Personal Information












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Employment Desired










Education

Grammar School




YesNo

High School




YesNo

College




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Trade, Business, or Correspondence School




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General




Former Employers

Employer 1






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References

Reference 1





Reference 2





Reference 3





  • Size

    lb

    Identifier

    00000000040112

    SKU/UPC

    4011

  • Size

    ea

    Identifier

    00000000042253

    SKU/UPC

    4225

  • Size

    lb

    Description

    Approx. 3 lbs. Per Pack (3-4lbs.)

    Identifier

    00231464000002

    SKU/UPC

    23146400000

  • Size

    1 doz

    Description

    Grade A. Fresh eggs. Quality guarantee. Visit www.shurfineinspires.com for our unique, inspired recipes. United Egg Producers Certified: Produced in compliance with United Egg Producers' Animal Husbandry Guidelines. www.uspcertified.com. Product of USA.

    Identifier

    00011161462415

    SKU/UPC

    1116146241

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFRESH

  • Size

    ea

    Identifier

    00000000040532

    SKU/UPC

    4053

  • Size

    ea

    Identifier

    00000000040488

    SKU/UPC

    4048

  • Size

    gal

    Identifier

    00014000002124

    SKU/UPC

    1400000212

    Manufacturer

    Dean Foods Company

    Brand

    Borden

  • Size

    lb

    Identifier

    00000000040808

    SKU/UPC

    4080

  • Size

    lb

    Identifier

    00000000044998

    SKU/UPC

    4499

  • Size

    ea

    Identifier

    00000000040464

    SKU/UPC

    4046

  • Size

    lb

    Description

    Approx. 2.25lbs. Per Pack

    Identifier

    00200610000005

    SKU/UPC

    20061000000

  • Size

    ea

    Identifier

    00000000040624

    SKU/UPC

    4062

  • Size

    lb

    Identifier

    00000000040600

    SKU/UPC

    4060

  • Size

    lb

    Identifier

    00000000040723

    SKU/UPC

    4072

  • Size

    gal

    Identifier

    00014000002162

    SKU/UPC

    1400000216

    Manufacturer

    Dean Foods Company

    Brand

    Borden

  • Size

    ea

    Identifier

    00000000040686

    SKU/UPC

    4068

  • Size

    lb

    Identifier

    00000000040235

    SKU/UPC

    4023

  • Size

    16 oz

    Description

    naturipefarms.com. California CA grown. Product of USA.

    Identifier

    00812049005102

    SKU/UPC

    81204900510

    Manufacturer

    Naturipe Farms

    Brand

    Naturipe

  • Size

    lb

    Description

    Approx. 3.25 LB Per Pack

    Identifier

    00203249000002

    SKU/UPC

    20324900000

  • Size

    lb

    Description

    Please indicate in the "Notes" section 1 LB or 1.50 LB.

    Identifier

    00201691000007

    SKU/UPC

    20169100000

  • Size

    lb

    Identifier

    00201409000008

    SKU/UPC

    20140900000

  • Size

    lb

    Identifier

    00000000032834

    SKU/UPC

    3283

  • Size

    lb

    Description

    &nbsp

    Identifier

    00000000040228

    SKU/UPC

    4022

  • Size

    ea

    Description

    &nbsp

    Identifier

    00071430047002

    SKU/UPC

    7143004700

    Manufacturer

    Dole Fresh Vegetables

    Brand

    Dole

  • Size

    ea

    Identifier

    00000000031073

    SKU/UPC

    3107

  • Size

    ea

    Identifier

    00000000040785

    SKU/UPC

    4078

  • Size

    gal

    Description

    Borden® Fat Free Milk. Our farmers pledge: Not to use artificial growth hormones*. Grade A. Pasteurized. Homogenized. Vitamin A & D. Fat reduced from 8g to 5g per serving. One gal (3.78 L). *No significant difference has been shown in milk from cows treated with the artificial growth hormone rBST and non rBST treated cows. Borden and Elsie trademarks are used under license. Call 1-800-395-7004.

    Identifier

    00014000002209

    SKU/UPC

    1400000220

    Manufacturer

    Dean Foods Company

    Brand

    Borden

  • Size

    lb

    Identifier

    00000000041669

    SKU/UPC

    4166

  • Size

    lb

    Description

    Approx. 1.00lb Per Pack

    Identifier

    00201690000008

    SKU/UPC

    20169000000

  • Size

    lb

    Identifier

    00000000031516

    SKU/UPC

    3151

  • Size

    lb

    Description

    Approx. 3 LB per Roast

    Identifier

    00201087000000

    SKU/UPC

    20108700000

  • Size

    1/2 gal

    Description

    Vitamin A & D. 37% less fat than regular milk. Fat reduced from 8 g to 5 g. Grade A. Pasteurized. Homogenized. Gluten free. Happy holidays! Our farmers pledge no artificial growth hormones (No significant difference has been shown in milk from cows treated with the artificial growth hormone rbST and non rbST treated cows). Backed by our five point purity promise. $1.00 off any half gallon of McArthur Egg Nog. See back for details. www.dairypure.com. Comments? 1-800-395-7004.

    Identifier

    00041900076634

    SKU/UPC

    4190007663

    Manufacturer

    Dean Foods

    Brand

    McArthur Dairy

  • Size

    ea

    Identifier

    00000000048897

    SKU/UPC

    4889

  • Size

    lb

    Identifier

    00000000048187

    SKU/UPC

    4818

  • Size

    lb

    Identifier

    00000000041591

    SKU/UPC

    4159

  • Size

    lb

    Description

    Please indicate in the "Notes" section 1/3 LB or 1/4 LB Patties.

    Identifier

    00201683000008

    SKU/UPC

    20168300000

  • Size

    pint

    Identifier

    00033383655857

    SKU/UPC

    3338365585

  • Size

    lb

    Identifier

    00000000040877

    SKU/UPC

    4087

  • Size

    lb

    Description

    &nbsp

    Identifier

    00000000046640

    SKU/UPC

    4664

  • Size

    each

    Identifier

    00000000044325

    SKU/UPC

    4432

  • Size

    5 oz

    Description

    The best tuna. Heart healthy omega-3 (Supportive but not conclusive research shows that consumption of EPA and DHA omega-3 fatty acids may reduce the risk of coronary heart disease. One serving of light tuna in water provides 0.1 grams of EPA and DHA omega-3 fatty acids. See nutrition information for total fat, saturated fat and cholesterol content.). Naturally 99% fat free. High in protein. Find great recipes at: www.chickenofthesea.com. Send product comments to (include number from your can): Chicken of the Sea International, Consumer Affairs, PO Box 85568, San Diego, CA 92186-5568. 100% recyclable packaging. Wild caught. Dolphin safe. Product of Thailand.

    Identifier

    00048000002457

    SKU/UPC

    4800000245

    Manufacturer

    Chicken Of The Sea

    Brand

    Chicken of the Sea

  • Size

    lb

    Description

    Approx. 2 lb per Pack

    Identifier

    00206013000000

    SKU/UPC

    20601300000

  • Size

    7.25 oz

    Description

    Smmmile, it's the cheesiest! The Taste You Love: no artificial flavors; no artificial preservatives; no artificial dyes. Per 1/2 Box (Unprepared): 250 calories; 1.5 g sat fat (8% DV); 570 mg sodium (24% DV); 6 g sugars. See nutrition facts panel for as prepared. Even More Reasons to Love it: This box of Kraft macaroni & cheese dinner may look simple, but it actually contains some extraordinary things. Inside you'll find happy childhood memories, tons of blissful smiles, and our delicious elbow macaroni waiting to be covered with gooey, cheesy goodness. And now, there are a few things you won't find. Our mouthwatering mac and cheese now contains no artificial flavors, preservatives, or dyes. Of course, it still has the great taste you know and love, which means you can happily devour it bite by bite, until your bowl contains nothing at all. kraftmacandcheese.com. This product sold by weight; not volume. Some settling of contents may have occurred during handling. Visit us at: Kraftheinzcompany.com. 1-800-847-1997. Please have package available. Carton made from 100% recycled paperboard. Minimum 35% post-consumer content.

    Identifier

    00021000658831

    SKU/UPC

    2100065883

    Manufacturer

    Kraft Heinz Foods Company

    Brand

    Kraft

  • Size

    lb

    Identifier

    00000000046886

    SKU/UPC

    4688

  • Size

    lb

    Identifier

    00000000940115

    SKU/UPC

    94011

  • Size

    18 ct

    Identifier

    00011161464082

    SKU/UPC

    1116146408

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFRESH

  • Size

    16 oz

    Description

    USDA Officially Graded: US grade AA when graded. Packed under inspection of the US Dept of Agriculture. Quality satisfaction guaranteed. www.shurfinebrand.com. Measurements: 1 stick = 1/2 cup; 1 lb = 2 cups. Made in the USA.

    Identifier

    00015400834889

    SKU/UPC

    1540083488

    Manufacturer

    Western Family Foods

    Brand

    Shurfine

  • Size

    10.75 oz

    Description

    90 calories per 1/2 cup. Paris International Exposition: 1900. CampbellsKitchen.com. Recipes are a click away. Satisfaction guaranteed. If you have questions or comments, please call 1-800-257-8443. Please have code and date information from container. Visit Our Website at: www.campbellsoup.com. Steel - Please recycle where facilities available. For More Recipes, Visit: Campbell'sKitchen.com. Partially produced with genetic engineering. For information about GMO ingredients visit WhatsinMyFood.com. whatsinmyfood.com. Cooked with care in the USA.

    Identifier

    00051000000118

    SKU/UPC

    5100000011

    Manufacturer

    Campbell Soup

    Brand

    Campbells

  • Size

    lb

    Identifier

    00000000040655

    SKU/UPC

    4065

  • Size

    lb

    Description

    Approx. 1.0lb Per Pack

    Identifier

    00201674000000

    SKU/UPC

    20167400000

  • Size

    ea

    Description

    www.taproduce.com. Produce of USA.

    Identifier

    00000000040617

    SKU/UPC

    4061

    Manufacturer

    Tanimura & Antle

    Brand

    Tanimura & Antle

  • Size

    1 pk

    Description

    &nbsp

    Identifier

    00033383666020

    SKU/UPC

    3338366602

    Manufacturer

    Bolthouse Farms

    Brand

    VM Bolthouse

  • Size

    lb

    Description

    Approx. 2.5 LB per Pack

    Identifier

    00201090000004

    SKU/UPC

    20109000000

  • Size

    8 oz

    Description

    Scan code for recipes & more! www.cfmushroom.com. ChooseMyPlate.gov. Product of USA.

    Identifier

    00033383675008

    SKU/UPC

    3338367500

    Manufacturer

    Country Fresh Mushroom

    Brand

    Country Fresh Mushroom

  • Size

    lb

    Identifier

    00000000041355

    SKU/UPC

    4135

  • Size

    lb

    Description

    Approx. 3 LB per Pack

    Identifier

    00203282000007

    SKU/UPC

    20328200000

  • Size

    lb

    Identifier

    00000000040679

    SKU/UPC

    4067

  • Size

    8 oz.

    Description

    &nbsp

    Identifier

    00033383676005

    SKU/UPC

    3338367600

    Manufacturer

    Country Fresh Mushroom

    Brand

    Country Fresh Mushroom

  • Size

    1 doz

    Description

    Fresh eggs. Quality guarantee. Visit www.shurfineinspires.com for our unique, inspired recipes. United Egg Producers Certified: Produced in compliance with United Egg Producers' Animal Husbandry Guidelines. www.uspcertified.com. Product of USA.

    Identifier

    00011161462392

    SKU/UPC

    1116146239

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFRESH

  • Size

    lb

    Description

    Average Weight Approx. 1.5 lb

    Identifier

    00201144000004

    SKU/UPC

    20114400000

  • Size

    lb

    Identifier

    00000000040693

    SKU/UPC

    4069

  • Size

    12 oz

    Description

    Hot diggity dog! Per 1 Bun Serving: 110 calories; 0 g sat fat (0% DV); 230 mg sodium (9% DV); 3 g sugars. To download our inspiring recipes visit www.shurfineinspires.com. Quality guarantee.

    Identifier

    00011161448822

    SKU/UPC

    1116144882

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFRESH

  • Size

    1/2 gal

    Description

    Tuscan® Dairy Farms® Dairy Pure® Fat Free Milk. Fat free. Since 1918. Our farmers pledge no artificial growth hormones*. Backed by our: 5 - Five Point Purity Promise™. Vitamin A & D. Half gallon (1.89L). Grade A. Pasteurized. Homogenized. www.dairypure.com. Gluten free. Comments 1-800-395-7004. Plant # stamped above. *No significant difference has been shown in milk from cows treated with the artificial growth hormone rbST and non rbST treated cows.

    Identifier

    00041900077044

    SKU/UPC

    4190007704

    Manufacturer

    Dean Foods Company

    Brand

    Tuscan Dairy Farms

  • Size

    8 oz

    Description

    Toss with creamy Italian dressing and serve on your favorite sandwich. Salad Guide: Taste: 1; Texture: 3. Throughly washed; preservative free; all natural. Excellent source of vitamin K. Dole shredded lettuce is an excellent source of vitamin K which helps promote bone health. Produce of USA.

    Identifier

    00071430010655

    SKU/UPC

    7143001065

    Manufacturer

    Dole

    Brand

    Dole

  • Size

    ea

    Identifier

    00000000040761

    SKU/UPC

    4076

  • Size

    ea

    Identifier

    00000000040129

    SKU/UPC

    4012

  • Size

    ea

    Identifier

    00000000031103

    SKU/UPC

    3110

  • Size

    lb

    Description

    Approx. 1.00 LB per Pack

    Identifier

    00201328000004

    SKU/UPC

    20132800000

  • Size

    12 oz

    Identifier

    00011161448839

    SKU/UPC

    1116144883

  • Size

    8 oz

    Description

    &nbsp

    Identifier

    00033383675640

    SKU/UPC

    3338367564

    Manufacturer

    Country Fresh Mushroom

    Brand

    Country Fresh Mushroom

  • Size

    1 gal

    Description

    Vitamin A & D. 37% less fat than regular milk. Happy holidays! Our farmers pledge. No artificial growth hormones (No significant difference has been shown milk from cows treated with the artificial growth hormone rBST and non rBST treated cows). Gluten free. Grade A. Pasteurized. Homogenized. 2% milkfat. Fat reduced from 8 g to 5 g. Backed by our five point purity promise. $1.00 off. Any half gallon of McArthur Egg Nog. www.dairypure.com. Comments? 1-800-395-7004.

    Identifier

    00041900076610

    SKU/UPC

    4190007661

    Manufacturer

    Dean Foods

    Brand

    McArthur Dairy

  • Size

    128 oz

    Identifier

    00015400859844

    SKU/UPC

    1540085984

    Brand

    SHURFINE

  • Size

    lb

    Identifier

    00000000040822

    SKU/UPC

    4082

  • Size

    ea

    Identifier

    00000000040303

    SKU/UPC

    4030

  • Size

    1 pk

    Description

    Grimmway Farms® Whole California Carrots. Fresh & crunchy. Net Wt 32 oz (2 lb) 907 g. For more information and recipe ideas Call 1-800-301-3101 or Visit our website at www.grimmway.com.

    Identifier

    00033383660011

    SKU/UPC

    3338366001

    Manufacturer

    Grimmway Farms

    Brand

    Grimmway Farms

  • Size

    16 oz

    Description

    Seafood done butter! Real. Per 1 Tbsp Serving: 100 calories; 7 g sat fat (36% DV); 90 mg sodium (4% DV); 0 g sugars. Quality Guarantee: If you are not 100% satisfied, return our product for a full refund. Gluten free. Featured Recipe: Seared Halibut with Buttery Pepper and Leek Sauce. To download our inspiring recipes visit www.shurfineinspires.com. USDA: US grade AA when graded. Packed under inspection of the US Department of Agriculture. Officially graded. Product of USA.

    Identifier

    00011161462316

    SKU/UPC

    1116146231

    Manufacturer

    Topco

    Brand

    Shurfine

  • Size

    8 oz

    Description

    &nbsp

    Identifier

    00070475656095

    SKU/UPC

    7047565609

    Manufacturer

    GIORGIO FOODS, INC.

    Brand

    GIORGIO

  • Size

    lb

    Description

    In "Add Note" box please put if you would like a quarter or half melon. Average Weight 2.00 LB

    Identifier

    00202005000003

    SKU/UPC

    20200500000

  • Size

    lb

    Identifier

    00000000040938

    SKU/UPC

    4093

  • Size

    16 oz

    Identifier

    00060207050062

    SKU/UPC

    6020705006

    Manufacturer

    Westmoreland Sales

    Brand

    TomLine Farms

  • Size

    1/2 gal

    Description

    Garelick Farms® Dairy Pure® 1% Lowfat Milk. Since 1931. Our farmers pledge: No artificial growth hormones*. Backed by our five point purity promise.™ Vitamin A & D. Half gallon (1.89 L). Grade A. Pasteurized. Homogenized. Gluten free. *No significant difference has been shown in milk from cows treated with the artificial growth hormone rbST and non rbST treated cows. Comments Call: 1-800-395-7004. Visit: www.dairypure.com.

    Identifier

    00041900076818

    SKU/UPC

    4190007681

    Manufacturer

    Dean Foods Company

    Brand

    Garelick Farms

  • Size

    lb

    Description

    Approx. 2.5lbs Per Pack

    Identifier

    00203343000007

    SKU/UPC

    20334300000

  • Size

    6-12 oz

    Description

    &nbsp

    Identifier

    00051460514606

    SKU/UPC

    5146051460

    Manufacturer

    New Glarus Brewing

    Brand

    New Glarus

  • Size

    3 lb

    Description

    &nbsp

    Identifier

    00033383600024

    SKU/UPC

    3338360002

    Manufacturer

    Produce

    Brand

    Produce

  • Size

    lb

    Description

    Approx. 3 LB per Pack

    Identifier

    00201088000009

    SKU/UPC

    20108800000

  • Size

    1.75 oz

    Identifier

    00016781012279

    SKU/UPC

    1678101227

  • Size

    1 doz

    Description

    Fresh eggs. Grade A. United Egg Producers Certified: Produced in compliance with United Egg Producers' Animal Husbandry guidelines. www.uepcertified.com. Quality guarantee. Visit www.shurfineinspires.com for our unique, inspired recipes. Product of USA.

    Identifier

    00011161464006

    SKU/UPC

    1116146400

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFRESH

  • Size

    12 oz

    Description

    Carrots for quick cooking. No preservatives. Microwaveable Bag: quick; easy; convenient. Now in microwaveable bag. Cooked: honey-glazed, stir-fries, pot roasts, stews, casseroles, pasta dishes and more! Fresh: with dips, hummus, party trays, snacks, pasta salads, green salads, and more! Visit our website at: www.bolthouse.com. For questions, comments, recipes or health benefit information please call 1-800-467-4683, 9am to 4pm pacific time. Recycle. Product of USA.

    Identifier

    00071464180959

    SKU/UPC

    7146418095

    Manufacturer

    Bolthouse Farms

    Brand

    Bolthouse Farms

  • Size

    1 pk

    Description

    Heavenly salad tomatoes. Tomatoes raised right. www.naturesweet.com. Product of Mexico.

    Identifier

    00751666770058

    SKU/UPC

    75166677005

    Manufacturer

    NatureSweet

    Brand

    NatureSweet

  • Size

    lb

    Identifier

    00000000040730

    SKU/UPC

    4073

  • Size

    16 oz

    Description

    &nbsp

    Identifier

    00033383660004

    SKU/UPC

    3338366000

    Manufacturer

    Campbell Soup

    Brand

    Green Giant

  • Size

    lb

    Identifier

    00207869000008

    SKU/UPC

    20786900000

  • Size

    each

    Description

    Includes Tommy Atkins, Kent, Palmer, Vandyke, Edward and Hayden

    Identifier

    00000000040518

    SKU/UPC

    4051

  • Size

    24pk 16.9 oz

    Description

    Shurfine - committed to quality. Satisfaction guaranteed or your money back. If for any reason you're not satisfied, return our product for a full refund.

    Identifier

    00011161115489

    SKU/UPC

    1116111548

    Manufacturer

    SHURFINE INTERNATIONAL INC

    Brand

    SHURFINE

  • Size

    lb

    Description

    Approx. 3.5 lb per Pack

    Identifier

    00206032000005

    SKU/UPC

    20603200000

  • Size

    14 oz

    Description

    Pre-sliced, bakery fresh. An American favorite! 130 calories, 0 g sat fat (0% DV), 200 mg sodium (8% DV), 4 g sugars per 1 bun serving. Quality Guarantee: Our bakery products retain their best quality if stored at room temperature. For best results, please use by date on package. We are committed to providing you with quality products and welcome your questions and comments. The only buns worthy of the Ball Park name, Ball Park Buns know how to turn summer grilling into a celebration. Our bakery-fresh taste and soft texture brings out the very best in your hamburgers. Nothing says summer like long days, warm nights - and an American favorite bun. Shouldn't the perfect hamburger deserve the perfect bun? www.ballparkbuns.com. Product of Mexico.

    Identifier

    00050400739420

    SKU/UPC

    5040073942

    Manufacturer

    Bimbo Bakeries

    Brand

    Ball Park

  • Size

    lb

    Description

    Approx. 4 LB per Pack

    Identifier

    00203188000002

    SKU/UPC

    20318800000

  • Size

    lb

    Description

    Approx. 1 LB per Pack

    Identifier

    00203551000004

    SKU/UPC

    20355100000

  • Size

    gallon

    Description

    Borden® Vitamin D Milk. Grade A. Pasteurized. Homogenized. One Gal (3.78 L). Our farmers pledge. Not to use artificial growth hormones*. *No significant difference has been shown in milk from cows treated with the artificial growth hormone rBST and non rBST treated cows. Borden and Elsie trademarks are used under license. Comments 1-800-395-7004.

    Identifier

    00014000001042

    SKU/UPC

    1400000104

    Manufacturer

    Dean Foods Company

    Brand

    Borden

  • Size

    16 oz

    Description

    Traceable to family farms. Up to 1% retained water. Vegetable & grain fed. No antibiotics - ever. American Humane certified. Inspected for wholesomeness by US Department of Agriculture. Raising goodness. Our mission is good food for more people. To fuel your passions and a healthier future. And it all starts with our chickens. Visit JustBareChicken.com to discover the benefits of Just Bare. Get recipes, learn where your chicken was raised, and see how we care for our animals and planet. 100% Goodness Guarantee: Our promise of goodness is simple. 100% satisfaction. Every package. Or your purchase value back. Contact us: Bare Care Line: 1-877-328-2838 (8 AM-4:30 PM Central time). Join us: Facebook; Twitter; Pinterest. Gluten free. More on American Humane Certified at HumaneHeartland.org. No added hormones. Federal regulation prohibits the use of hormones in poultry. Please check your local recycling site requirements before attempting to recycle tray. Hatched, raised and harvested in the USA.

    Identifier

    00024105590051

    SKU/UPC

    2410559005

    Manufacturer

    GNP Farms

    Brand

    Just Bare