Af 79, Headcount Record

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Accounts for meals sold in a dining facility, flight
Serial No.
HEADCOUNT RECORD
kitchen or field feeding
ORGANIZATION OR DINING FACILITY
DATE
Meal/Flight Meal Rate For Meal Periods
Operating Charge for Meals Shown
B/L/D/M
$
$
$
$
Shown
$
$
$
$
COLUMN A
COLUMN B
NAME
Grade
Meal
DoD ID
Sales
Op
NAME
Grade
Meal
DoD ID
Sales
Op
Period
Amount
Chg
Period
Amount
Chg
Number
Number
1.
26.
2.
27.
3.
28.
4
29.
5.
30.
6.
31.
7.
32.
8.
33.
9.
34.
10.
35.
11.
36.
12.
37.
13.
38.
14.
39.
15.
40.
16.
41.
17.
42.
18.
43.
19.
44.
20.
45.
21.
46.
22.
47.
23.
48.
24.
49.
25.
50.
# of SIK Meals
Sales Amount
Operating
$
$
from Column
from Column
Charge from
0
0
B
B
Column B
# of SIK Meals
Sales Amount
Operating
$
# of SIK Meals
Sales Amount
Operating
$
$
$
from
from
Charge from
from Column
from Column
Charge from
0
0
0.00
Column A
Column A
Column A
A & B
A & B
Column A & B
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C., Chapter 40; 37 U.S.C., Chapter 9; EO 9397, November 1943
PRINCIPAL PURPOSES: Used to authorize and verify the Subsistence-in-Kind entitlement; record the numbers of people subsisting; and account for cash collected.
ROUTINE USES: Information may be disclosed to the Department of Justice, and to federal, state, local or foreign law enforcement authorities for investigating or prosecuting a violation or
potential violation of law.
DISCLOSURE: Disclosure of SSN is voluntary. However, members otherwise entitled to Subsistence-in-Kind will not be provided a meal at no cost without the SSN, since the SSN is used to
verify the entitlement.
AF Form 79, Headcount Record
(supersedes previous editions of AF form 79, 1339,463, and 2039)

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