Name				Date:					

Address				Directions:					

Phone				Bin #'s					

Time Del. 				Payment Method	cash - check - mc/visa				

	In-Store Bakery				Grocery 				

Breads & Rolls				Condiments					

Cakes				Pickles/Olives					

Cookies				"Oils,Vinegars, Crisco"					

Pies				Soups					

Pastries/Muffins				Tunas/Canned Meat					

Other				Salad Dressing					

	Soda			Juice					

Pepsi				Candy/ Jarred Nuts					

Coke				Cold/Hot Cereals					

Adirondack				Cookies/Crackers					

Other				Syrup/Honey 					

				Pancake Mix					

	Water			Rice/Mac & Cheese					

Poland Spring Gal				Pasta					

Store Brand Gal				Pasta Sauces					

Sparkling				Canned Tom/Paste					

				Coffee/Tea					

				Sugar/Flour					

	Produce			Spices					

Lettuce				Jello & Puddings					

Cucumbers				Cake Mixes/Frosting					

Tomatoes				Canned Veggie/ Fruits					

Onions									

Potatoes - Loose				Cat/Dog Food					

Potatoes - 5lb				Litter					

Bananas				Soaps					

Apples				Dish Soaps					

Other				Cleaning Products					

				Stationary					

	Meat								

Chicken				Baby Formulas					

Beef				Baby Foods					

Pork				Diapers					

Bacon/ Hot Dogs				Trash Bags/Tin Foil					

Lamb				Paper Towels					

Other				Paper Tissue					

	Deli			Facial Tissues					

Cheese/ Prepack Cheese				Paper Plates/Cups					

Ham 					Frozen				

Bologna/ Hot Dogs				Ice Cream					

Roast Beef				Vegetables					

Turkey				Pizza					

Italian Meats/Loafs				Meals					

Salads				Juices					

Sandwiches				Frozen Fruits					

Hot Prepared Foods				Other					

Hot Soups					Dairy				

				Eggs					

	Liquor			Cheese/ Dips					

Wine				Yogurts/Pudding					

Liquor				Package Meats					

Beer				Butter					

Non Alcoholic				Sour Cream					

	Breads& 	Stuffings		Cottage Cheese					

Arnold				Pillsbury Rolls					

JJ Nissen					HBA				

Wonder				Cold Medicines					

Sweet Life				Toothpaste/ Brush					

Pepperidge Farm				Bandaides					

Sunbeam				Sanitary Napkins					

	Chip&Dip			Vitamins					

Potatoe Chips				Rubbing Alcohol					

Other(pretzels/poporn)				Light Bulbs					

				Vacuum Bags