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FORM FOR CHARITY AND PRODUCT
Pharmaprix Daniel Mongrain
New Roots Herbal Customer # 2611
Date Auto ship
Counted Collected
Charity Q1 Q2 Charity Q1 Q2
Local Charity (or 2nd national) The Salvation Army
Action Against Hunger Sierra Club Canada
Canadian Parks and Wilderness Unicef
David Suzuki Foundation World Wildlife Fund
Food Banks Canada Oxfam Quebec
Habitat for Humanity
Product Code Q1 Q2 Product Code Q1 Q2
ACIDOPHILUS ULTRA 11 BILLION PLUS 495 D.M.S.A. (40 CAPSULES) 800
ADRENAL 200 MG WITH PEPPERMINT 1347 DAMIANA 836
ALFALFA 1012 DAMIANA HERB (LIQUID EXTRACT) 625
ALLER-G (LIQUID EXTRACT) 649 DANDELION ROOT & CELERY 835
ALPHA LIPOIC 1378 DANDELION ROOT (LIQUID EXTRACT) 626
ALPHA LIPOIC ACID 289 DEVIL'S CLAW 834
AMINO-MIX 1167 DEVIL'S CLAW ROOT (LIQUID EXTRACT) 627
ANTI-INFLAMMA 1285 DIGESTIVE ENZYMES 224
ASTRAGALUS 8000 1157 DMG 962
ASTRAGALUS ROOT (LIQUID EXTRACT) 621 DONG QUAI 388
AUTHOR! BRAVO!! CREATIVE (LIQUID EXTRACT) 650 DONG QUAI ROOT (LIQUID EXTRACT) 628
B1 917 D-RIBOSE POWDER 294
B12 916 ECHINACEA ROOT 269
B2 905 ECHINACEA ROOT (LIQUID EXTRACT) 629
B3 NIACIN SYNERGISTIC 980 ECHINACEA-GOLDEN SEAL (LIQUID EXTRACT) 651
B5 PANTOTHENIC ACID 909 ECHINACEA-OSHA ROOT (LIQUID EXTRACT) 652
B6 911 ENERGY 937
BEE POLLEN 1412 EVENING PRIMROSE OIL 804
BENTONITE 99.75% MONTMORILLONITE WHITE 15 EVERGREENS 19
BETA CAROTENE 25,000 I.U. 774 EXCELLENT PURIFIANT CLEANSE 132
BLACK COHOSH EXTRACT 777 EYEBRIGHT 833
BLACK CUMIN SEED OIL 945 F.O.S. FRUCTO-OLIGOSACCHARIDES (POWDER) 988
BLACK WALNUT HULL (LIQUID EXTRACT) 623 FEMINA FLORA 1065
BLACK WALNUT LEAVES & HULLS 841 FENNEL SEED 832
BLOOD SUGAR BALANCE 1086 FEVERFEW-CLEMATIS (LIQUID EXTRACT) 653
BODY MUSCLE MASSAGE (LOTION) 1198 FLAX SEED OIL CERTIFIED ORGANIC 590
BODY REJUVENATION KIT 802 FOLIC ACID 1423
BODY REJUVENATION PROGRAM STEP 1 799 FORSIGHT 332
BORAGE OIL ORGANIC 882 FREEDOM "C" ESSENCE (POWDER) 708
BORON 436 GARLIC ODOURLESS 778
BROMELAIN, ULTIMATE 238 GERMANIUM GE-132 764
CALCIUM & MAGNESIUM (LIQUID) 265 GINGER 830
CALCIUM ASCORBATE 239 GINKGO BILOBA 60 MG 790
CALCIUM ASCORBATE (POWDER) 30 GINKGO LEAF (LIQUID EXTRACT) 630
CALCIUM CITRATE + VIT. D3 282 GINSENG PANAX 10% 780
CALCIUM CORAL (LIQUID) 327 GINSENG SIBERIAN 0.8% 779
CALCIUM-MAGNESIUM CITRATE 1216 GINSENG SWING (LIQUID EXTRACT) 654
CANDIDA STOP 21 GLUCOSAMINE SULFATE 862
CAPRYLIC ACID PLUS 941 GLUTAMIC ACID 671
CAPSICUM 840 GLUTATHIONE REDUCED 599
CARPAL TUNNEL 1180 GOLDEN SEAL (LIQUID EXTRACT) 631
CASCARA SAGRADA 839 GOLDEN SEAL 806
CAT'S CLAW BARK (LIQUID EXTRACT) 624 GOTU KOLA ORGANIC 829
CHILL PILLS 1277 GRAPEFRUIT SEED (LIQUID CONCENTRATE) 141
CHITOSAN 95% 275 GRAPEFRUIT SEED EXTRACT (LIQUID CONCENTRATE) 142
CHLORELLA 264 GRAPESEED EXTRACT 1203
CHLORELLA (POWDER) 136 GREEN BLACK WALNUT HULLS 997
CHLOROPHYLL FROM ALFALFA (LIQUID EXTRACT) 782 GREEN TEA 781
CHO-LESS-TERIN WITH BETA-SITOSTEROLS 1275 GREENS FREEDOM 709
CHONDROITIN SULFATE 279 GREENS FREEDOM (POWDER) 939
CHONDROITIN-GLUCOSAMINE 305 GREENS FREEDOM MINT (POWDER) 952
CHROMIUM PICOLINATE 444 GREENS IMMUNE (POWDER) 604
CITRUS BIOFL. + HESPERIDIN 240 GUGGLE STERONES 2.5% 853
CLEAN ARTERIES 1170 HAPPY SKIN (LIQUID EXTRACT) 657
CLEAN FLOW 1079 HAWTHORN BERRY 828
CLOVES 250 HEART SMART OLIVE OIL 1399
COCONUT OIL 1184 HEART SMART SAFFLOWER OIL 1395
CO-ENZYME Q10 288 HEART SMART SUNFLOWER OIL 1247
COLOSTRUM (POWDER) 872 HEAVY METAL BLOCKADE 801
COLOSTRUM 283 HOMOCYSTEINE 1177
CRANBERRY 1051 HORNY GOAT WEED 847
CREATINE POWDER 619 HORSETAIL 827
CURCUMIN 1154 HOSPITAL BACTERIA DEFENCE 1 BILLION 1101
Product Code Q1 Q2 Product Code Q1 Q2
HOSPITAL BACTERIA DEFENCE 5 BILLION 1103 RASPBERRY LEAF 639
I.M.M.X. IMMUNE 342 RED BEET ROOT 824
IMMUNZA CHILDREN (LIQUID EXTRACT) 660 RED CLOVER BLOSSOMS 823
IMMUNZA NATURAL (LIQUID EXTRACT) 659 RED CLOVER ISOFLAVONES 40% 1350
INDOLE-3-CARBINOL 1151 RED RASPBERRY LEAF 822
INFLA-HEAL PLUS 1244 RESPIRA FREE (LIQUID EXTRACT) 672
JOINT-TISSU 689 ROMANCING (LIQUID EXTRACT) 673
KELP 807 S.O.D. FORMULA 765
KELP 314 SARSAPARILLA 844
KID-NY 1346 SAW PALMETTO FRUIT (LIQUID EXTRACT) 641
L-ARGININE 1018 SAW PALMETTO, ULTRA-MALE 160 MG 60 SOFTGELS 717
L-CYSTEINE 125 SELENIUM 808
L-GLUTAMINE (POWDER) 867 SERRA-PLEX SERRATIOPEPTIDASE 90,000 1148
L-GLUTAMINE 90 SERRATIOPEPTIDASE 75,000 1263
L-HISTIDINE 196 SHARK CARTILAGE 218
LICORICE ROOT 826 SIBERIAN GINSENG ROOT (LIQUID EXTRACT) 642
LICORICE ROOT (LIQUID EXTRACT) 633 SIMPLY SPIRULINA 212
LIVER - MILK THISTLE 206 SLIMMER SYSTEM 1212
LIVER-MILK THISTLE (LIQUID EXTRACT) 661 SMART GINKGO 208
L-LYSINE 252 SODIUM ASCORBATE 870
L-METHIONINE 148 SOY ISOFLAVONES CERTIFIED ORGANIC 419
LOWERS CHOLESTEROL 1340 SPIRITS GLIDER (LIQUID EXTRACT) 674
L-TAURINE 89 SPIRULINA & CHLORELLA 214
L-TYROSINE 1020 SPIRULINA SIMPLY 684
LYMPHSTREAM (LIQUID EXTRACT) 662 SPORTS MARATHONER (LIQUID EXTRACT) 675
796
M.S.M. METHYL-SULFONYL METHANE 100% PURE (POWDER) SPRINGLIFE 13
MAGNESIUM BISGLYCINATE 1390 ST. JOHN'S WORT EXTRACT 643
MAGNESIUM CITRATE & L-TAURINE 903 STEROLS & STEROLINS 1191
MALE ORDER (LIQUID EXTRACT) 663 STEROLS & STEROLINS CHILDREN 1223
MELATONIN 1016 STEROLS & STEROLINS CHOLESTEROL 223
MENOPEACE 232 STEVIA LEAF GREEN (POWDER) 589
MENSES PARTNER (LIQUID EXTRACT) 665 STEVIA SUGAR SPOONABLE (POWDER) 1070
MILK THISTLE SEED (LIQUID EXTRACT) 634 STEVIA SWEETLEAF (LIQUID EXTRACT) 267
MOLYBDENUM RICE CHELATED 846 STEVIA WHITE POWDER CONCENTRATE 164
MORNING LIFE (LIQUID) 889 STOMACH 1181
MOTHERWORT HERB (LIQUID EXTRACT) 635 STOP SMOKING 242
MSM & JOINT-TISSUS 278 STRESS GUARD (LIQUID EXTRACT) 676
MSM 795 STRONG BONES 297
MSM CREAM 285 SUMA 481
MULTI-MAX 963 SUPER FIBER 100% PSYLLIUM HUSKS 7
MULTI-MAX IMMUNE 1236 SUPER FIBER 100% PSYLLIUM HUSKS IN BULK 60
MUM MA MILKSTREAM (LIQUID EXTRACT) 666 SUPER FIBER PLANTAGO (POWDER) 165
N-ACETYL-CYSTEINE 301 SUPER FIBER PLANTAGO + F.O.S (POWDER) IN BULK 58
NETTLES HERB (LIQUID EXTRACT) 636 SUPER IMMUNE STEROLS & STEROLINS 1195
NIGHT PILLOW (LIQUID EXTRACT) 668 SUPER IRON 970
OLIVE LEAF EXTRACT 1011 THYMUS 243
OMEGA 3-6-9 WILD ORGANIC 876 THYROSYN 60CAPSULES 811
OREGANO + ANTIOXIDANT 1353 TOCOTRIENOLS 965
OREGANO, WILD (LIQUID) 1233 TRIBULUS TERRESTRIS 277
OSHA ROOT (LIQUID EXTRACT) 637 ULTRA B COMPLEX 899
PANCREAS CONCENTRATE, RAW 887 ULTRA B COMPLEX FLUSH FREE 600
PANCREATIN 17 ULTRA FIBRE PSYLLIUM HUSKS 396
PANTOTHENIC ACID 1407 ULTRA IRON 971
PASSION FLOWER HERB (LIQUID EXTRACT) 638 ULTRA PURIFIANT CLEANSE 133
PAU D'ARCO 124 ULTRA STRESS B COMPLEX + VIT. C 901
PAU D'ARCO (TEABAGS) 24 ULTRA-MAX PLUS F.O.S. (POWDER) 56
PAU D'ARCO HEPTAPHYLLA (LIQUID EXTRACT) 26 USNEA LICHEN (LIQUID EXTRACT) 644
PHOSPHATIDYLSERINE 693 UVA URSI 820
PHYTOMAX DRINK (POWDER) 854 UVA URSI LEAF (LIQUID EXTRACT) 645
PLANT DIGESTIVE ENZYMES 1310 VALERIAN ROOT (LIQUID EXTRACT) 646
PMS BOTANICAL (LIQUID EXTRACT) 669 VALERIAN ROOT ORGANIC 819
PMS RELIEF 233 VITAMIN B3 FLUSH FREE 907
POTASSIUM HVP CHELATE 1328 VITAMIN B3 NIACIN 908
PREVENT 1145 VITAMIN B5SYNERGISTIC 910
PREVENT 44 1305 VITAMIN C 270
PROBIOTICS RESCUE 22 CAPSULES 1398 VITAMIN C CRYSTALS (POWDER) 27
PROLAX 16 VITAMIN C PLUS 934
PROPOLIS LIQUID (LIQUID EXTRACT) 773 VITAMIN C8 1231
PROSTATE PERFORM 891 VITAMIN C8 ASCORBATE COMPLEX (POWDER) 1030
PROTECTOR 605 VITAMIN E8 200 I.U. NON GMO 1092
PSYLLIUM HUSKS (POWDER) IN BULK 70 WHITE WILLOW BARK 400MG 818
PSYLLIUM HUSKS SUPER FIBER 11 WILD OMEGA 3 18% EPA 12% DHA 1000
PSYLLIUM SEED (WHOLE) (POWDER) IN BULK 318 WILD OMEGA 3 EPA 660 DHA 330 1280
PURGE PARASITIS 482 WORMWOOD 249
PURGE PARASITIS KIT 1150 YELLOW DOCK 817
QUERCETIN 98% 1142 YELLOW DOCK ROOT (LIQUID EXTRACT) 647
QUERCETIN BIOFLAVONOIDS 241 YUCCA CAPSULE 816
QUIET CHILD (LIQUID EXTRACT) 670 ZINC, ULTRA 976
Code Name
495 ACIDOPHILUS ULTRA 11 BILLION PLUS 120
1347 ADRENAL 200 MG WITH PEPPERMINT
1012 ALFALFA
649 ALLER-G (LIQUID EXTRACT)
1378 ALPHA LIPOIC
289 ALPHA LIPOIC ACID
1167 AMINO-MIX
1285 ANTI-INFLAMMA 180
1157 ASTRAGALUS 8000
621 ASTRAGALUS ROOT (LIQUID EXTRACT)
650 AUTHOR! BRAVO!! CREATIVE (LIQUID EXTRACT)
917 B1
916 B12
905 B2
980 B3 NIACIN SYNERGISTIC
909 B5 PANTOTHENIC ACID
911 B6
1412 BEE POLLEN
15 BENTONITE 99.75% MONTMORILLONITE WHITE
774 BETA CAROTENE 25,000 I.U.
777 BLACK COHOSH EXTRACT
945 BLACK CUMIN SEED OIL
623 BLACK WALNUT HULL (LIQUID EXTRACT)
841 BLACK WALNUT LEAVES & HULLS
1086 BLOOD SUGAR BALANCE
1198 BODY MUSCLE MASSAGE (LOTION)
802 BODY REJUVENATION KIT
799 BODY REJUVENATION PROGRAM STEP 1
882 BORAGE OIL ORGANIC
436 BORON
238 BROMELAIN, ULTIMATE
265 CALCIUM & MAGNESIUM (LIQUID)
239 CALCIUM ASCORBATE
30 CALCIUM ASCORBATE (POWDER)
282 CALCIUM CITRATE + VIT. D3
327 CALCIUM CORAL (LIQUID)
1216 CALCIUM-MAGNESIUM CITRATE (WITH ZINC, POTASSIUM, SELENIUM)
21 CANDIDA STOP
941 CAPRYLIC ACID PLUS
840 CAPSICUM
1180 CARPAL TUNNEL
839 CASCARA SAGRADA
624 CAT'S CLAW BARK (LIQUID EXTRACT)
1277 CHILL PILLS
275 CHITOSAN 95%
264 CHLORELLA
136 CHLORELLA (POWDER)
782 CHLOROPHYLL FROM ALFALFA (LIQUID EXTRACT)
1275 CHO-LESS-TERIN WITH BETA-SITOSTEROLS
279 CHONDROITIN SULFATE
305 CHONDROITIN-GLUCOSAMINE
444 CHROMIUM PICOLINATE
240 CITRUS BIOFL. + HESPERIDIN
1170 CLEAN ARTERIES
1079 CLEAN FLOW
250 CLOVES
1184 COCONUT OIL
288 CO-ENZYME Q10
872 COLOSTRUM (POWDER)
283 COLOSTRUM
1051 CRANBERRY
619 CREATINE POWDER
1154 CURCUMIN
800 D.M.S.A. (40 CAPSULES)
836 DAMIANA
625 DAMIANA HERB (LIQUID EXTRACT)
835 DANDELION ROOT & CELERY
626 DANDELION ROOT (LIQUID EXTRACT)
834 DEVIL'S CLAW
627 DEVIL'S CLAW ROOT (LIQUID EXTRACT)
224 DIGESTIVE ENZYMES
1103 HOSPITAL BACTERIA DEFENCE 5 BILLION
342 I.M.M.X. IMMUNE
660 IMMUNZA CHILDREN (LIQUID EXTRACT)
659 IMMUNZA NATURAL (LIQUID EXTRACT)
1151 INDOLE-3-CARBINOL
1244 INFLA-HEAL PLUS
689 JOINT-TISSU
807 KELP
314 KELP
1346 KID-NY
1018 L-ARGININE
125 L-CYSTEINE
867 L-GLUTAMINE (POWDER)
90 L-GLUTAMINE
196 L-HISTIDINE
826 LICORICE ROOT
633 LICORICE ROOT (LIQUID EXTRACT)
206 LIVER - MILK THISTLE
661 LIVER-MILK THISTLE (LIQUID EXTRACT)
252 L-LYSINE
148 L-METHIONINE
1340 LOWERS CHOLESTEROL
89 L-TAURINE
1020 L-TYROSINE
662 LYMPHSTREAM (LIQUID EXTRACT)
796 M.S.M. METHYL-SULFONYL METHANE 100% PURE (POWDER)
1390 MAGNESIUM BISGLYCINATE
903 MAGNESIUM CITRATE & L-TAURINE
663 MALE ORDER (LIQUID EXTRACT)
1016 MELATONIN
232 MENOPEACE
665 MENSES PARTNER (LIQUID EXTRACT)
634 MILK THISTLE SEED (LIQUID EXTRACT)
846 MOLYBDENUM RICE CHELATED
889 MORNING LIFE (LIQUID)
635 MOTHERWORT HERB (LIQUID EXTRACT)
278 MSM & JOINT-TISSUS
795 MSM
285 MSM CREAM
963 MULTI-MAX
1236 MULTI-MAX IMMUNE
666 MUM MA MILKSTREAM (LIQUID EXTRACT)
301 N-ACETYL-CYSTEINE
636 NETTLES HERB (LIQUID EXTRACT)
668 NIGHT PILLOW (LIQUID EXTRACT)
1011 OLIVE LEAF EXTRACT
876 OMEGA 3-6-9 WILD ORGANIC
1353 OREGANO + ANTIOXIDANT
1233 OREGANO, WILD (LIQUID)
637 OSHA ROOT (LIQUID EXTRACT)
887 PANCREAS CONCENTRATE, RAW
17 PANCREATIN
1407 PANTOTHENIC ACID
638 PASSION FLOWER HERB (LIQUID EXTRACT)
124 PAU D'ARCO
24 PAU D'ARCO (20 TEABAGS)
26 PAU D'ARCO TAHEEBO TABEBUIA HEPTAPHYLLA (LIQUID EXTRACT) 50 ML
693 PHOSPHATIDYLSERINE
854 PHYTOMAX DRINK (POWDER)
1310 PLANT DIGESTIVE ENZYMES
669 PMS BOTANICAL (LIQUID EXTRACT)
233 PMS RELIEF
1328 POTASSIUM HVP CHELATE
1145 PREVENT
1305 PREVENT 44
1398 PROBIOTICS RESCUE 22 CAPSULES
16 PROLAX
773 PROPOLIS LIQUID (LIQUID EXTRACT)
891 PROSTATE PERFORM
605 PROTECTOR
70 PSYLLIUM HUSKS (POWDER) IN BULK
11 PSYLLIUM HUSKS SUPER FIBER
318 PSYLLIUM SEED (WHOLE) (POWDER) IN BULK
482 PURGE PARASITIS
1150 PURGE PARASITIS KIT
1142 QUERCETIN 98%
241 QUERCETIN BIOFLAVONOIDS
670 QUIET CHILD (LIQUID EXTRACT)
639 RASPBERRY LEAF
824 RED BEET ROOT
823 RED CLOVER BLOSSOMS
1350 RED CLOVER ISOFLAVONES 40%
822 RED RASPBERRY LEAF
672 RESPIRA FREE (LIQUID EXTRACT)
673 ROMANCING (LIQUID EXTRACT)
765 S.O.D. FORMULA
844 SARSAPARILLA
641 SAW PALMETTO FRUIT (LIQUID EXTRACT)
717 SAW PALMETTO, ULTRA-MALE 160 MG 60 SOFTGELS
808 SELENIUM
1148 SERRA-PLEX SERRATIOPEPTIDASE 90,000
1263 SERRATIOPEPTIDASE 75,000
218 SHARK CARTILAGE
642 SIBERIAN GINSENG ROOT (LIQUID EXTRACT)
212 SIMPLY SPIRULINA
1212 SLIMMER SYSTEM
208 SMART GINKGO
870 SODIUM ASCORBATE
419 SOY ISOFLAVONES CERTIFIED ORGANIC
674 SPIRITS GLIDER (LIQUID EXTRACT)
214 SPIRULINA & CHLORELLA
684 SPIRULINA SIMPLY
675 SPORTS MARATHONER (LIQUID EXTRACT)
13 SPRINGLIFE
643 ST. JOHN'S WORT EXTRACT
1191 STEROLS & STEROLINS
1223 STEROLS & STEROLINS CHILDREN
223 STEROLS & STEROLINS CHOLESTEROL
589 STEVIA LEAF GREEN (POWDER)
1070 STEVIA SUGAR SPOONABLE (POWDER)
267 STEVIA SWEETLEAF (LIQUID EXTRACT)
164 STEVIA WHITE POWDER CONCENTRATE
1181 STOMACH
242 STOP SMOKING
676 STRESS GUARD (LIQUID EXTRACT)
297 STRONG BONES
481 SUMA
7 SUPER FIBER 100% PSYLLIUM HUSKS
60 SUPER FIBER 100% PSYLLIUM HUSKS IN BULK
165 SUPER FIBER PLANTAGO (POWDER)
58 SUPER FIBER PLANTAGO + F.O.S (POWDER) IN BULK
1195 SUPER IMMUNE STEROLS & STEROLINS
970 SUPER IRON
243 THYMUS
811 THYROSYN 60CAPSULES
965 TOCOTRIENOLS
277 TRIBULUS TERRESTRIS
899 ULTRA B COMPLEX
600 ULTRA B COMPLEX FLUSH FREE
396 ULTRA FIBRE PSYLLIUM HUSKS
971 ULTRA IRON
133 ULTRA PURIFIANT CLEANSE
901 ULTRA STRESS B COMPLEX + VIT. C
56 ULTRA-MAX PLUS F.O.S. (POWDER)
644 USNEA LICHEN (LIQUID EXTRACT)
820 UVA URSI
645 UVA URSI LEAF (LIQUID EXTRACT)
646 VALERIAN ROOT (LIQUID EXTRACT)
819 VALERIAN ROOT ORGANIC
907 VITAMIN B3 FLUSH FREE
908 VITAMIN B3 NIACIN
910 VITAMIN B5SYNERGISTIC
270 VITAMIN C
27 VITAMIN C CRYSTALS (POWDER)
934 VITAMIN C PLUS
1231 VITAMIN C8
1030 VITAMIN C8 ASCORBATE COMPLEX (POWDER)
1092 VITAMIN E8 200 I.U. NON GMO
818 WHITE WILLOW BARK 400MG
1000 WILD OMEGA 3 18% EPA 12% DHA
1280 WILD OMEGA 3 EPA 660 DHA 330
249 WORMWOOD
817 YELLOW DOCK
647 YELLOW DOCK ROOT (LIQUID EXTRACT)
816 YUCCA CAPSULE
976 ZINC, ULTRA
250 30 60
