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Contracting Entity Name: Anita Moreau "FPS"
CE ID #: 01875
Date Meal was Served: 10/4/2019
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Name of Site: Krazy Kids Kare
Site #
Meal Service:
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Meal DescriptionPlanned ParticipationLeftover/Recycled Food
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Breakfast - Must serve all three components. May serve a meat/meat alternative in place of the grains 3 times a week Enrolled ChildrenTotalsDate First ServedDate Re-ServedFood Item and Quantity
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1 Year10/3/201910/4/20191/4 gallon of 1% milk
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Lunch - Must serve all 5 required components. 2 Year
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3-5 Years45
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Supper - Must serve all 5 required components. 6-12 Years
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13-18 Years
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Snacks - Must serve 2 of the 5 components.Program Staff
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Non-Program Adults
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Required Food ComponentsMenuFood Items Used (Enter each food item used)Quantity Prepared (measurable amount)
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Milk - Unflavored Whole - 1 year
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Milk- Unflavored Low-Fat (1%) or Unflavored fat-free (skim) - 2 Yrs and Older1% Milk1% Milk Gallon2.25 gallons
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Milk - Flavored fat-free (skim) - 6 years and older (optional)
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VegetablesGreen BeansNo. 10 Can (101 oz) Fancy Cut Green Beans1 can
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FruitsPineapplesNo. 10 Can (106 oz) Pineapple Chunks in juice1 can
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GrainsWheat Bun100% Whole Wheat Bun (1 bun= 2.5 oz)45 Buns
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Meat and/or Meat AlternateGround Beef80/20 cooked ground beef in sloppy joe sauce4.25 pounds
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Substitutions due to Medical or Special dietary needs or disability
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Name of ChildSubstitution(s) MadeItem/Component Provided by Parent/Guardian- Y/N
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Jerry Jonathan1 cup lactose free milkno
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