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1 12/13/2017 MSCC ORDER LIMIT: $85.00 ID NUMBER: Circle the Dorm You Are Assigned to NAME (PRINT): DORM: Mountain LAST NAME FIRST NAME ROOM # DATE **PRINT THE NUMBER YOU WANT NEXT TO ANY ITEM YOU ORDER. MAXIMUM 12 DIFFERENT ITEMS** LIMIT 1-$20.00 CARD 762 [ ] M & M W / PEANUTS $ 1.70 WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK 100 [ ] SKITTLES 2.17 OZ $ [ ] $20.00 PRE-PAID PHONECARD $ [ ] OREO COOKIES 1.8 OZ $ 0.90 STAMPS COUNT AGAINST DOLLAR/ITEM LIMIT [ ] TWIZZLERS STRAWBERRY TWISTS 5 oz $ 2.30 WRITE 1 NEXT TO ITEM NUMBER OR LEAVE BLANK 932 [ ] BIG HUNK 2OZ $ 1.30 LIMIT 1 SHEET OF CENT STAMPS 522 [ ] HERSHEY MILK CHOCOLATE $ [ ] BOOKOFSTAMPS 20 - STAMPS $ [ ] PEANUT BUTTER WAFFERS $ [ ] SOY SAUCE 10pk $ 2.30 HEALTH CARE ITEMS/1 PER ITEM LIMIT 158 [ ] SMOKED OYSTERS 3.53 oz $ [ ] PROPRINAL (IBUPROFEN)-10 PCK -LIMIT 1- $ [ ] SNICKER BAR $ [ ] SUDO TAB -10 PCK-LIMIT 1- $ [ ] CHOCOLATE CHIP COOKIE 6 OZ $ [ ] MULTIVITAMINS BOTTLE OF 50 TABLETS $ [ ] TASTER CHOICE-10 SINGLE SERVINGS $ [ ] ATHLETE'S FOOT CREAM-LIMIT 1- $ [ ] SWEETNER, SUGAR TWIN-PGK 10- $ [ ] HYDROCORTISONE 10 PACKET-1/32 OZ EA $ [ ] MONSTER ICED HONEY BUN $ [ ] MilkyWay Bar Simply Caramel $ 1.50 TOILET ARTICLES & MISC ITEMS 181 [ ] HOT SAUCE, JALAPENO - 12 PACK $ [ ] CACTUS ANNIE JALAPENO CHEESE 2.oz $ [ ] HYGIENE KIT-1 TOOTHBRUSH, 1SOAP,1TOOTHPASTE $ [ ] ASSORTED OATMEAL $ [ ] ENVELOPE BLANK $ [ ] NESTLE COCOA, SINGLE PACK $ [ ] CHAPSTICK $ [ ] WILD FRUIT, SUGAR FREE $ [ ] POMADE, PRO GLO 4 OZ. $ [ ] HOT HOT HOT PEANUTS $ [ ] DIAL ANTIPERSPIRANT ROLL ON $ [ ] CARAMEL CORN 3.53 OZ $ [ ] HAIR BRUSH, (NO HANDLE) $ [ ] CRYSTAL LIGHT RASPBERRY ICE.08 oz single $ [ ] HAIR GEL, MENNEN PROTEIN 29-3 OZ $ [ ] GRANOLA CHOCOLATE CHIP 8 PACK $ [ ] HERITAGE SKIN CREAM (LIKE NOXZEMA) $ [ ] TORTILLA,FLOUR-1 PKG OF 6EA $ [ ] RAZORLESS - MAGIC SHAVING CREAM, 6 OZ $ [ ] TOASTER PASTRY-BLUEBERRY 3-2 PCKS $ [ ] SHAVING CREAM-PROTECTION 7OZ $ [ ] BRUSHY CREEK PREMIUM CHICKEN BREAST $ [ ] TOOTHPASTE $ [ ] SUGAR, 1 LB BOX $ [ ] TUMBLER W/O LID $ [ ] FRUIT PUNCH-10 PACK $ [ ] MANILA ENVELOPE, 9"X12" $ [ ] DUPLEX CREMES $ [ ] READING GLASSES 1.25 $ [ ] CHUNK LIGHT TUNA IN WATER $ [ ] READING GLASSES 2.25 $ [ ] PROTEIN BAR COOKIES 'N CREAM (PROMAX) $ [ ] READING GLASSES 3.00 $ [ ] VELVEETA SPICY BEANS & RICE 4OZ $ [ ] SKETCH - DRAWING PAD, WHITE 8.5 X 11 $ [ ] SF TEA W/ LEMON $ [ ] PAPER TABLET, LETTER SIZE-RULED $ [ ] Flamin' Hot CHEETOS 1 3/4 OZ $ [ ] COUGH DROPS, HALLS, $ [ ] 8-PK CHEESE CRACKERS WITH CHEDDAR CHEESE $ [ ] ROLAIDS $ [ ] JELLY & PEANUT BUTTER COMBO POUCH 2.12 OZ $ [ ] DEODORANT, MENNEN LADY SPEED STICK $ [ ] BEEF STEW OZ SERVING $ [ ] BABY OIL, KEEFE CRAWFORD 4 OZ $ [ ] JALAPENO SLICES.7 oz $ [ ] MENNEN AFTA SHAVE $ [ ] FISH STEAKS IN OIL WITH GREEN CHILIES $ [ ] IRISH SPRING SOAP (NEW) $ [ ] CHEX MIX BOLD 8.75OZ NEW $ [ ] SHAMPOO&CONDITIONER BODY WASH 15 OZ $ [ ] BEEF JERKY.9 oz NEW PACK SIZE $ [ ] DOVE UNSCENTED SOAP $ [ ] HIGH HEAT BEEF SAUSAGE Brushy Creek 5oz $ [ ] ISLAND NATURALS SKIN LOTION 15 OZ $ [ ] Chili HOT with beans oz $ [ ] 2-PIECE SOAP DISH $ [ ] PORK RINDS HOT & SPICY 2/2OZ $ [ ] Anti-Dandruff SHAMPOO 11OZ $ [ ] HOT & SPICY CORN CHIPS $ [ ] MAYONNAISE, SALT & PEPPER $ [ ] THE WHOLE SHABANG CHIPS $ [ ] CARDS, U.S. AVIATOR, POKER $ [ ] SPICY BEANS & RICE-2 PCK $ [ ] CARDS, U.S. AVIATOR, PINOCHLE $ [ ] WHITE RICE PRE-COOKED LONG GRAIN 8oz $ [ ] MENS SIZE 9 CROCS $ [ ] KEEFE COLUMBIAN FREEZE DRIED COFFEE 80Z $ [ ] MENS SIZE 10 CROCS $ [ ] 6 PACK ROAST BEEF-LIMIT 4- $ [ ] MENS SIZE 11 CROCS $ [ ] 6 PACK CHICKEN-LIMIT 4- $ [ ] MENS SIZE 12 CROCS $ [ ] 6 PACK CHILI-LIMIT 4- $ [ ] CAJUN SHRIMP RAMEN-SINGLE PACK $ 0.70 For 2FL Worker POD use only. IF YOU BAIL YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. IF YOU GO TO CDC NO REFUND OF YOUR ORDER. IF YOU GO TO A PROGRAM YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. MSCC [ ] QA COMPLETE NO X'S, NO CHECK MARKS, NO DOTS-WRITE THE QUANTITY YOU WANT NEXT TO THE CORRECT ITEM NUMBER I AUTHORIZE FUNDS TO BE REMOVED FROM MY ACCOUNT FOR THE TOTAL AMOUNT OF ITEMS SELECTED ABOVE. SIGNED: SIGN HERE OR YOUR ORDER WILL NOT BE PROCESSED I ACKNOWLEDGE RECEIPT OF MY ORDER: X ( ) INMATE ID BAND CHECKED

2 12/13/2017 WOMENS CORRECTIONAL CENTER ORDER LIMIT: $90.00 Circle the Dorm You Are Assigned to ID NUMBER: DORM: Mountain Bay Valley Ocean NAME (PRINT) ROOM # DATE: LAST NAME, FIRST NAME **PRINT THE NUMBER YOU WANT NEXT TO ANY ITEM YOU ORDER. MAXIMUM 12 DIFFERENT ITEMS** Personal Hygiene & Sundries Snack Food & Misc Items 0001 [ ] CRAWFORD BALSAM PROTEIN SHAMPOO 4 OZ $ [ ] PEANUTS Z $ [ ] CRAWFORD BALSAM CONDITIONER 4 OZ $ [ ] CACTUS WHOLE ENCHILADA MIX 11OZ $ [ ] SUAVE WATERFALL CONDITIONER $ [ ] CACTUS HOT CHEESE CRUNCHY 9.5 OZ $ [ ] SOFTEE COCONUT OIL FOR HAIR $ [ ] CITY COW NACHO JALA CHEESE DIP 4.0 $ [ ] LADY CLEAR GEL ORCHARD BLOSSOM 2.3 OZ $ [ ] ONION DIP 3.5 OZ $ [ ] NEWDAY BABY POWDER 4 OZ $ [ ] CORN NUTS BBQ 1.4 OZ $ [ ] NEWDAY BABY OIL $ [ ] FRESH CATCH SARDINES/ 3.53 OZ $ [ ] SUAVE COCO BUTTER LOTION $ [ ] CACTUS ANNIES BBQ CORN CHIP $ [ ] VASELINE $ [ ] CACTUS ANNIES CHEESE CRUNCHY 11 OZ $ [ ] NOXZEMA 2.5 OZ SKIN CREAM $ [ ] KK INSTANT RICE 7 OZ W/ZIP $ [ ] ACNE TREATMENT CREAM 1 OZ $ [ ] BABYRUTH $ [ ] ELEMENTZ HYDRANTING CONDITION ER 15 OZ $ [ ] FROSTED FLAKES $ [ ] ELEMENTZ DANDRUFF SHAMPOO 15 OZ $ [ ] RAISIN BRAN $ [ ] LEVER 2000 BATH 4.5 OZ $ [ ] VANILLA PUDDING 4/ 3.5oz cups $ [ ] DOVE ORIGINAL SCENT BAR $ [ ] FUDGE BROWNIE 3.25 OZ $ [ ] NEUTROGENA SOAP 3.5 OZ $ [ ] WHEAT THINS CRACKER $ [ ] COLG BK SODA W/PEROX FROSTY MINT 6.4 $ [ ] KEEBLER CLUB CRACKERS 5.25 OZ $ [ ] GOODY ELASTICS PONYTAIL 18PK $ [ ] VELVEETA SPICY CHEESY RICE $ [ ] DENTURE TABLETS 40'S $ [ ] LEMON LIME GATORADE 1QT 2.12OZ $ [ ] GOOD SENSE CHERRY COUGH DROPS 30CT $ [ ] TANG BREAKFAST DRINK MIX 12 OZ $ [ ] 1-DAY VITAMIN W/IRON 90 CT $ [ ] SWISS MISS COCOA 9 OZ $ [ ] STRETCH CAP FOR HAIR $ [ ] MAXWELL HOUSE COFFEE 1.6 OZ $ [ ] TAMPON KIT 10\PK $ [ ] KF CREAMER 10/PK $ [ ] REGULAR MAXI PAD SINGLE $ [ ] B.C. FRENCH VANILLA CAPPUCCINO 8 OZ $ [ ] I LOVE YOU CARD $ [ ] KEEFE DECAFF COFFEE 3.oz $ [ ] I MISS YOU CARD $ [ ] HAPPY B-DAY CARD $ [ ] HOLIDAY CARD $ [ ] 14 OZ INSULATED COFFEE MUG W/LID $ [ ] WHITE WASHCLOTH $ [ ] SIZE 6 WOMENS BRIEFS $ [ ] SIZE 10 WOMENS BRIEFS $ PROCESSED 1ST ON TUESDAYS-DELIVERED ON FRIDAY IF YOU BAIL YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. IF YOU GO TO CDC NO REFUND OF YOUR ORDER. IF YOU GO TO A PROGRAM YOU HAVE 8 CALENDAR DAYS TO PICKUP YOUR ORDER. MSCC Drop Ship NO X'S, NO CHECK MARKS, NO DOTS-WRITE THE QUANTITY YOU WANT NEXT TO THE CORRECT ITEM NUMBER I HAVE READ THE RULES ON THE REVERSE SIDE OF THIS FORM AND AUTHORIZE THE STOREKEEPER TO DEDUCT FROM MY ACCOUNT THE TOTAL AMOUNT OF ITEMS SELECTED ABOVE. SIGNED: SIGN HERE OR YOUR ORDER WILL NOT BE PROCESSED I ACKNOWLEDGE RECEIPT OF MY ORDER: X ( ) INMATE ID BAND CHECKED [ ] QA COMPLETE

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