December 2019 ORDER DUE 11/26
A-$4.00
B-$5.00
C-$5.50
D-$6.00
All lunches include 2 sides & dessert (Milk is NOT included)
* Required
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Grade
*
K
1
2
3
4
5
6
7-12
Staff
Select pizza preference below.
Pizza preference
Pepperoni
Cheese
Either
GRILLED CHICKEN PITA MELT - MON 12/2
*
A
B
NO THANK YOU
TACO TUESDAY - 12/3
*
A
B
C
D
NO THANK YOU
PIZZA - WED 12/4 (BAIR LAKE TRIP)
*
A
B
C
D
NO THANK YOU
BACON, EGG, CHEESE BURRITO - THUR 12/5 (BAIR LAKE TRIP)
*
A
B
NO THANK YOU
HOT DOGS/CHILI DOGS - FRI 12/6 (BAIR LAKE TRIP)
*
A
B
C
NO THANK YOU
TURKEY,BACON,CHEDDAR SUB - MON 12/9
*
A
B
NO THANK YOU
TACO TUESDAY - 12/10
*
A
B
C
D
NO THANK YOU
PIZZA - WED 12/11
*
A
B
C
D
NO THANK YOU
CHICKEN PATTY SANDWICH - THUR 12/12
*
A
B
NO THANK YOU
TOMATO SOUP - FRI 12/13
*
A
B
NO THANK YOU
CHICKEN AND WAFFLES - MON 12/16
*
A
B
NO THANK YOU
TACO TUESDAY - 12/17
*
A
B
C
D
NO THANK YOU
PIZZA - WED 12/18
*
A
B
C
D
NO THANK YOU
BLT'S - THUR 12/19
*
A
B
NO THANK YOU
BISCUITS AND GRAVY - FRI 12/20
*
A
B
NO THANK YOU
PLEASE CALCULATE TOTAL AMOUNT OWED
*
* A-$4.00 B-$5.00 C-$5.50 D-$6.00
Your answer
DON'T FORGET TO WRITE THE DAYS YOU ORDERED LUNCH ON YOUR CALENDAR. LUNCH PAYMENTS ARE DUE BY THE 10TH OF EVERY MONTH.
PAID
*
PAYMENT WITH STUDENT TO DELIVER TO LCS OFFICE
PAYMENT IN MAIL TO 7669 BRIGHTON RD., BRIGHTON, MI 48116
PAID IN FULL (FOR OFFICE USE ONLY)
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