All Is Safely Gathered In

Name Ward Stake

FAMILY HOME STORAGE CENTER PRODUCTS

Phone

Date

Longer-Term Storage Storage Life* (in years) 30 30 30 20 30 30 30 30 30 25 30 30 30 30 30 30 5 2 10 2

No. 10 Can Packaged by Customer** Number of Cans

Product Basics Beans, Black Beans, Pinto Beans, White Milk, Nonfat Dry Rice, White Sugar, Granulated Wheat, Hard Red Wheat, White Other Apple Slices Carrots Macaroni Oats, Quick Oats, Regular Onions, Dry Potato Flakes Spaghetti Shorter-Term Storage Beans, Refried Cocoa Mix, Hot Flour, White Fruit Drink Mix

Weight 5.5 lbs. 5.2 lbs. 5.3 lbs. 4.1 lbs. 5.7 lbs. 6.1 lbs. 5.8 lbs. 5.8 lbs. 1 lb. 2.8 lbs. 3.4 lbs. 2.6 lbs. 2.7 lbs. 2.4 lbs. 1.8 lbs. 4.3 lbs. 2.4 lbs. 5.8 lbs. 4.8 lbs. 6.1 lbs. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Price 4.55 4.70 4.25 8.60 3.85 4.50 3.50 3.50 5.70 8.30 4.30 2.50 2.50 6.90 3.25 4.95 4.30 9.90 3.40 8.50

Pouch Packaged by Customer*** Number of Pouches Weight Price 6.7 lbs. 6.2 lbs. 6.5 lbs. 5.0 lbs. 6.8 lbs. 7.1 lbs. 7.0 lbs. 7.0 lbs. 1 lb. 3.6 lbs. 4.0 lbs. 3.1 lbs. 3.3 lbs. 2.7 lbs. 2.3 lbs. 5.0 lbs. 2.8 lbs. 7.0 lbs. 5.5 lbs. 7.1 lbs. $ $ $ $ $ $ $ $ 5.05 5.10 4.70 9.95 4.05 4.80 3.75 3.75

Bulk Number of Packages Item Total $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Weight 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 15 lbs. 25 lbs. 20 lbs. 25 lbs. 25 lbs. 35 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. 25 lbs. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Price 16.80 18.55 16.00 47.20 13.00 15.00 11.45 11.45 72.55 66.40 20.25 15.95 15.35 88.20 33.30 23.85 35.90 38.95 13.30 31.30

$ 5.35 $ 10.10 $ 4.55 $ 2.50 $ 2.55 $ 7.35 $ 3.60 $ 5.30 $ 4.55 $ 11.40 $ 3.45 $ 9.40

* Storage life with proper packaging and storage in a dry place at or below 75 degrees F (24 degrees C). ** No. 10 can packaged by customer price includes product, can, lid, oxygen absorber, and label. A box and two plastic lids are included with every six cans. *** Pouch packaged by customer price includes product,pouch, oxygen absorber, and label. A box is included with every five pouches.

Prepackaged Items Product Pancake Mix, 4 lbs. Potato Pearls, 28 oz. Beans, Pinto, 5.2 lbs. Oats, Quick, 2.4 lbs. Rice, White, 5.4 lbs. Wheat, Hard Red, 5.5 lbs. Wheat, White, 5.5 lbs. Flour, White, 4.0 lbs. Starter Kit, 29.4 lbs. Price per Quantity Each Item Total $ 3.05 $ $ 4.25 $ $ 4.70 $ $ 2.50 $ $ 3.85 $ $ 3.50 $ $ 3.50 $ $ 3.40 $ $ 22.00 $

Bulk Packaging Materials Product #10 Dry Pack Can #10 Metal Lid for Sealing Can #10 Plastic Lid for Dry Pack Can Box for #10 Cans Box for Pouches Dry Pack Pouch Oxygen Absorber Oxygen Absorber Bag Clip Quantity Price per Each $ 0.75 $ 0.15 $ 0.10 $ 0.95 $ 1.25 $ 0.30 $ 0.10 $ 1.90 Item Total $ $ $ $ $ $ $ $

Labels available upon request; 1 per can or pouch; no charge

Sales tax will be charged where applicable. Call the home storage center for details. All items are not for resale. Prices are effective as of November 1, 2011, and are subject to change without notice. IRI. All rights reserved. 12/08. 71140. Revised Mar 2011.

Total before tax Tax (if applicable)

$ $ $

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Initials ________

Total after tax