Orde o New Mxico DOC Effective anuary 019
Order Form New Mexico DOC Effective January 2019
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION
DRINKS
PRICE
ITEM #
QTY
TOTAL PRICE
ITEM DESCRIPTION
FOOD & SNACKS
Coffee
Cereal & Cereal Bars
Folger's 4 oz. 100% Colombian Coffee KHCR $7.40 / EA 10961
Golden Valley 20 oz. Corn Flakes Cereal KR
Maxwell House 4 oz. Dark Roast Espresso KHCR $5.95 / EA 10704
Maxwell House 4 oz. Select Roast Coffee Pouch $5.05 / EA 2974 KHCR
Golden Valley Cereal 20 oz. Chocolate Frosted Flakes KR
Kellogg's 3.1 oz. Apple Jacks Cereal
PRICE
ITEM #
QTY
TOTAL PRICE
$4.50 / EA 80001729 $4.50 / EA 80002971 $2.30 / EA 80006256
ITEM DESCRIPTION
Chips & Snacks Chester's 1.75 oz. Flamin Hot Fries
PRICE
ITEM #
QTY
TOTAL PRICE
$1.00 / EA 80002842
Combos 6.3 oz. Pepperoni Pizza HGS
$4.50 / EA 6905
Combos 6 oz. Sweet & Salty Caramel Creme Pretzel $4.50 / EA 80001127
Corn Nuts 1.4 oz. Barbecue Crunchy Corn Snack $1.00 / EA 40712
Hot Cocoa
Swiss Miss 9 oz. Hot Cocoa Mix (9 servings) KHCRG
$2.70 / EA 7495
Kellogg's 3.1 oz. Fruit Loops Cereal Trix 1.42 oz. Cereal Bar
$2.30 / EA 80006255 $1.00 / EA 80000135
Doritos 7.5 oz. Spicy Sweet Chili Tortilla Chips Doritos 8 oz. Cool Ranch Chips C
$2.85 / EA 80005365 $2.85 / EA 10354
Tea Bigelow 1.64 oz. Vanilla Chai Tea (20 Ct.) GS
$5.75 / BX 10595
Creamer International Delight 3 oz. Original Creamer (10 Pk.) $1.65 / SP 80004553
International Delight 4.4 oz.French Vanilla Liquid $2.30 / SP 80004554 Creamer (10 Pk.)
Drink Mixes
Hawaiian Punch .69 oz. SF Singles To Go Berry Limeade Blast (8 Pk.)
$2.45 / BX 7810
Hawaiian Punch .91 oz. SF Singles To Go Berry Blue $2.45 / BX 7809 Typhoon (8 Pk.) GS
Oatmeal
Quaker Maple & Brown Sugar Instant Oatmeal (10 Pk.)
$4.05 / SP 80004559
Quaker Regular Flavor Instant Oatmeal (12 Pk.) $3.90 / SP 80004558
Pastries & Snack Cakes Cloverhill 4.25 oz. Apple Danish
$1.05 / EA 80006847
Dolly Madison 22.86 oz. Vanilla Zinger Snack Cake $9.00 / BX 80006311 (Box)
Golden Valley 4 oz. Everything Bagel KH
$0.95 / EA 80004433
Hostess 2.12 oz. Chocolate Brownie Crisp Thins $2.75 / EA 80005989
Doritos 8 oz. Nacho Cheese Chips C
$2.85 / EA 10514
Fritos 4 oz. Regular Corn Chips
$1.30 / EA 6378
Jensen's Orchard 2 oz. Veggie Chips
$2.55 / EA 7779
Kar's 3.5 oz. Sweet N Salty Trail Mix C
$1.70 / EA 5865
Kar's 7 oz. Nut `N Yogurt Trail Mix C
$3.35 / EA 9811
Kellogg's 1.3 oz. Original Rice Krispies Treats
$1.05 / EA 2381
Kellogg's 1.76 oz. Crunch Mania Cinnamon Bun $0.95 / EA 80002330
Kings Nut 3.25 oz. Health Mix KH
$1.15 / EA 80003371
Hawaiian Punch .94 oz. SF Singles To Go Lemon $2.45 / BX 7811 Berry Squeeze (8 Pk.)
Hawaiian Punch .95 oz. Singles To Go Sugar Free $2.45 / BX 7812 Orange Ocean (8 Pk.)
Wyler's Light .63 oz. SF Singles to Go Raspberry Lemonade Drink Mix (8 Pk.) K
$4.20 / BX 80001733
Wyler's Light .80 oz. SF Singles To Go Strawberry $4.20 / BX 80001731 Lemonade Drink Mix (8 Pk.) K
Nutritional Drinks New Leaf 2 oz. Chocolate Health Shake K
$1.40 / EA 80003592
Hostess 10.5 oz. Powdered Sugar Donettes
$4.35 / EA 80003702
Hostess 15.3 oz. White Fudge Ding Dongs (12 Ct.) $7.20 / BX 80003707
Kellogg's 14.1 oz. Frosted Cookies & Creme Pop $3.95 / BX 6846 Tarts (8 Pk.)
Kellogg's 14.7 oz. Frosted Blueberry Pop Tarts (8 Pk.)
$3.95 / BX 10548
Mrs. Freshley's 11.5 oz. Frosted Chocolate Mini Donuts K
$4.40 / EA 10089
Mrs. Freshley's 3.5 oz. Carrot Cake KC
$1.50 / EA 7218
New Leaf 2 oz. Vanilla Health Shake
$1.40 / EA 80003593
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
Total
Lay's 5.5 oz. Barbeque Potato Chips K
$2.85 / EA 80000892
Lays 5.5 oz. Mesquite BBQ Stax Potato Chips
$3.25 / EA 80003227
Lays 5.5 oz. Sour Cream & Onion Stax Potato Chips $3.25 / EA 80003228 KG
Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips $3.00 / EA 10525
Snyder's 10 oz. Sweet & Salty Caramel Pretzel Pieces
$6.35 / EA 80000697
TGI Fridays 1 oz. Cheddar and Bacon Potato Skins $0.85 / EA 80003515 Snacks KG
The Whole Shabang 2 oz. Pork Rinds
$1.50 / EA 80003053
Total
Order Form New Mexico DOC Effective January 2019
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION The Whole Shabang 4 oz. Potato Sticks
PRICE
ITEM #
QTY
TOTAL PRICE
$2.20 / EA 80004856
ITEM DESCRIPTION Otis Spunkmeyer 4 oz. Chocolate Chunk Cookie
PRICE
ITEM #
QTY
TOTAL PRICE
$1.30 / EA 80005563
ITEM DESCRIPTION Kraft 1.5 oz. Ranch Salad Dressing Packet
PRICE $0.60 / EA
ITEM # 4535
QTY
TOTAL PRICE
The Whole Shabang 6 oz. Snack Mix KHC
$2.30 / EA 80003008
The Whole Shabang 9.5 oz. Extreme Crunchies KH $2.50 / EA 80001670
Popcorn
Fiddle Faddle 6 oz. Butter Toffee Popcorn with Peanuts K
$1.65 / EA 6607
Fiddle Faddle 6 oz. Caramel Popcorn w/Peanuts K $2.40 / EA 6606
Nuts Kings Nut 2 oz. Pistachios
$2.85 / EA 80003350
Kings Nut 8 oz. Salted Cashews KHGS
$6.70 / EA 80003377
The Whole Shabang 1.75 oz. Peanuts KHC
$0.65 / EA 80002177
Zachary 5 oz. Bridge Mix Chocolate Covered Nuts $3.35 / EA 7286
Crackers
Austin 1.38 oz. Cheese on Cheese Sandwich Crackers (8 Pk.) K
$3.45 / BX 80000116
Austin 1.38 oz. Pepperjack on Saltines (8 Pk.) K $3.45 / BX 80000110
Cheez-It 1.5 oz. Hot & Spicy Crackers K
$0.80 / EA 4214
Cheez-It 7 oz. Cheddar Jack Crackers R
$5.55 / EA 7452
Wheat Thins 1.75 oz. Crackers
$0.95 / EA 9461
Cookies Checkers 8 oz. Raspberry Shortbread Cookies
$2.40 / EA 7314
Famous Amos 2 oz. Chocolate Chip Cookies
$0.75 / EA 850
Keebler 11.5 oz. Fudge Stripes Cookies K
$4.65 / EA 229
Lil Dutch Maid 5 oz. Duplex Creme Cookies
$1.00 / EA 80002230
Marias 4.94 oz. Gamesa Cookies
$2.00 / EA 80005515
Lil Dutch Maid 14 oz. Peppermint Creme Cookies $5.15 / EA 80006735
Candy
Atkinson's 3.75 oz. Sugar Free Crunchy Peanut Butter Bars KC
$3.35 / EA 9764
E.Z. Digby's 5 oz. Yogurt Covered Pretzels C
$3.20 / EA 1935
GoLightly 2.75 oz. Sugar Free Butterscotch Candy $3.20 / EA 6329 KCG
GoLightly 2.75 oz. Sugar Free Starlight Mints KCG $3.20 / EA 6330
GoLightly 2.75 oz. Sugar Free Vanilla Caramels KC $3.20 / EA 6331
Kit Kat 1.5 oz. White Wafers n Creme K
$1.95 / EA 7390
M&M's 1.05 oz. Crunchy Pretzel Candy K
$2.00 / EA 6872
Mayfair Select Sweets 5 oz. Caramel Creams C $2.15 / EA 10347
Old Fashion Mix 9 oz. Hard Candy C
$2.80 / EA 733
Reese's Pieces 6 oz. Peanut Butter Candy KH
$4.85 / EA 6867
Russell Stover 3 oz. Sugar Free Pecans & Caramel $4.45 / EA 6570 Turtles C
Sathers 4 oz. Sour Neon Night Crawlers Candy
$1.50 / EA 80005556
Snickers 1.78 oz. Peanut Butter Squared KG
$1.85 / EA 7382
Snickers 4.4 oz. Miniatures K
$3.95 / EA 6090
Sophie Mae 6 oz. Peanut Brittle
$3.10 / EA 80006881
Sour Patch 3 oz. Gummi Watermelon Candy C $1.50 / EA 80002126
Zachary 5.5 oz. Thin Mints
$2.65 / EA 5234
Salad Dressings Kraft 1.5 oz. Blue Cheese Dressing Packet
$0.90 / EA 5925
Seasonings Lawry's 4 oz. Seasoned Salt K
$4.05 / EA 7859
Sevilla 1.5 oz. Sazon con Culantro Y Achiote KHC $1.25 / EA 6034
Taco Bell 1 oz. Original Taco Seasoning Mix
$1.20 / EA 80002308
Sauces A-1 .5 oz. Steak Sauce (10 Pk.)
$5.65 / SP 75837
Kraft 13 oz. Chipotle BBQ Sauce
$4.20 / EA 80002235
Condiments Winona 4 oz. Roasted Red Pepper & Garlic Hummus $2.25 / EA 80005900
Pickles Van Holten's 9.6 oz. Dill Pickle KCGS
$1.10 / EA 381
Cheese City Cow 4 oz. White Queso Dip CRG
$2.00 / EA 6017
Philly 2 oz. Cream Cheese w/Jalapenos
$1.10 / EA 10911
Velveeta 2 oz. Cheddar Cheese Spread (10 Pk.) G $6.80 / EA 10417
Velveeta 2 oz. Jalapeno Spread G
$0.65 / EA 7738
Velveeta 2 oz. Sharp Cheddar Spread G
$0.65 / EA 7739
Meat Snacks
Brookfield Farms 2.1 oz. Fully Cooked Hickory Bacon (15 slices)
$7.20 / EA 5885
Brushy Creek 5 oz. Beef Salami Stick GS
$3.20 / EA 80001739
Brushy Creek 5 oz. Hot Beef & Chicken Halal Sausage HG
$6.95 / EA 80003317
Brushy Creek 5 oz. Original Beef Summer Sausage GS
$3.20 / EA 80001719
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
Total
Total
Order Form New Mexico DOC Effective January 2019
Please complete all info on reverse (print clearly).
ITEM DESCRIPTION
PRICE
ITEM #
QTY
TOTAL PRICE
Brushy Creek 5 oz. Turkey Summer Sausage Honey $3.30 / EA 80001724 Brown Sugar G
ITEM DESCRIPTION Hormel Compleats 10 oz. Chicken Alfredo
Jack Link's 1 oz. Sasquatch Snack Stick
$2.10 / EA 80003260
Hormel Compleats 10 oz. Meatloaf & Mashed Potatoes
PRICE $5.90 / EA
ITEM # 9677
QTY
TOTAL PRICE
$6.05 / EA 10085
Seafood Chicken of the Sea 3.53 oz. Sardines in Oil Pouch K $1.75 / EA
10357
Chicken of the Sea 3.53 oz. Smoked Baby Clams $2.80 / EA 80005308 in Oil
Chicken of the Sea 5 oz. Light Tuna in Water K
$4.50 / EA 10337
Chicken of the Sea 5 oz. Pink Salmon K
$5.20 / EA 4179
Fresh Catch 3.53 oz. Fillets of Mackerel in Soybean $1.75 / EA 4385 Oil KHG
Fresh Catch 3.53 oz. Fish Steaks in Louisiana Hot $1.30 / EA 4397 Sauce KHG
Fresh Catch 3.53 oz. Octopus in Soybean Oil HG $3.10 / EA 4398
Fresh Catch 3.53 oz. Sardines in Soybean Oil KHG $1.40 / EA 4388
Fresh Catch 3.53 oz. Yellowfin Tuna Steak in Spicy $4.70 / EA 5696 Thai Chili Sauce KHG
Ready-To-Eat Meals Brushy Creek 11.25 oz. Chili with Beans G
$2.50 / EA 1711
Brushy Creek 5 oz. Chicken Vienna Sausage GS $2.00 / EA 80002944
Brushy Creek 5 oz. Hot Chicken Vienna Sausage $2.00 / EA 80002945
Brushy Creek 7 oz. Chunk Ham with Natural Juices $4.65 / EA 80002117
Brushy Creek 8 oz. Cajun Style Rice with Chicken $3.75 / EA 80003084 & Sausage G
Brushy Creek 8 oz. Mexican Style Chicken Stew G $3.55 / EA 80003085
Hamburger Helper 6.9 oz. Lasagna
$4.70 / EA 80003588
Hormel 7.5 oz. Sandwich Makers Pork w/BBQ Sauce $5.75 / EA 80001676
Idahoan 2 oz. Instant Mashed Potatoes
$1.35 / EA 80000147
Pace 9 oz. Southwest Style Chicken with Corn & Beans
$6.30 / EA 80003001
Rip `N' Ready 10 oz. Meatballs H
$5.90 / EA 3971
Rip N Ready 6 oz. Shredded Beef Brisket in BBQ Sauce
$5.95 / EA 80004162
Rip N Ready 6 oz. Shredded Beef Brisket w/Broth & $6.30 / EA 80004163 Smoke Flavoring
Sweet Sue 7 oz. Chunk Ham
$8.05 / EA 7150
Tuna Helper 7.3 oz. Tetrazzini
$4.70 / EA 80003582
Velveeta 11.5 oz. Cheesy Skillets Chicken Bacon $4.40 / EA 80003548 Ranch
Velveeta 9 oz. Cheesy Bowls Buffalo Style Chicken $5.40 / EA 80002404 Mac
Rice Zatarain's 8.8 oz. Big Easy Rice - Jambalaya
$5.25 / EA 10453
Zatarain's 8.8 oz. Big Easy Rice - Red Beans & Rice $5.25 / EA 10451
Beans
Sevilla 4.4 oz. HOT Chili Flavor Refried Beans & Rice KHC
$1.40 / EA 5940
Velveeta 4 oz. Cheesy Refried Beans KHC
$1.65 / EA 4939
Velveeta 4 oz. Spicy, Cheesy Refried Beans KHC $1.75 / EA 4940
Velveeta 4 oz. Spicy, Cheesy Refried Beans & Rice $1.60 / EA 4941 KHC
Tortillas Mayan Farms 8" Whole Wheat Tortillas (10 Ct.)
$4.40 / EA 80006277
ITEM DESCRIPTION Mission 16.2 oz. Flour Tortillas (8 Ct.)
PRICE $4.25 / EA
ITEM # 10756
QTY
TOTAL PRICE
Noodles El Mexicano 7 oz. Codito Elbow Pasta
$0.90 / EA 80005651
Knorr Lipton 4.4 oz. Italian Sides Creamy Garlic Shells HGS
$3.90 / EA 7125
Knorr Lipton 4.6 oz. Asian Sides Teriyaki Noodles $3.90 / EA 80003673
Maruchan 3.91 oz. Yakisoba - Four Cheese Flavor $2.35 / EA 6272
Total
K - Kosher ? H - Halal ? C - Clear ? D - Diabetic ? R - Resealable ? G - Gluten Free ? S - Soy Free
Total
Total
Order Form New Mexico DOC Effective January 2019
Please complete all info on reverse (print clearly).
SHIP TO:
Inmate's Name Institution/Dorm/Housing#
Street Address
We cannot send orders from one inmate to another. ID#
PROGRAM DATES: New Menu Effective: January 1, 2019 Delivery to facility: Each facility will receive a weekly shipment
WAYS TO ORDER: Online: Phone: 1-800-546-6283 Mail: Access Securepak (NM), 10880 Linpage Place, St. Louis, MO 63132
City
SENDER:
State
Zip
REQUIRED for order fulfillment.
Sender's Name
Street Address
City
State
Zip
Phone Number
Email
(You will receive confirmation emails when the order is placed and shipped.)
CALCULATE AMOUNT DUE:
Merchandise
Sales Tax
Food
x (See chart below) =
Processing Fee
$6.95 x (See chart below) =
TOTAL AMOUNT DUE:
TOTAL
SELECT PAYMENT METHOD:
? Institutional Check
? Cashier's Check
Make check or money order payable to ACCESS SECUREPAK
? VISA ? MasterCard ? Discover
? Money Order
ACCEPTABLE FORMS OF PAYMENT: ? Credit/Debit Cards--VISA, MasterCard, Discover ? Prepaid cards that have a verifiable United States address ? Cashier's check ? Money order ? Institutional check 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.
SALES TAX: Access Securepak is required by the state of New Mexico to collect sales tax on all merchandise and the processing fee. Please reference the tax chart provided noting each facility's tax rate. The tax calculation example below uses Central New Mexico as the example.
Tax calculation example: $63.52 merchandise total x 1.0688 (tax rate) = $67.89 merchandise subtotal $6.95 processing fee x 1.0688 (tax rate) = $7.43 processing fee subtotal $67.89 merchandise subtotal + $7.43 processing fee subtotal = $75.32 total amount due
Cardholder Name Cardholder Signature Daytime Phone Number
Credit Card Number
/ Expiration Date
Security Code
/ /
Today's Date mm/dd/yyyy
Security code is last three digits of account number panel.
TAXXTTAABBLEL:E: Facility Name
Central New Mexico Minimum New Mexico State Pen New Mexico State Penitentiary Minimum Restriction Roswell Correctional Facility Southern New Mexico Correctional Facility Springer New Mexico Correctional Facility Western New Mexico Core Civic Northwest
Zip Code
87031 87504 87504 88232 88005 87747 87020 87020
ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable.
LIMITS: Inmates in Level I-V have a limit of $70 per quarter. Inmates in Level VI have a limit of $40 per quarter. Up to two packages can be ordered and we will consolidate orders not to exceed the quarterly limits.
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.
In the event of a back order, may we substitute like items of equal or greater value? Note: unless you choose "NO," we may substitute for out-of-stock or restricted items. _YES _NO
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, 6:30 a.m.?10 p.m. MST, and Saturday, 9 a.m.?3 p.m. MST.
Tax Rate
6.88% 7.13% 7.13% 6.52% 6.75% 6.08% 6.81% 8.13%
................
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