Print Form Item Quantity Description Price Price Gross ... Pack Size G170 Tuna Chunk Lite 2.09 6 oz 1 can G171 Tuna Solid White 2.89 6 oz 1 can G175 Sardines in oil 1.99 G176 Sardines in Water 1.99 G177 Sardines in oil S/B 2.79 G178 Sardines in Water S/B 2.79 G180 Salmon Pink 4.09 15 oz G183 Salmon Red 4.99 7.50 oz G185 Herrings Tibbits Matjes 6.50 G186 Herring tibbits in Wine 7.59 G200 Yogurt - Straw / Ban 1.29 8 oz 1 cup G201 Yogurt Blueberry 1.29 8 oz 1 cup G202 Yogurt - Vanilla 1.29 8 oz 1 cup G203 Yogurt - Plain 1.29 8 oz 1 cup G204 Yogurt - Peach 1.29 8 oz 1 cup G205 Yogurt - Coffee 1.29 8 oz 1 cup G206 Leben - Mixed Berry 1.29 6 oz 1 cup G207 Leben - Plain 1.29 6 oz 1 cup G208 Leben - Chocolate 1.29 6 oz 1 cup G220 Cheese American Singles White 6.00 16 oz 12 pc G221 Cheese American Singles Yellow 6.00 16 oz 12 pc G222 Cheese - Muenster Sliced 3.79 8 oz G223 Cheese -Mozzarella Shredded 4.59 8 oz G224 G225 Cheese - Edam Sliced Cheese - Swiss Sliced 3.79 6.99 8 oz G226 Cheese - Smoked Sliced 4.38 6 oz G240 Cream Cheese Whipped 4.79 8 oz G241 Cottage Cheese 3.35 1 pint G242 Farmers Cheese 3.55 8 oz G243 Sour Cream 3.35 1 pint G244 Butter 4.75 G245 Margarine 3.00 G265 Eggs 2.10 26 oz 1 dz G300 Red Horseradish 3.99 G301 Heart of Palm 4.00 G303 Half Sour Pickles 3.89 G304 Israeli Pickles 1.80 G305 Ketchup 3.04 G306 Mustard (style) 3.89 G307 Soy Sauce (style) 3.89 G310 Mayonaise 3.89 G311 Tomato Sauce 1.40 G312 Duck Sauce 3.50 G313 BBQ Sauce 3.09 G314 Borscht 2.59 G320 Strawberry Jam 3.99 G321 S/F Apricot Jam 5.00 G330 Balsamic Vinaigar 7.00 G331 Wine Vinegar 3.50 G335 Lemon Juice 3.50 G340 Chicken Soup Base 4.19 G343 Vegetable Soup Base.. 4.19 G350 Olive Oil G352 Vegetable Oil 6.00 G355 Pan Spray 5.99 G370 Black Pepper 2.25 G371 White Pepper 2.85 G372 Red Pepper Crushed 2.50 G373 Paprika 2.25 G374 Garlic Powder 2.25 G375 Onion Powder 2.25 G376 Salt 1.50 G377 Ground Cinnamon 2.25 G400 Coffee Instant 4.70 4 oz G401 Coffee Instant 7.05 7 oz G402 Decaf Instant 3.00 2 oz G403 Decaf Instant 7.25 7 oz G410 Tea Bags Vanilla 3.25 G411 Tea Bags Lemon Noni 6.25 G412 Tea Bags Fruit 3.25 32 oz 14.00 G413 G420 G421 G430 G431 Tea Bags Regular Sweet 'n' Low Sugar Hot Chocolate Mix Chocolate Syrup 2.60 3.00 4.75 3.35 3.15 G433 Raspberry Syrup 6.75 G434 Creamer Non dairy 3.00 16 oz G605 G606 Apple Juice Ind (4 pack) Apple Juice (64 oz) 2.70 2.95 4 pk 64 oz G610 Tomato Juice 2.45 46 oz G613 Prune Juice 3.99 46 oz G615 G620 Pineapple Juice Orange Juice 2.89 3.19 46 oz 46 oz G625 G630 Fruit Punch Ind Soda Lemon 0.65 3.09 2 lt G631 Soda Cherry 3.09 2 lt G632 G635 G637 G800 Soda Orange Soda Seltzer Soda Coke Chocolate Bar - D prailine 3.09 2.29 2.29 3.50 2 lt 2 lt 2 lt G801 G802 G803 G810 G811 G812 G813 G814 G820 G821 G822 G823 G830 G831 G832 G835 G836 Chocolate Bar - D truffle Chocolate Bar - D plain Chocolate Bar - D mocha Chocolate Bar - P prailine Chocolate Bar - P truffle Chocolate Bar - P plain Chocolate Bar - P mocha Chocolate Bar - P torino Raspberry Jells Marshmellows Candy Lolipops Candy Fruit Jello - Lemon Jello - Orange Jello - Raspberry Pudding - Chocolate Pudding - Vanilla 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.75 3.70 4.25 1.50 1.50 1.35 1.35 1.35 1.60 1.60 7 oz 2.75 oz 2.75 oz 2.75 oz 24 oz 24 oz G837 G840 G841 G850 Diet Jello - Raspberry Potato Chips Potato Chips Macaroons Coconut asst. 1.35 2.89 3.99 3.75 G860 Cereal Crispy O's Fruit 4.19 G861 G890 G895 G898 G899 G900 G905 G907 G909 G910 G911 G915 G916 G920 G921 G922 G925 G926 G927 G928 G930 G931 G935 G938 G939 G943 G944 Cereal Crispy O's Chocolate Matzoh Shmura Hand Matzoh Machine Matzoh Egg Matzoh Crackers Cutlery Kit - F, K, TS Plates - Dinner Plates - Salad Plates - Dessert Plates - Soupbowl Plates - Dessert Bowl Napkins - Dinner Napkins - Luncheon Cups - Hot Cups - Cold Cups - Juice Table Cloth Round - White Table Cloth Rectangle - White Table Cloth Round - Blue Table Cloth Rectangle - Blue Wrap Foil Wrap Plastic Trash Liners Tea Lights Shabbos Candles French Dressing PC Creamy Italian Dressing PC 2.75 oz 8 oz 14 oz 4.19 21.00 2.69 16 oz 3.99 12 oz 3.99 1 Sheet cut 1/4 ... 6.50 4.00 4.00 4.00 4.00 4.00 3.50 5.00 1.00 2.49 2.49 5.00 1 pc 4.00 1 pc 5.00 1 pc 4.00 1 pc 2.99 1.99 4.00 3.50 50 ct 4.59 6.10 200 6.10 200 Billing Information Date: Ordered By Name Address: City/State: Zip/Postal Code: Phone: Fax: Contact Name: Deliver To Villa Name Community Terra Verde La Isla Cell Phone: Payment Credit Card American Express Mastercard Visa Card Number: Expiration Date: Cardholder Name: Security Code I agree to pay the total, non refundable amount, plus tax (when applicable), for the items listed above, as well as any applicable delivery charges. To submit this form: Please save to your computer and email the saved file to [email protected]. Or, fax completed form to (305) 758 - 5805. Print Form
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