Double Meat Animal Style 
Fries
Vanilla Shake
Unless some other place does "animal style", you must know the joys (and semi-disturbing hidden bible passages on food wrappers and cup rims) of In & Out Burger.  Damn, I miss that place.  Lived about a mile away from one in California... now there's none closer than about 500 miles.  Don't think I haven't been tempted to drive it, either.  In & Out burgers are awesome.  I just went on a road trip home for spring break, and made sure I stopped in a town with an In & Out on the way back.  Had to get a fix, but now I'm jonesing for it, man.
Anyway, my last meal would be as follows:
- A big platter of corned beef hash over scrambled eggs, the hash all browned to a crust on one side the way it's supposed to be.
- A bottle of Maker's Mark
- A pack of Black & Milds (and a lighter)
- A small shiv hidden under the eggs.  
If my ticket's gettin' punched, I'm damn well goin' out the way I came into this world:  
Screaming and covered in someone else's blood.