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Order Form
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Name of Agency:

Contact Person:

Phone/Fax Number:

Delivery Date:

Program Number:

Delivery
Address:

Date of Order:
 

Code

Description

Pack Size

D.O.#

Quantity
A054 Asparagus, Fzn
12/2.5 lbs
A059 Green Beans
24/#300
A061 Green Beans
6/#10
A062 Blackeye Beans
24/#300
A070 Green beans, Frz
30 lb ctn
A079 Pinto Beans
6/#10
A082 Baby Lima Beans
6/#10
A083 Pink Beans
6/#10
A084 Blackeye Beans
6/#10
A085 Refried Beans
6/#10
A086 Kidney Beans
6/#10
A087 Red Bean Small
6/#10
A088 Northern Beans
6/#10
A089 Garbanzo Beans
6/#10
A090 Vegetarian Beans
24/#300
A091 Vegetarian Beans
6/#10
A100 Carrots
6/#10
A110 Corn Liq
6/#10
A119 Corn Kernel
24/#300
A129 Corn Cob
96 Ear cs
A130 Corn Frz
30lb ctn
A132 Asparagus Can
24/#300
A136 Asparagus Spears
12/15oz can
A140 Peas
6/#10
A144 Peas
24/#300
A160 Peas Frz
30lb ctn
A170 Potatoes Slc
24/#300
A174 Potatoes Wedges
6/5lb pkg
A196 Potatoes Dehy
12/1lb pkg
A204 Potatoe Rounds
6/5lb pkg
A210 Potatoe Oven
6/5lb pkg
A218 Veg Soup
24/#1
A220 Sweet Potatoe
6/#10
A222 Sweet Potatoe M
6/#10
A224 Sweet Potatoe Frz
6/5lb pkg
A236 Spaghetti Sauce
24/#300
A237 Salsa
6/#10
A239 Tomato Sauce
6/#10
A240 Tomatoes
24/#300
A241 Tomatoe Diced
6/#10
A243 Spaghetti Sauce
6/#10
A244 Tomatoe Sauce
24#300
A247 Tomatoes
6/#10
A252 Tomato Paste
6/#10
A257 English Walnut Pieces
30 lb ctn
A258 Syrup
12/24 pl btl
A259 Walnuts English Pieces
24/1 lb
A260 Frt-Nut Trail Mix
24/#1
A261 Frt-Nut Trail Mix
5/5lb pkg
A263 Almonds Roasted
12/2lb pkg
A264 Almonds Natural
12/2lb pkg
A279 Cran/Apple Juice
12/46 oz
A282 Apple Juice
12/46 oz
A286 Pineapple Juice
12/46oz
A288 Cranberry Sauce
6/#10
A289 Cranberry Dried
16/30 oz
A290 Tomato Juice
12/46 oz cans
A291 Cranberries Dried
5/5lb pkg
A294 Strawberry Sliced
6/6.5 Plastic Tubs
A299 Orange Juice
70/4OZ
A300 Orange Juice
12/46 oz
A301 Orange Juice Frz Conc
12/32 oz
A345 Apple Slices
6/#10
A346 Apple Slices Frz
30lb ctn
A350 Applesauce
6/#10
A351 Applesauce
24/#300
A353 Apricot Halves
24/#303
A358 Apricots
20 LB CTN
A360 Apricots
6/#10
A364 Cherries IQF
40lb ctn
A365 Cherries Frz
30lb ctn
A366 Blueberries Fzn
30 lb ctn
A369 Blackberries
30 lb ctn
A373 Raspberry, Red Puree
6/5.75lb pkg
A375 Strawberries Frz
30lb ctn
A380 Strawberries Sliced
30 lb ctn
A404 Mix Fruit
24/#300
A408 Peaches, Cling Slc
6/#10
A409 Peaches, Cling Dice
6/#10
A411 Peaches, Clingstone
24/#300
A416 Peaches, Diced
96/4.4 oz
A419 Peaches Slc Frz
12/2lb pkg
A422 Peaches Diced Frz
96/4oz
A424 Peaches Frz
20lb ctn
A431 Pear Halves
6/#10
A433 Pears Slc
6/#10
A434 Pears Diced
6/#10
A437 Pears
24/#300
A443 Pineapple Tidbits
6/#10
A444 Pineapple Crushed
6/#10
A446 Pineapple
24/#2
A448 Pineapple Chunks
6/#10
A470 Fruit Mix
6/#10
A471 Dates Whole
24/1 lb
A476 Figs, Dried
24/#1
A489 Prunes Dry Pitted
24/1lb
A500 Raisins
30lb ctn
A501 Raisins
24/15oz pkg
A502 Raisins
48/1 lb
A503 Chicken Whole Bagged
36-43 lb Ctn
A504 Raisins, Individual
144/1.33oz pkg
A507 Chicken Can
12/50oz
A515 Chicken Cut Up
40lb ctn
A516 Chicken Breaded
30lb ctn
A517 Chicken Diced
40lb ctn
A526 Chicken breaded 7pc
30lb ctn
A529 Turkey Whole
30-60lb ctn
A537 Turkey Roasts
32-48lb ctn
A545 Turkey Breast Sm
24-40 lb ctn
A546 Turkey Breast Lg
32-64 lb ctn
A548 Turkey Hams
40lb ctn
A549 Turkey Breast Deli
40lb ctn
A550 Turkey Breast Deli Smk
40lb ctn
A562 Chicken Can
24/29oz
A563 Chicken Fajita Strips
30lb ctn
A565 Turkey Taco Filling
30lb ctn
A568 Eggs Whole
6/5lb pkg
A575 Egg Mix
4/#10 ctn
A590 Beef Stew Chunky
24/24 oz
A608 Beef Fine Ground
40lb ctn
A609 Ground Beef
40 lb ctn
A610 Beef NJ, Can
24/29oz
A614 Roast Chuck
38-42 lb ctn
A616 Beef Patties, VPP
40lb ctn
A626 Beef Patties All Beef
40lb ctn
A627 Beef Patties Lean
40lb ctn
A630 Pork NJ
24/29oz
A651 Pork Sausage
40lb ctn
A669 Ham Cooked Water add
12/3lb
A672 Ham Roast
32-40lb ctn
A673 Ham Water added
36-44lb ctn
A680 Pork Taco Filling
4/10 lb
A683 Ham Water added
4/10lb ctn
A690 Pork Taco Filling
10/4 lb pkg
A691 Pork Sloppy Joe Mix
4/10 lb pkg
A693 Ham Frzn water added
40 lb ctn
A694 Ham Water Added Chilled
4/10 lb pkg
A706 Beef Frozen Homestyle
40 lb ctn
A717 Beef Crumbles
4/10 lb
A726 HAM FRZN SLICED
8/5LB CTN
A726
A742 Tuna can
6/66.5oz
A743 Tuna Can
24/12oz
A745 TUNA, LIGHT WATER
8/42 OZ POUCH
A803 Salmon
24/14.75oz
B020 Cheese Mozz Lite
8/6lb pkg
B027 Ched Rdu Fat She Ye
6/5lb pkg
B028 Ched Rdu Fat Shd Wh
6/5lb pkg
B031 Cheddar Shred Yellow
6/5lb pkg
B035 Mozzarella Lite
30lb ctn
B037 Mozzarella lite Shed
30lb ctn
B042 Mozzarella
8/6lb pkg
B059 Cheese, sliced
6/5lb pkg
B060 Cheese, Blocked
6/5lb pkg
B064 Cheese Loaf
6/5lb
B065 Cheese Sliced
6/5lb
B072 Cheddar Yellow
40 lb Block
B090 Milk NFD Instant
6/4lb pkg
B095 Milk NFD Instant
12/25.6oz
B114 NFD Milk Bulk
25Lb Bag
B119 Cheese Blend Slc
6/5lb pkg
B119 Skim Cheese American
6/5 lb
B142 Cornmeal
4/10lb pkg
B183 Flour All Purpose
4/10lb Bag
B190 Flour All Purpose
50lb Bag
B275 Flour Hard Wheat Baker
50lb Bag
B360 Flour Whole Wheat
50lb Bag
B367 Flour Mix
6/5lb pkg
B382 Grits
8/5lb pkg
B425 Macroni
24/1lb
B430 Macroni
20lb ctn
B435 Rotini
20lb bag
B445 Oats
12/3lb pkg
B450 Oats
50lb Bag
B473 Peanut Butter
6/5lb pkg
B474 Peanut Butter Smooth
12/18oz
B500 Peanuts Roasted
6/#10
B505 Rice Milled
25Lb Bag
B507 Rice Parboiled
25Lb Bag
B510 Rice Milled
24/2lb
B664 Soybean Oil
6/1 gal bottle
B666 Vegetable Oil
8/48oz
B670 Vegetable Oil
6/1 gal bottle
B685 Shortening Liquid
6/1 gal bottle
B720 Shortening Liquid
12/3lb can
B835 Spaghetti
12/2lb pkg
B840 Spaghetti
20lb ctn
B846 Corn Cereal
14/12oz pkg
B855 Cereal Corn & Rice
14/12 oz
B857 Cereal Rice
14/13.5 oz pkg
B880 Vanilla Pudding
48/3.5oz cups
B881 Pudding Chocolate
48/3.5 oz
B882 Choc & Vanilla Pudding
48/3.5oz cups

Please list below any commodities not listed on order form:

*SPECIAL INSTRUCTIONS

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Note: Minimum delivery is 20 cases/units
Deliveries of less than 20 cases/units will be charged the 20 case minimum

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