Exhibit 7-I



Returned Formula LogDateState IDFormulapwd./con./RTFSize# of cansReason for ReturnInitials of WIC Staff Receiving formulaAction & Date(Donated or Disposed of)Initials of 2 WIC staffor 1 WIC staff &signature (or receipt)from donation recipient06/15/190123xxxxSim Adv. Powder12.4 oz5food package changeDiscarded ________________ Date____Donated to _(list organization) Date____DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2DateState IDFormula size# of cansReason for returnWIC Staff InitialsActionDateWIC Staff Initials #1WIC Staff Initials #2* ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download