Point Of Service Meal Count Sheet - Arizona Department Of Education
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1POINT OF SERVICE MEAL COUNT SHEET
Week of
1. Check off all meals served to a participant ()
2. A participant may be claimed for a maximum of two meals and one snack, two snacks and one meal, or three snacks per day.
3. Indicate by use of a colored slash mark specific meals/snacks that will be claimed for reimbursement. ()
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
NAME
TOTALS
YOU MAY RECORD STAFF MEALS HERE AND TRANSFER TO MEAL COUNT SUMMARY SHEET: DO NOT CLAIM MEALS CONSUMED BY STAFF
TOTALS
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