Mega Honey Bun KC Market Square Bakery 4.75 oz. Mega Buneez KC Market Square Bakery 4 oz. Cream Cheese Pound Cakes (2 Pk.) KC Market Square Bakery 4 oz. Iced Swirl Cinnamon Roll KC Market Square Bakery 6 oz. Monster Iced Honey Bun KC Otis Spunkmeyer 3.5 oz. Marble Loaf Cake K Otis Spunkmeyer 4 oz. Cinnamon Crumb Loaf Cake Otis Spunkmeyer 4 oz. Lemon Loaf Cake with Lemon Icing

PRICE/PRECIO $0.50 / EA

$0.45 / SP $0.45 / SP

$1.10 / EA $1.15 / EA

$1.35 / EA $0.80 / EA $1.80 / EA $1.50 / EA $1.45 / EA $1.75 / EA $1.45 / EA $1.50 / EA $2.78 / BX $2.78 / BX $2.78 / BX $2.78 / BX $1.40 / EA $1.05 / EA

$0.99 / EA $1.00 / EA

$0.99 / EA $1.15 / EA $1.35 / EA $1.35 / EA $1.35 / EA

ITEM #/NO. DE ART?CULO 5667

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

80004562 80004561

10547 6398

4650 80000495 80003801 80000343 80003805 80000346 80003798 80005968

6051 6052 6055 6053 6058 6540

6044 6538

6057 6043 80003171 80003170 80003169

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

Total

Total

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N

Chips & Snacks Andy Capp's .85 oz. Hot Fries Cactus Annie's 1.5 oz. Nacho Cheese Tortilla Chips KHG Cactus Annie's 10 oz. Nacho Cheese Tortilla Chips KHCG Cactus Annie's 11 oz. "The Whole Enchilada" Party Mix KHC Cactus Annie's 11 oz. Cheese Crunchy KHCGS Cactus Annie's 12 oz. Barbeque Corn Chips KHCGS Cactus Annie's 2 oz. Cheese Puffs KH Cheetos 1.75 oz. Flamin' Hot Crunchy G Cheetos 2 oz. Cheese Crunchy CG Del Monte 1.5 oz. Raisins KGS Doritos 1.75 oz. Cool Ranch Chips Doritos 1.75 oz. Nacho Cheese Chips Fritos 2 oz. Chili Cheese Corn Chips Kellogg's 1.3 oz. Original Rice Krispies Treats Moon Lodge 1.5 oz. BBQ Potato Chips KH Moon Lodge 1.5 oz. Buffalo Wing Blue Cheese Potato Chips KH Moon Lodge 1.5 oz. Hot!Hot!Hot! Barbeque Potato Chips KH Moon Lodge 1.5 oz. Regular Potato Chips KH Moon Lodge 1.5 oz. Sour Cream and Onion Potato Chips KHS Moon Lodge 1.5 oz. Stuffed Jalapeno Potato Chips Moon Lodge 11 oz. Pretzels Mini Twists KC Sunsweet 8 oz. Chopped Dates The Whole Shabang 1.5 oz. Potato Chips KH Popcorn Moon Lodge 3.53 oz. Caramel Popcorn KHG Moon Lodge 5 oz. Jalapeno Cheddar Popcorn Moon Lodge 5 oz. White Cheddar Popcorn KHG Nuts Kings Nut 2.5 oz. Roasted & Salted Cashews KHC

PRICE/PRECIO

$0.65 / EA $0.80 / EA $2.07 / EA $2.35 / EA $2.85 / EA $2.32 / EA $0.91 / EA $0.90 / EA $0.80 / EA $0.75 / EA $0.95 / EA $0.95 / EA $1.00 / EA $1.15 / EA $0.65 / EA $0.65 / EA

$0.65 / EA $0.65 / EA $0.65 / EA $0.70 / EA $1.85 / EA $2.64 / EA $0.65 / EA

$1.00 / EA $1.95 / EA $1.95 / EA

$2.09 / EA

ITEM #/NO. DE TALLA

QTY/ TOTAL/PRECIO

ART?CULO

CANTIDAD

TOTAL

6743 920 911 902 7996 7990 7994 7690 7689 819 80003280 10513 10446 2381 6023 80000963

6026 6022 6024 7637 5139 10609 6025

7758 80000562

5133

80003352

DESCRIPTION/DESCRIPCI?N Kings Nut 4 oz. Tropical Mix Kings Nut 8 oz. Roasted & Salted Cashews KGS Moon Lodge 1.75 oz. Salted Peanuts KCG

Crackers Austin 1.38 oz. Toasted Peanut Butter Sandwich Crackers (1 Pk.) Cheez-It 1.5 oz. Cheddar Crackers K Golden Valley 13.7 oz. Snack Crackers Cookies Gamesa 4.94 oz. Marias Cookies Market Square Bakery 16 oz. Vanilla Wafers KH Market Square Bakery 2.75 oz. Soft Baked Oatmeal Raisin Cookies (2 Pk.) K Market Square Bakery 2.75 oz. Sugar Free Strawberry Creme Wafers KH Market Square Bakery 6 oz. Chocolate Chip Cookies KHC Market Square Bakery 6 oz. Peanut Butter Creme Cookies KHC Oreo 2.4 oz. Cookies Candy 3 Musketeers 1.92 oz. Bar K Atkinsons .7 oz. Chick-O-Stick KCG Baby Ruth 2.1 oz. Bar KG Cordial 6 oz. Milk Chocolate Covered Cherries (10 pcs.) Hershey's 1.45 oz. Milk Chocolate Bar w/Almonds K Hershey's 3 oz. SF Dark Chocolate Candy Bar Miniatures Hershey's 5.3 oz. Miniatures Bag K Jolly Rancher 3.7 oz. Assorted Flavors C Lemonheads 4 oz. Redrific Candy Lifesavers .72 oz. PepOMint Roll M&M's 1.74 oz. Peanut Candy KG M&M's Peanut 5.3 oz. Candy M&M's Plain 5.3 oz. Candy

PRICE/PRECIO $1.25 / EA $6.70 / EA $0.65 / EA

ITEM #/NO. DE ART?CULO 80003373

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

80003377

7550

$0.75 / EA $0.75 / EA $2.81 / BX

80000115 9590

80005523

$1.10 / EA $2.60 / EA $0.95 / EA $0.75 / EA $1.30 / EA $1.30 / EA $0.80 / EA

80005515 6070 7648 6069 6072 10055

80003305

$1.05 / EA $0.35 / EA $1.05 / EA $2.95 / EA $1.05 / EA $3.85 / EA $3.49 / EA $1.25 / EA $1.30 / EA $0.50 / EA $1.05 / EA $2.94 / EA $2.94 / EA

10503 1477 844 80001174 1779 2776 865 40601 80006094 1120 955 9732 9733

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

Total

Total

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N Nestle 1.9 oz. Butterfinger Bar KG

PRICE/PRECIO $1.05 / EA

ITEM #/NO. DE ART?CULO 80000662

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

DESCRIPTION/DESCRIPCI?N City Cow 4 oz. Nacho Cheese Dip with Jalapenos CRG

Old Dominion 6 oz. Peanut Brittle

$2.45 / EA

80003030

City Cow 4 oz. Provolone Cheese Stick CG

Reese's 1.5 oz. Peanut Butter Cups KG

$1.05 / EA

1949

Philly 2 oz. Cream Cheese w/Jalapenos

Sathers 1.75 oz. Sugar Free Wild Fruit C Sathers 3.75 oz. Starlight Mints Sathers 3 oz. Vanilla Caramels C Sathers 4.25 oz. Jelly Beans Sathers 4.25 oz. Root Beer Barrels Sathers 4.25 oz. Sour Fruit Balls C Snickers 4.4 oz. Miniatures K Starburst 7.2 oz. Fruit Chews Bag R Twix 1.79 oz. Chocolate Caramel Cookie Bars K Condiments Squeez-Ums .15 oz. Mustard (12 Pk.) KHG Squeez-Ums .31 oz. Ketchup (12 Pk.) KHG Squeez-Ums .31 oz. Mayo - Single Packet KHG Squeez-Ums .31 oz. Mayonnaise (12 Pk.) KHG Spreads Golden Harvest 12 oz. Honey Squeez-Ums 1 oz. Grape Jelly (1 Pk.) KHG Squeez-Ums 2 oz. Peanut Butter (1 Pk.) KH Squeez-Ums Pure Honey (10 Pk.) KH Sauces & Dressing Brushy Creek 4 oz. Italian Pasta Sauce CG Kraft 1.5 oz. Ranch Salad Dressing Packet Pickles & Peppers Titos .7 oz. Pickled Jalapeno Pepper Slices CGS Van Holten's 9.6 oz. Dill Pickle KCGS Cheese Cactus Annie's 2 oz. Cheddar Cheese Squeeze Snack G Cactus Annie's 2 oz. Jalapeno Cheese Squeeze Snack G City Cow 4 oz. Hot Pepper Cheese Stick CGS

$0.70 / EA $0.95 / EA $1.15 / EA $1.26 / EA $1.00 / EA $1.15 / EA $2.15 / EA $3.25 / EA $1.05 / EA

40615 80006101

40629 80006097 80006098

40607 6090 1640 799

$1.05 / STR

6513

$1.07 / STR

6514

$0.14 / STR, / EA

6510

$1.14 / STR, / EA

6510

$3.60 / EA $0.21 / EA $0.80 / EA $1.10 / PK

80001536 4787

80003920 6522

$1.10 / EA

2587

$0.77 / EA

4535

$0.55 / EA

1590

$1.02 / EA

381

$0.80 / EA

2586

$0.80 / EA

2585

$1.80 / EA

178

Meat Snacks Bridgford 3.5 oz. Sliced Pepperoni G

Brushy Creek 1.625 oz. Hot Summer Sausage G

Brushy Creek 1.625 oz. Regular Summer Sausage

Brushy Creek 5 oz. Hot Summer Sausage Made with Beef and Chicken 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

O'Briens 1.125 oz. Beef & Cheddar Sticks G

O'Briens 1.13 oz. Beef Sticks Hickory Smoked G

Seafood Chicken of the Sea 3.53 oz. Smoked Clams in Oil

Fresh Catch 3.53 oz. Fillets of Mackerel in Brine KHG

Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot Sauce KHG

Fresh Catch 3.53 oz. Salmon Flakes in Water KHG

Fresh Catch 3.53 oz. Yellowfin Tuna Steak in Spicy Thai Chili Sauce KHG

Fresh Catch 4.23 oz. Chunk Light Tuna in Water KHG

Ready-To-Eat Meals Brushy Creek 11.25 oz. Beef Stew G

Brushy Creek 11.25 oz. Chili with Beans G

Brushy Creek 11.25 oz. Chili with Beans Hot! G

Brushy Creek 11.25 oz. Lasagna with Beef in Sauce

Brushy Creek 11.25 oz. Sloppy Joe Sauce with Beef

Brushy Creek 4.5 oz. Premium Chicken Breast GS

Brushy Creek 5 oz. Chicken Vienna Sausage GS

Brushy Creek 5 oz. Hot Chicken Vienna Sausage

Brushy Creek 5 oz. Jerk Pork GS

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

Total

PRICE/PRECIO $1.45 / EA $2.50 / EA $1.15 / EA

ITEM #/NO. DE ART?CULO 2858

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

2131

10911

$3.50 / EA $1.39 / EA $1.39 / EA $3.01 / EA

$3.01 / EA

$2.62 / EA

$1.34 / EA $1.17 / EA

7905 80001716 80001715 80001722

80001720

80001724

2228 5379

$2.45 / EA $2.11 / EA $1.92 / EA

$2.10 / EA $3.37 / EA

$2.60 / EA

80005308 7935 4397

4391 5696

4317

$3.05 / EA $3.37 / EA $3.18 / EA $3.48 / EA $4.01 / EA $3.81 / EA $2.35 / EA $2.35 / EA $3.65 / EA

1715 1711 1712 1721 1723 5360 80002944 80002945 6300

Total

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N Brushy Creek 5 oz. Pulled Chicken in Buffalo Style Sauce G

PRICE/PRECIO $3.05 / EA

ITEM #/NO. DE ART?CULO 6476

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

DESCRIPTION/DESCRIPCI?N Diphen (Like Benadryl)

Brushy Creek 6 oz. Beef Barbacoa Shredded Beef with Sauce H

Rice Brushy Creek 8 oz. Cajun Style Rice with Chicken & Sausage G

Keefe Kitchens 6.5 oz. Pre-Cooked Long Grain Brown Rice KCRGS

Keefe Kitchens 8 oz. Pre-Cooked Long Grain Rice KCRGS

Sevilla 2 oz. Spicy Cheesy Spanish Rice KH

Beans Sevilla 4.4 oz. Chili Flavor Refried Beans & Rice KH

Tortillas Cactus Annie's 8 oz. Flour Tortillas (6 Pk.) KHCR

Ramen Maruchan 3 oz. Beef Flavor Ramen C

Maruchan 3 oz. Cajun Shrimp Flavor Ramen C

Maruchan 3 oz. Chicken Flavor Ramen C

Maruchan 3 oz. Low Sodium Beef Flavor Ramen C

Maruchan 3 oz. Low Sodium Chicken Flavor Ramen C

Maruchan 3 oz. Shrimp Flavor Ramen C

Maruchan 3 oz. Texas Beef Flavor Ramen C

Noodles Velveeta 3 oz. Macaroni and Cheese KHC

Women's Hygiene Always Fresh Super Long Maxi Pads (28 Ct.)

Massengill 4.5 oz. Vinegar & Water Douche

Playtex Gentle Glide Tampon (Super) 8 Ct.

Playtex Gentle Glide Tampons (Regular) 20 Pk.

Playtex Stayfree Maxi Pads (Super) 10 Pk.

Playtex Tampon Unscented (Super) 18 Ct.

Preference Panty Shields (22 Pk.)

Pharmaceuticals A & D 1.5 oz. Original Skin Ointment

$3.95 / EA

10113

$3.99 / EA $2.22 / EA $1.75 / EA $0.75 / EA

$1.48 / EA

$1.50 / EA

$0.60 / EA $0.55 / EA $0.60 / EA $0.60 / EA $0.60 / EA $0.60 / EA $0.60 / EA

$1.20 / EA

80003084 7525 5880 10757

5939

5070

9 15 8 6645 6644 12 13

4935

$8.00 / PK $4.78 / EA $3.00 / BX $5.25 / BX $1.75 / EA $5.75 / EA $2.10 / EA

22890 80002146

20738 21899 80000659 22899 21067

$3.03 / EA

80005068

Goodsense 12 oz. Milk of Magnesia Goodsense 2 oz. Hemorrhoidal Ointment Goodsense 4 oz. Tussin DM Cough Formula GoodSense Sugar Free Cherry Cough Drops (25 Ct.) CR Moore Medical 200 MG Ibuprofen (2 Pk.) Moore Medical Antacid Tablets (2 Pk.) Moore Medical APAP 500 mg (Tylenol) (2 Pk.) Trojan Lubricated Condom (3 Pk.) Uni-Syn Meal Replacement Powder - Strawberry Dental Care 4 1/4" Flexible Medium-Bristle Toothbrush Colgate 4.2 oz. Anti-Cavity Toothpaste Cool Wave 4 oz. Fresh Mint Fluoride Toothpaste C Effergrip 2.5 oz. Denture Adhesive Cream Tube Freshmint Denture Tablets (40 Pk.) Oraline Security U-Floss Ultra Brite 6 oz. Advanced Whitening Toothpaste SKIN CARE Goodsense 1 oz. Hydrocortisone (1% Cream) Heritage 3 oz. Medicated Anti-Fungal Powder Hydrocortisone Cream .5% (1 oz. Tube) Muscle Rub 3 oz. NewDay 3.75 oz. Petroleum Jelly C Tolnaftate .5 oz. Antifungal Cream Triple Antibiotic Ointment (1 oz. Tube) SHOES Cross Strap Thong Sandal X-Large CLOTHING & ACCESSORIES Shorts Jam Shorts - Gray Small, Medium, Large, XL

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

Total

PRICE/PRECIO $0.15 / EA $2.35 / EA $4.00 / EA $3.00 / EA $1.90 / EA $0.32 / EA $0.30 / EA $0.22 / EA $1.57 / EA $2.99 / EA

ITEM #/NO. DE ART?CULO 21424

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

20848

80000559

22718

22681

80003392

21430

24525

22818

22657

$2.25 / EA $2.70 / EA $1.25 / EA $2.85 / EA $2.99 / BX $1.25 / BAG $2.50 / EA

22747 26096 21017 20312 24125 80001012 20640

$2.20 / EA $2.00 / EA $2.20 / EA $2.20 / EA $1.04 / EA $2.05 / EA $3.15 / EA

80005524 20329 24723 24725 20319 24126 24726

$1.25 / EA

22615

$8.00 / EA

51690-02 ______

Total

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N Jam Shorts - Gray 2XL, 3XL, 4XL

PRICE/PRECIO $10.00 / EA

ITEM #/NO. DE TALLA

QTY/ TOTAL/PRECIO

ART?CULO

CANTIDAD

TOTAL

51690-02 ______

DESCRIPTION/DESCRIPCI?N Softee 5 oz. African Crown Hair Dress

Jam Shorts - Gray 5XL

$12.00 / EA

51690-02 ______

Softee 5 oz. Bergamot Blue Hair Dress

Jam Shorts - Navy Small, Medium, Large, XL

$9.00 / EA

51690-09 ______

Softee 5 oz. Bergamot Green Hair Dress & Pressing Oil

Jam Shorts - Navy 2XL, 3XL, 4XL

$11.00 / EA

51690-09 ______

Softee 5 oz. Coconut Oil Hair & Scalp Conditioner

Robes Kimono Waffle Robe

Terry Velour Bath Robe - White

Socks Tube Socks - White (1 Pair)

TAXABLE

FOOD & SNACKS Drink Mixes Country Time 6 oz. Lemonade Drink Mix KHC

Keefe 12 oz. Georgia Peach Drink Mix KHCR

Keefe 12 oz. Orange Flavored Breakfast Drink KHCR

Kool-Aid 6 oz. Cherry Drink Mix KHC

Kool-Aid 6 oz. Grape Drink Mix KHC

Kool-Aid 6 oz. Tropical Punch Drink Mix KHC

HEALTH & BEAUTY Vitamins Mason Naturals Multivitamin No Iron (100 Ct.)

Shampoo Crawford 4 oz. Dandruff Shampoo C

Freshscent .34 oz. Shampoo & Conditioner

Softee 13.5 oz. 3 in 1 Conditioning Shampoo

Suave 12 oz. Daily Clarifying Shampoo

Conditioner Crawford 4 oz. Balsam & Protein Conditioner C

Suave 12 oz. Refreshing Waterfall Mist Conditioner

Ethnic Hair Care Dark & Lovely Conditioning Relaxer System

Luster's 8 oz. Pink Oil Moisturizer

Percara 16 oz. Styling Gel

$25.00 / EA $20.00 / EA

5119801001 5199701001

$0.85 / EA

5088801001

$1.50 / EA

7044

$2.61 / EA

7145

$2.61 / EA

7030

$1.50 / EA

7042

$1.50 / EA

7043

$1.50 / EA

7041

$2.42 / EA

$1.30 / EA $0.15 / EA $5.50 / EA $1.60 / EA

$0.78 / EA $1.80 / EA

$6.90 / EA $4.95 / EA $2.25 / EA

80003631

20032 20188 24716 26136

20025 26137

22661 20380 24341

Styling Products & Accessories Goody Large Green Foam Rollers (10 Pk.) Military Style Brush Body Wash Elementz 15 oz. 3 in 1 Coconut Lime Hair & Body Wash Soap Dial 3.5 oz. Soap (1 Bar) Dove 3.17 oz. Moisturizing Beauty Soap (1 Bar) Irish Spring 3.2 oz. Original Soap (1 Pk.) Next 1 - 5 oz. Anti-bacterial Sport Soap (1 Bar) C Next 1 - 5 oz. Cocoa Butter Soap (1 Bar) C Next 1 - 5 oz. Moisturizing Soap (1 Bar) C Lotion Crawford 4 oz. Cocoa Butter Lotion C Dial 12 oz. Advanced Therapy Hand & Body Lotion Heritage 4.5 oz. Skin Cream Facial Cleanse Infuzed Island Naturals 15 oz. Coconut Lime & Aloe Lotion Suave 10 oz. Advanced Therapy Lotion Woltra 1 oz. Cocoa Butter Stick Skin Care Acne Treatment Cream 1 oz. Benzoyl Peroxide Xtra-Strength Chap-Et .16 oz. Lip Conditioner NewDay 13 oz. Bath & Shower Powder No Rub 12 oz. Saline Solution Deodorant Freshscent 1.5 oz. Deodorant Roll-On Anti-Perspirant Power-Up 2.5 oz. Clear A/P Deodorant - Drive C Power-Up 2 oz. A/P Deodorant - Bloom C

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

Total

PRICE/PRECIO $2.80 / EA $1.90 / EA $2.80 / EA $1.93 / EA

ITEM #/NO. DE ART?CULO 24872

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

22949

22950

22951

$2.15 / EA $2.40 / EA

20351 80001297

$2.50 / EA

24942

$0.85 / EA $1.40 / EA $0.85 / EA $1.31 / EA $1.25 / EA $1.10 / EA

20920 80000661

21487 22098 22096 22097

$1.00 / EA $4.50 / EA $1.65 / EA $2.50 / EA $4.25 / EA $1.30 / EA

20033 26045 20646 24967 21926 80001561

$2.50 / EA $1.11 / EA $1.69 / EA $5.80 / EA

24540 20517 22377 21986

$1.15 / EA $2.75 / EA $2.90 / EA

20465 22336 22344

Total

Order Form Philadelphia - PA Effective December 2017

Please complete all info on reverse (print clearly). / Por favor complete toda la informaci?n al reverso (escriba claramente)

DESCRIPTION/DESCRIPCI?N

Speed Stick 3 oz. Ultimate Sport A/P Deodorant

Suave 1.4 oz. A/P Deodorant - Powder

Dental Care Percara 8 oz. Oral Health Rinse

Sea Bond Denture Bath

White Toothbrush Cap (*toothbrush not included)

Shaving Products Magic Cream 6 oz. Depilatory

Pro-Tection 7 oz. After-Shave Gel C

Pro-Tection 7 oz. Shave Cream

Pharmaceuticals GoodSense 4 oz. SPF 30 Sunscreen Lotion

NewDay Cotton Swabs (100 Ct.) CR

Cosmetics Wet n Wild Twin Eyebrow Pencil - Black

SHOES Basketball Shoes Rawlings Urban Low Basketball Shoe (White) 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

Reebok BB4500 Royal Basketball Shoes (White) 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

Running Shoes Reebok Classic Leather Running Shoes 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

Reebok Classic Royal Nylon Women's Running Shoe (White/ Gray) 5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 11

Reebok Run Supreme 2.0 LD Running Shoes 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13, 14

Tennis Shoes Rawlings Marc II Velcro Tennis Shoe 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

Cross Training Shoes Rawlings Espy Cross Training Shoe 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14

Sandals Crawford Deluxe Adjustable Velcro Sandals (Black) Small Sizes 6-7 - #22610, Medium Sizes 8-9 - #22611, Large Sizes 10-11 - #22612, XL Size 12 - #22613, 2XL Sizes 13-14 - #22614

PRICE/PRECIO $3.50 / EA $2.10 / EA $1.20 / EA $2.60 / EA $0.35 / EA $2.83 / EA $2.20 / EA $1.65 / EA $5.95 / EA $1.75 / EA $1.31 / EA

$28.00 / EA $40.00 / EA

$50.00 / EA $31.95 / EA $42.00 / EA

$25.00 / EA

$25.00 / EA

$3.25 / EA

ITEM #/NO. DE ART?CULO 20068

TALLA

QTY/ TOTAL/PRECIO

CANTIDAD

TOTAL

24623

80001537 20349 21822

24409 22318 22319

20841 21952

80002845

81667-01 ______ 80389-01 ______ 50404-01 ______ 81677-01 ______ 81712-01 ______ 81670-01 ______ 81668-01 ______ 22610-99 ______

DESCRIPTION/DESCRIPCI?N

Cross Strap Sandals Small- #22602, Medium- #22603, Large#22604

CLOTHING & ACCESSORIES T-Shirts Hanes Crew Neck T-Shirt - White (1 Pk.) Small, Medium, Large, XL

Hanes Crew Neck T-Shirt - White (1 Pk.) 2XL

Players Pride Crewneck T-Shirt (2 Pk.) White 4XL, 5XL, 6XL

Men's Underclothing Hanes Men's Briefs - White (1 Pk) Small, Medium, Large, XL

Hanes Men's Briefs - White (1 Pk) 2XL, 3XL

Players Men's Boxers - White (1 Pk.) 3XL, 4XL, 5XL, 6XL

Players Men's Briefs - White (1 Pk.) 4XL, 5XL, 6XL

Gildan Men's Boxers - White (1 Pk.) Small, Medium, Large, XL

Gildan Men's Boxers - White (1 Pk.) 2XL (3 Pack)

Women's Underclothing Hanes Her Way Cotton Briefs - White (1 Pk.) 5, 6, 8, 10, 11

Hanes No-Wire, Just My Size Bra (White) 38C, 38D, 40C, 40D, 42B, 42C, 42D, 42DD, 44C, 46D, 46DD, 50DD

Manhattan Hosiery Sports Bra - No-Wire (White) Small-32, Medium-34, Large-36, XL-38, 2XL-40, 3XL-42, 4XL-44/46, 5XL-48, 6XL-50

Thermals Indera Mills Thermal Ankle-Length Drawers - Natural Small, Medium, Large, XL

Indera Mills Thermal Ankle-Length Drawers - Natural 2XL, 3XL, 4XL

Indera Mills Thermal Ankle-Length Drawers - Natural 5XL

Indera Mills Thermal Long Sleeve Shirt - Natural Small, Medium, Large, XL

Indera Mills Thermal Long Sleeve Shirt - Natural 2XL, 3XL, 4XL

Indera Mills Thermal Long Sleeve Shirt - Natural 5XL

Pajamas Blue Pajama Pants Small, Medium, Large, XL, 2XL, 3XL

Blue Pajama Pants 4XL

Blue Pajama Pants 5XL

PRICE/PRECIO $1.25 / EA

$3.29 / EA $3.88 / EA $6.00 / PK

$3.05 / EA $4.75 / EA $6.00 / EA $6.95 / EA $4.25 / EA $4.75 / EA

$2.15 / EA $12.80 / EA $8.25 / EA

$6.95 / EA $7.15 / EA $8.15 / EA $6.95 / EA $7.15 / EA $8.15 / EA

$12.00 / EA $13.00 / EA $15.00 / EA

ITEM #/NO. DE TALLA

QTY/ TOTAL/PRECIO

ART?CULO

CANTIDAD

TOTAL

22602-01 ______

51798-01 ______

51798-01 50436-01

______ ______

50738-01 50738-01 50416-01 51610-01 80187-01 80187-01

______ ______ ______ ______ ______ ______

50691-01 51222

______ ______

50457-01 ______

50544-99 ______

50544-99 ______

50544-99 50543-99

______ ______

50543-99 50543-99

______ ______

53181-04 53181-04 53181-04

______ ______ ______

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

Total

Total

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