Orde o St. Mrys RSAT Effective Ma 5 019

Order Form St. Marys RSAT Effective May 15, 2019

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

DRINKS Coffee Folger's 3 oz. Freeze Dried Instant Coffee KHRGS

PRICE $4.50 / EA

ITEM #

Size

QTY

TOTAL PRICE

10960

Folger's 4 oz. 100% Colombian Coffee KHCR

$4.75 / EA

10961

Folger's 8 oz. Traditional Roast Coffee KHC

$9.00 / EA

10964

Maxwell House 4 oz. Dark Roast Espresso KHCR

$4.25 / EA

10704

Taster's Choice 8 oz. Regular Coffee KG

$12.10 / EA

50

Tea

Bigelow 1.1 oz. Variety Pack Assorted Teas (18 Ct.) KHGS

$3.70 / BX

428

Creamer Paramount 6.75 oz. French Vanilla Non-Dairy Creamer KHG

$1.45 / EA

10596

Paramount 8 oz. Non-Dairy Creamer KHCR

$2.05 / EA

26

Drink Mixes

Gatorade 7.5 oz. Fruit Punch Drink Mix Resealable Pouch HR

$1.90 / EA

7979

Hawaiian Punch .74 oz. SF Singles To Go Fruit Juicy Red (8 Pk.)

$1.60 / BX

6470

Kool-Aid 12 oz. Cherry Drink Mix KHCR

$2.35 / EA

7034

Kool-Aid 12 oz. Tropical Punch Drink Mix KHCR

$2.35 / EA

7033

Kool-Aid 12 oz. Watermelon-Strawberry Drink Mix KHCR

$2.35 / EA

9713

Tang 12 oz. Instant Orange Drink Mix KHCR

$2.35 / EA

7032

FOOD & SNACKS Cereal Golden Valley 20 oz. Frosted Flakes Cereal KR

$4.30 / EA

10361

Golden Valley Cereal 20 oz. Berries Bunch O'Krunch KR

$4.30 / EA

10362

Golden Valley Cereal 20 oz. Raisin Bran Cereal KR

$4.30 / EA

10359

Toaster Pastries

Kellogg's 14.1 oz. Frosted Cookies & Creme Pop Tarts (8 Pk.)

$3.00 / BX

6846

Kellogg's 14.7 oz. Frosted Chocolate Chip Pop Tarts (8 Pk.)

$3.00 / BX

7867

Toast'em Pop-Ups 11 oz. Blueberry Pastries (6 Pk.)

$1.90 / BX

632

ITEM DESCRIPTION

Pastries & Snack Cakes Market Square Bakery 10.5 oz. Fudge Brownies (6 Pk.) KC Market Square Bakery 4.75 oz. Mega Honey Bun KC Market Square Bakery 4 oz. Cinnamon Crumb Cakes (2 Pk.) K Market Square Bakery 4 oz. Cream Cheese Pound Cakes (2 Pk.) KC Chips & Snacks Cactus Annie's 12 oz. Hot & Spicy Corn Chips KHCGS Cheetos 8 oz. Flamin' Hot Crunchy CG Cheetos 9 oz. Crunchy CG Doritos 8 oz. Cool Ranch Chips C Fritos 10.5 oz. Chili Cheese Corn Chips C Moon Lodge 11 oz. Pretzels Mini Twists KC Moon Lodge 6 oz. Stuffed Jalapeno Potato Chips KS Ruffles 5.5 oz. Cheddar & Sour Cream Potato Chips Popcorn Fiddle Faddle 6 oz. Caramel Popcorn w/Peanuts K Cookies Keebler 11.5 oz. Fudge Stripes Cookies K Nabisco 13 oz. Chips Ahoy! Chewy Chocolate Chip Cookies K Nabisco 13 oz. Chips Ahoy! Chocolate Chip Cookies KHGS Nabisco 14.3 oz. Oreo Cookies KHGS Nabisco 16 oz. Nutter Butter Cookies K Candy Hershey's 5.3 oz. Miniatures Bag K Russell Stover 1.125 oz. Mint Dream Starburst 14 oz. Original Fruit Chews Bag G

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

Total

PRICE

$2.20 / EA $0.80 / EA $0.80 / EA $0.60 / EA

$1.90 / EA $2.15 / EA $2.00 / EA $1.80 / EA $5.20 / EA $1.80 / EA $1.40 / EA $2.10 / EA

$1.60 / EA

$2.90 / EA $5.50 / EA $5.50 / EA $6.60 / EA $6.10 / EA

$4.00 / EA $1.15 / EA $5.50 / EA

ITEM #

6054 6044 3210 6538

Size

QTY

TOTAL PRICE

7989 7687 7683 10354 10355 5139 5110 10525

6606

229 4488 4594 4592 4593

865 6876 5486

Total

Order Form St. Marys RSAT Effective May 15, 2019

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

Condiments A-1 .5 oz. Steak Sauce (1 ea.)

PRICE $0.30 / EA

ITEM # 5837

Size

QTY

TOTAL PRICE

Kraft 1.5 oz. Ranch Salad Dressing Packet

$0.42 / EA

4535

Spices & Seasonings Mrs. Dash 2.5 oz. Original Blend KCGS

$3.70 / EA

1613

Spice Classics .87 oz. Italian Seasoning KC

$1.50 / EA

10314

Spice Classics 2.5 oz. Garlic Powder KC

$2.00 / EA

1386

Spice Classics 2.62 oz. Onion Powder K

$1.50 / EA

10311

Spice Classics 2 oz. Imitation Bacon Bits

$1.85 / EA

10317

Cheese

City Cow 8 oz. Super HOT! Habanero Cheese Snack Spread CRG

$1.70 / EA

2855

Seafood Chicken of the Sea 2.5 oz. White Albacore Tuna K

$2.30 / EA

10356

Fresh Catch 3.53 oz. Fish Steaks in Spicy Mustard Sauce KHG

$1.70 / EA

4394

Ready-To-Eat Meals Brushy Creek 11.25 oz. Chili with Beans G

$1.80 / EA

1711

Rip `N' Ready 12 oz. Roast Beef in Gravy

$4.50 / EA

2364

Ramen Maruchan Instant Lunch 2.25 oz. - California Veggie

$0.70 / EA

4

Maruchan Instant Lunch 2.25 oz. - Hot & Spicy Beef

$0.70 / EA

16

Maruchan Instant Lunch 2.25 oz. - Lime, Chili, Shrimp w/ Habanero

$0.70 / EA

1346

Noodles Knorr 4.3 oz. Pasta Sides Chicken Flavored

$2.20 / EA

7123

Knorr 4.4 oz. Pasta Sides Alfredo Noodles

$2.20 / EA

7121

HEALTH & BEAUTY Ethnic Hair Care Murray's 4 oz. Superior Hair Dressing Pomade

$2.90 / EA

20377

ITEM DESCRIPTION

Soap Dial 3.5 oz. Antibacterial Soap (1 bar)

Skin Care Chap-Et .16 oz. Lip Balm

Deodorant Speed Stick 3 oz. Ultimate Sport A/P Deodorant

Shaving Products Bic Twin Blade Disp. Razor (1 Ct.)

Pharmaceuticals Goodsense Cherry Cough Drops (30 Ct.) CR

Halls Cherry Flavored Cough Drops (9 Ct.)

SHOES Basketball Shoes Fila Key West Court Shoes (Black/White) 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13

Nike Borough Low Court Shoe (White) 8, 8.5, 9, 10.5, 11, 11.5, 12, 12.5, 13, 14, 15

Nike Borough Mid Court Shoe (White) 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 13

Nike Ebernon Low Basketball Shoe White 7, 7.5, 8, 9, 9.5, 10, 10.5, 11, 11.5, 12, 12.5, 14

Rawlings Kingdom High Basketball Shoes (White) 6, 6 (2E), 6 (4E), 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 13, 13 (2E), 13 (4E), 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E), 16, 16 (2E), 16 (4E), 17, 17 (2E), 17 (4E), 18, 18 (2E), 18 (4E), 19, 19 (2E), 19 (4E)

Rawlings Urban Low Basketball Shoe (White) 6, 6 (2E), 6 (4E), 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 4E, 10.5, 10.5 (2E), 10.5 4E, 11, 11 (2E), 11 4E, 11.5, 11.5 (2E), 11.5 4E, 12, 12 (2E), 12 (4E), 13, 13 (2E), 13 (4E), 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E)

Shoe Corp Leather Low Top Court Shoe - White 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

Shoe Corp Leather Mid-High Top Court Shoe - White 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

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

Total

PRICE $1.05 / EA $1.10 / EA $4.05 / EA $0.25 / EA $1.10 / EA $1.40 / EA

$45.00 / EA $68.95 / EA $68.95 / EA $69.95 / EA $31.95 / EA

$31.95 / EA

$24.95 / EA $26.95 / EA

ITEM # 20920

Size

QTY

TOTAL PRICE

20517

20068

20202

20545 20244

81693-01

______

81889-01

______

81888-01

______

82175-01

______

81666-01

______

81667-01 ______

82022-01

______

82021-01

______

Total

Order Form St. Marys RSAT Effective May 15, 2019

Please complete all info on reverse (print clearly).

ITEM DESCRIPTION

Running Shoes Rawlings Chance III Running Shoe (White) 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

PRICE $29.99 / EA

ITEM #

Size

QTY

TOTAL PRICE

81671-01

______

Reebok Classic Royal Nylon Women's Running Shoe (White) 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12

$29.99 / EA

81677-01

______

Reebok Royal Nylon Running Shoes - White 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$29.99 / EA

81674-01

______

Reebok Run Supreme 2.0 LD Running Shoes 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 12.5, 12.5 (2E), 12.5 (4E), 13, 13 (2E), 13 (4E), 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E)

$45.95 / EA

81712-01 ______

Tennis Shoes

Rawlings Marc II Velcro Tennis Shoe 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$31.95 / EA

81670-01

______

Cross Training Shoes

Rawlings Espy Cross Training Shoe 6, 6 (2E), 6 (4E), 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 13, 13 (2E), 13 (4E), 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E), 16, 16 (2E), 16 (4E), 17, 17 (2E), 17 (4E), 18, 18 (2E), 18 (4E), 19, 19 (2E), 19 (4E)

$29.99 / EA

81668-01 ______

Reebok Quickchase SE Cross Training Shoe 6.5, 6.5 (2E), 6.5 (4E), 7, 7 (2E), 7 (4E), 7.5, 7.5 (2E), 7.5 (4E), 8, 8 (2E), 8 (4E), 8.5, 8.5 (2E), 8.5 (4E), 9, 9 (2E), 9 (4E), 9.5, 9.5 (2E), 9.5 (4E), 10, 10 (2E), 10 (4E), 10.5, 10.5 (2E), 10.5 (4E), 11, 11 (2E), 11 (4E), 11.5, 11.5 (2E), 11.5 (4E), 12, 12 (2E), 12 (4E), 12.5, 12.5 (2E), 12.5 (4E), 13, 13 (2E), 13 (4E), 14, 14 (2E), 14 (4E), 15, 15 (2E), 15 (4E)

$58.95 / EA

81710-01 ______

Skechers Serpentine Cross Training Shoe 7, 7.5, 8, 8 Wide, 8.5, 8.5 Wide, 9, 9 Wide, 9.5, 9.5 Wide, 10, 10 Wide, 10.5, 10.5 Wide, 11, 11 Wide, 11.5, 11.5 Wide, 12, 12 Wide, 13, 13 Wide, 14, 14 Wide, 15 Wide, 16 Wide

$60.00 / EA

80945-01

______

Skechers White After Burn Energy II Cross Training Shoes 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 12, 13

$44.99 / EA

52910-01

______

New Balance WX409PS2 Women's Cross Training Shoe 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 12

$51.99 / EA

81409-01

______

Rawlings Women's Cross Training VIP Shoe (White) 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12

$28.95 / EA

81669-01

______

Casual Shoes Canvas Slip On (Orange) 10, 10.5, 11, 12, 13

Canvas Slip On (White) 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, 11.5, 12, 13, 14, 15

$8.00 / EA $8.00 / EA

52938-14 52938-01

______ ______

ITEM DESCRIPTION

Shoe Corp Leather Velcro Shoes 4, 5, 6, 7, 8, 9, 9.5, 10, 10.5, 11, 12, 13, 14, 15

Boots

Leather Boot (Black) 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 7.5 4E, 8, 8.5, 8.5 4E, 9, 9.5, 9.5 B, 10, 10 4E, 10.5, 10.5B, 10.5 4E, 11, 11B, 11 4E, 11.5, 11.5 B, 12, 12 4E, 12.5, 13, 13B, 13.5, 14, 14 B, 15, 16, 16 4E, 17, 18, 19 LIMIT 1

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

Crawford Deluxe Shower Shoes Small- 7 #20268, Medium- 8 #20265, Large- 9 #20266, XL- 10 #20267, 2XL- 11 #20269

Under Armour Black/White M Ignite V Shower Shoe 7, 8, 9, 10, 11, 12, 13, 14

Under Armour Slide Shoe Locker III (Black) 7, 8, 9, 10, 11, 12, 13, 14

Accessories

Black Kiwi Shoe Paste Wax LIMIT 1

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

Total

PRICE $19.56 / EA $49.95 / EA

$3.75 / EA $3.50 / EA $31.99 / EA $18.40 / EA $4.00 / EA

ITEM # 52097-01

Size

QTY

TOTAL PRICE

______

52727-04

______

22610-99

______

20265-9 81805-04 81810-04

______ ______ ______

20441

Total

Order Form St. Marys RSAT Effective May 15, 2019

Please complete all info on reverse (print clearly).

SHIP TO:

We cannot send orders from one inmate to another.

Program Dates:

Inmate's Name Institution/Dorm/Housing#

ID#

First Date to Place Orders

Mail Orders Postmarked By

Last Date to Place All Orders

Print

Delivery

Cycle 4 Wednesday, May 1, 2019

Friday, May 24, 2019 Friday, May 31, 2019 Monday, June 3, 2019 Thursday, June 6, 2019

Street Address City

SENDER:

Sender's Name Street Address City

State

Zip

REQUIRED for order fulfillment.

State

Zip

First Date to Place Orders Mail Orders Postmarked By Last Date to Place All Orders Delivery

First Date to Place Orders Mail Orders Postmarked By Last Date to Place All Orders Delivery

Cycle 7 Thursday, August 1, 2019 Thursday, August 22, 2019 Thursday, August 29, 2019 Thursday, September 5, 2019

Cycle 10 Friday, November 1, 2019 Tuesday, January 22, 2019 Friday, November 29, 2019 Thursday, December 5, 2019

Cycle 5 Saturday, June 1, 2019 Friday, June 21, 2019 Friday, June 28, 2019 Monday, July 1, 2019 Thursday, July 4, 2019

Cycle 8 Sunday, September 1, 2019 Friday, September 20, 2019 Friday, September 27, 2019 Thursday, October 3, 2019

Cycle 11 Sunday, December 1, 2019 Wednesday, December 18, 2019 Wednesday, December 25, 2019 Thursday, January 2, 2020

Cycle 6 Monday, July 1, 2019 Friday, July 19, 2019 Friday, July 26, 2019 Monday, July 29, 2019 Thursday, August 1, 2019

Cycle 9 Tuesday, October 1, 2019 Friday, October 18, 2019 Friday, October 25, 2019 Thursday, October 31, 2019

Cycle 12 Wednesday, January 1, 2020

Friday, January 24, 2020 Friday, January 31, 2020 Thursday, February 6, 2020

Phone Number Email

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

CALCULATE AMOUNT DUE: Merchandise

Food: Non-Food: Processing Fee: $4.00

Sales Tax 1.00

x 1.06

=

x 1.06

=

TOTAL AMOUNT DUE:

TOTALS $4.24

SELECT PAYMENT METHOD:

? Institutional Check

? Cashier's Check

Make check or money order payable to ACCESS SECUREPAK

? VISA ? MasterCard ? Discover

? Money Order

Cardholder Name Cardholder Signature Daytime Phone Number

/ /

Today's Date mm/dd/yyyy

Credit Card Number

/ Expiration Date

Security Code

Security code is last three digits of account number panel.

WAYS TO ORDER: Online: Phone: 1-800-546-6283 Mail: Access Securepak (WV)

10880 Linpage Pl St. Louis, MO 63132

ACCEPTABLE FORMS OF PAYMENT: ? Credit/Debit Cards--VISA, MasterCard, Discover ? Prepaid cards that have a verifiable United States address ? Cashier's check ? Institutional Check ? Money order 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 West Virginia to collect 6% sales tax on merchandise and processing fees. Food items are exempt. To figure sales tax amount take the subtotal and multiply it by the tax rate of 6.00%.

Tax calculation example: $63.52 merchandise total + $4.00 processing fee = $67.52 subtotal $67.52 subtotal x 0.06 tax rate = $4.05 tax total $67.52 subtotal + $4.05 tax = $71.57 total due

ELIGIBILITY: Access Securepak verifies inmate eligibility before shipping packages, if applicable.

LIMITS: Orders will only be accepted from the offenders that are mailed directly from the facility. Phase 2 inmates are allowed (1) $50 package per month, food/hygiene items only Phase 3 inmates are allowed (1) $100 package per month. Phase 4 inmates are allowed (1) $150 package per month. Phase 5 inmates are allowed (1) $200 package per month.

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, 8:30 a.m.?11:59 p.m. EST, and Saturday, 11 a.m.?5 p.m. EST.

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