Montana Cacfp Food Delivery Receipt
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1Food Delivery Receipt
Children ages 6-12 years
CACFP Institution : ___________________________________
Date : _______________
Food Service Vendor: ________________________________
Breakfast
Number of Meals Provided:
Serving Size
Total Weight/
Component
Item
(6-12 Years)
Measure Provided
Fruit/Vegetable
½ cup
Bread/Alternate
1 oz. Or 1slice
Milk
1cup
Protein/Alternate
(optional)
Extras
:
Lunch/Supper
Number of Meals Provided
Component
Item
Serving Size
Total Weight/
(6-12 Years)
Measure Provided
Protein/Alternate
2 oz.
Fruit/Vegetable
½ cup
cup cup
Fruit/Vegetable
¼ cup
Bread/Alternate
1 oz. Or 1 slice
Milk
1 cup
Extra
:
Snack
Number of Meals Provided
Component
Item
Serving Size
Total Weight/
(6-12 yrs)
Measure Provided
Protein/Alternate
1 oz.
Fruit/Vegetable
3/4 cup
Bread/Alternate
1 oz. Or 1 slice
Milk
1 cup
Extra
Acceptance of delivery:
Signature ______________________________________
Date _____________________
USDA is an equal opportunity provider and employer
I:CNPFood Delivery ReceiptsCNP-015 Deliv Rcpt 6-12 full day.docx
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Parent category: Business