LCHC Company Store. Item #: LC02 Men s Journey CORE365 Fleece Vest. Item #: LC01 Ladies Journey CORE365 Fleece Vest $25.

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1 LCHC Company Store These items are available to all LCHC employees. Employees who wish to payroll deduct their purchase must place their order through Marketing. Orders can be placed online at and are paid via credit card. (Note: Not all color options are available online.) Item #: LC01 Ladies Journey CORE365 Fleece Vest $25.50 (XS-3XL) Item #: LC02 Men s Journey CORE365 Fleece Vest $25.50 (small - XL) $28.00 (3XL) $27.00 (2XL) $30.00 (4XL and 5XL) Burgundy Burgundy Classic Classic Classic Classic

2 Item #: LC03 Sport-Tek Posicharge Electric Fleece 1/4 Zip Pullover $34.00 (XS-2XL) Item #: LC04 Sport-Tek Ladies Posicharge Electric Fleece $45.00 (XS-XL) $48.00 (3XL) $47.00 (2XL) $49.00 (4XL) Dark Electric Electric Silver Electric Item #: LC05 Tall Value Fleece 1/4- Zip Pullover $30.00 (XS-2XL) $32.00 (3XL-4XL) Item #: LC06 Value Fleece 1/4- Zip Pullover $28.00 (XS-XL) Iron Iron

3 Item #: LC07 Ladies Value Fleece Jacket $28.00 (XS-XL) $30.00 (2XL) $34.00 (3XL) $36.00 (4XL) Item #: LC08 Ladies Concept Stretch Button- Front Cardigan $26.00 (XS-2XL) $28.00 (3XL-4XL) Deep Smoke Hibiscus Dress Smoke Magenta Insignia Iron Blossom Rich Skydiver Winter Item #: LC09 Sport-Tek Ladies Sport-Wick Stretch 1/2-Zip Pullover $30.00 (XS-2XL) $32.00 (3XL-4XL) Charge Dusty Rose Hot Coral Iris Rush Rush

4 Item #: LC10 Sport-Tek Sport-Wick Stretch 1/2-Zip Pullover $32.00 (XS-4XL) Charge Item #: LC11 Core Soft Shell Jacket $38.00 (XS-5XL) Item #: LC12 Ladies Core Soft Shell Jacket $38.00 (XS-4XL) Battleship Deep Smoke Battleship Deep Smoke Dress Dress Pearl Rich Pearl Rich Very Berry

5 Item #: LC13 Ladies Silk Touch Performance Polo $28.00 (XS-4XL) Bright Brilliant Carolina Dark Lime Neon Orange Neon Yellow Raspberry Steel Teal Item #: LC14 Silk Touch Performance Polo $15.00 (XS-4XL) Bright Brilliant Carolina Dark Lime Neon Orange Neon Yellow Raspberry Steel Teal Item #: LC15 Core 365 Ladies Long-Sleeve Twill Shirt $25.00 (XS-XL) $27.00 (2XL-3XL) Carbon Burgundy

6 Item #: LC16 Item #: LC17 Core 365 Ladies Optimum Short Sleeve Twill Shirt Core 365 Mens Short Sleeve Twill Shirt $25.50 (XS-XL) $27.00 (2XL) $28.00 (3XL) $25.00 (S-XL) $27.00 (2XL) $28.00 (3XL) Carbon Burgundy Item #: LC18 R-Tek Stretch Fleece Beanie $9.50 Item #: LC19 Sport-Tek Flexfit Cool & Dry Poly Block Mesh Cap $15.00 Athletic Magnet Midnight Orange

7 Optional Embroidery Option #1: Adds $3.50 per item One color Option #2: Adds $6.50 per item One color Please note: If item is embroidered, it CANNOT be returned for any reason! Order Form Name: Phone #: Garment Item # Size Color Embroidery (yes or no) Item Cost (including embroidery) Total For Marketing Only: Order Date: Paid Via: Delivered On:

8 Payroll Deduct Form This deduction is for the purchase of clothing from LCHC s Company Store. I hereby authorize Lucas County Health Center to make a payroll deduction for my purchase in the amount of: $ ($10 minimum, $200 maximum) This amount is to be deducted over the next (circle): pay periods. I further understand that any outstanding balance at the end of my employment at Lucas County Health Center will be taken from my final paycheck. Employee ID number: Date: Employee Signature: For Accounting Only: PPE PPE PPE PPE Amount ($10.00 minimum) Amount ($10.00 minimum) Amount ($10.00 minimum) Amount ($10.00 minimum)