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Date: Cardholder’s Signature: Size Price 7 oz 7 oz 7 oz 7 oz 7 oz 7 oz 7 oz 7 oz Pkg Pkg 1 lb ½ lb 5.50 5.75 5.75 3.98 3.75 5.75 5.75 7.58 4.75 4.75 5.25 4.95 15 oz 9.2 oz 9 oz 9 oz 28 oz 28 oz 32 oz 28 oz 5 oz 4 oz 4 oz 4 oz 6 oz 11 oz 6 oz 20 oz 20 oz 20 oz 6 oz 6 oz 5.50 2.95 3.25 2.95 6.25 6.25 6.25 5.75 1.95 1.95 1.95 1.95 5.50 5.95 2.95 8.25 8.25 8.25 2.95 2.95 Qty Item PASTA Size Price Prince Spaghetti Prego Spaghetti Sauce Mickeyroni and Cheese Mickey Pasta 16 oz 10 oz 8.5 oz 16 oz 2.95 3.25 4.95 4.95 ICE CREAM Hagaan Daaz Vanilla Hagaan Daaz Chocolate Hagaan Daaz Strawberry Hagaan Daaz Raspberry Sorbet Hagaan Daaz Dulce De Leche Hagaan Daaz Chocolate Chocolate Chip Edy’s Mint Chocolate Chip Edy’s Cookies and Crème Nestle Crunch Dibs Nestle Mint Dibs I4 oz 14 oz 14 oz 14 oz 14 oz 14 oz 14 oz 14 oz 4 oz 9 oz 4.95 4.95 4.95 4.95 4.95 4.95 2.95 2.95 2.25 4.25 Each Each Each Each 1.29 1.29 1.29 1.29 PRODUCE Red Apples Green Apples Oranges Bananas Qty Item SNACKS Lays Potato Chips Lays Sour Cream and Onions Lays BBQ Chips Regular Ruffles Nacho Doritos Ranch Doritos Fritos Scoops Crunchy Cheetos Tostitos Kettle Classic Original Smart Food Popcorn Tostitos Mild Salsa Tostitos Salsa w/Queso – med Lays Ranch Dip Kraft French Onion Dip Saltines Wheat Thins Nilla Wafers Nutter Butters Keebler Graham Crackers Orville Redenbacher’s Microwave Popcorn Chip N Dale Peanut Brittle Chip N Dale Pretzels Chip N Dale Party Mix Chip N Dale Cheddar Mickey Crackers Chip N Dale Mountain Mix Chip N Dale Spicy Mickey Mix Chip N Dale Nature’s Trail Mix Chip N Dale Tropical Tiki Mix Minnie’s Bake Shop Character Cookies Minnie’s Bake Shop Graham Cookies Dole Peaches in Syrup MISCELLANEOUS Bowls Paper Plates 16 oz Plastic Cups Aluminum Foil Charcoal Styrofoam Cooler Ziploc Baggies – Quart Size Size Price 11.oz 10.5 oz 10.5 oz 10 oz 12 oz 12 oz 14.5 oz 8.5 oz 13 oz 8.5 oz 5 oz 15.5 oz 15 oz 15 oz 8 oz 4 oz 4 oz 3.5 oz 5.25 oz 5.25 oz 1 pk 10 oz 14 oz 6 oz 6 oz 10 oz 6 oz 10 oz 8 oz 7 oz 7