Meal Count Worksheet - School Nutrition (CA Dept of …
California Department of Education Nutrition Services Division
nsd 1191 (8/08) National School Lunch Program
DAILY MEAL COUNT EDIT WORKSHEET BY SITE
INSTRUCTIONS: For each day, compare the free, reduced-price, and paid actual meal counts, (C), (F), and (I), with the attendance-adjusted eligible (B), (E), and (H). When daily free, reduced-price, or paid meal counts exceed the attendance-adjusted eligible figures, include a brief justification in the “comments” section for number of meals claimed.
|District/Agency Name (insert name below (before duplicating form) |
| |
|site | |claim month/year (mm/yy) | |
| |FREE |REDUCED-PRICE |PAID |COMMENTS |
| | | |(enrollment minus free & reduced-price) | |
|DATE |
|EVALUATOR'S SIGNATURE |DATE |
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