DAILY DELIVERY SLIP
Vendor Name:
Date of Delivery:
Name of Site Food Delivered To:
Evening Snack
Meal Type
Breakfast
AM Snack
Lunch
PM Snack
Supper
Number of Meals Ordered
Number of Meals Delivered
Food Item
Temperature and Time
Quantity
Delivered
Delivered or
Description of Food Items Delivered
Temp.
Temp.
Temp.
(check one)
Serving Size
at
when
leaving
Time
Time
Time
(including milk, if applicable)
Unitized
Bulk
delivery
served
kitchen
Type and Amount of
Milk Delivered Today
Number of
Number of
Number of
Number of
(if applicable)
4 oz. Cartons
8 oz. Cartons
Half Gallons
Gallons
Fat Free (Skim)
Low Fat (1%)
Whole Milk
DELIVERY
Print Name Vendor Representative
Signature Vender Representative
Time of Delivery:
RECEIPT
Print Name Sponsor Representative
Signature Sponsor Representative
List any problems or discrepancies regarding food and/or delivery:
8/2013