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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