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00 Chicken Creole with Brown Rice Chicken Pasta Parmesan Choices can vary and a representative from the SSM Weight-Loss Institute will call to discuss your options. 12266 DePaul Drive Suite 310 St* Louis Missouri 63044 314-344-6800 Phone 314-344-6801 Fax ssmweightloss. com Date Previously Purchased Yes call to order 314-344-6799 email your order HMRFoodOrders aol*com No If no how did you hear about us Billing Address / Shipping Address Your Name Address City State Daytime Phone Number Description Zip Email Address Quantity Unit Price Total HMR AT HOME DIET KITS Health Solutions Quick Start Diet Kit HMR Healthy Shakes Diet Kit HMR ENTREES Chicken with Barbecue Sauce Cheese Basil Ravioli Vegetarian Varies PB2 POWDERED PEANUT BUTTER PB2 0. Five-Bean Casserole Vegetarian HMR SHAKES AND SOUP Lasagna with Meat Sauce A LA CARTE DIET FOOD ORDERS Mexican-Style Bean Beef Enchiladas Mushroom Risotto Vegetarian Pasta Fagioli Vegetarian Savory Chicken Steak Strips with Red Potatoes HMR 70 Plus Chocolate 18 serv* 45. 00 HMR 70 Plus Vanilla 18 serv* HMR 120 Chocolate 12 serv* 24. 50 HMR 120 Vanilla 12 serv* 42. 50 HMR 800 Vanilla 18 serv* 0. 00 Turkey Chili with Beans 0. 00 Vegetable Stew with Beef 40. 50 HMR 500 Chicken Soup 18 serv* 0. 00 HMR Multigrain Hot Cereal 18 serv* BENEFIT BARS Chocolate Chocolate Bar 24 bars 31. 20 Blueberry Bar 24 bars Honey Graham Bar 24 bars Peanut Butter Bar 24 bars HOT CEREAL SUBTOTAL All totals are subject to tax and some subject to delivery charges and discounts if applicable. The SSM WLI representative will review your total upon contact. SSM HEALTH CARE - ST. LOUIS WINNER OF Missouri Quality Award St* Louis Business Journal Best Places to Work Modern Healthcare Best Places to Work Premier QUEST High Performing Hospitals Cardinal Glennon Children s Medical Center DePaul Health Center St* Clare Health Center St* Joseph Health Center St* Joseph Hospital West St* Mary s Health Center Th rou g h ou r except ion a l he a lt h c a re se r v ice s we re ve a l t he he a l i n g p re s e nce of G od. 12266 DePaul Drive Suite 310 St* Louis Missouri 63044 314-344-6800 Phone 314-344-6801 Fax ssmweightloss. com Date Previously Purchased Yes call to order 314-344-6799 email your order HMRFoodOrders aol*com No If no how did you hear about us Billing Address / Shipping Address Your Name Address City State Daytime Phone Number Description Zip Email Address Quantity Unit Price Total HMR AT HOME DIET KITS Health Solutions Quick Start Diet Kit HMR Healthy Shakes Diet Kit HMR ENTREES Chicken with Barbecue Sauce Cheese Basil Ravioli Vegetarian Varies PB2 POWDERED PEANUT BUTTER PB2 0. Five-Bean Casserole Vegetarian HMR SHAKES AND SOUP Lasagna with Meat Sauce A LA CARTE DIET FOOD ORDERS Mexican-Style Bean Beef Enchiladas Mushroom Risotto Vegetarian Pasta Fagioli Vegetarian Savory Chicken Steak Strips with Red Potatoes HMR 70 Plus Chocolate 18 serv* 45. 00 HMR 70 Plus Vanilla 18 serv* HMR 120 Chocolate 12 serv* 24. 50 HMR 120 Vanilla 12 serv* 42. 50 HMR 800 Vanilla 18 serv* 0..

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