For the Month of: www.foodbanksbc.org Monthly Report Agency: 4554 Hollister Ave. Santa Barbara, CA 93110 U.S.D.A. COMMODITY DISTRIBUTION (HHP) Reporter: Tel: (805) 967-5741 FAX: 683-4951 Telephone No.: Number of Households Served: ________ 490 W. Foster Road Fax No.: Santa Maria, CA 93455 Number of Individuals Served: _________ Tel: (805) 937-3422 FAX: 937-8750 1-3 4-6 7+ (1) (2) (3) (4) (5) (6) (7) (8) (9) Beginning Received Per Total Distributed to Ending Physical DIFFERENCE Case Weight Units Per COMMODITY: Inventory Invoice (3) + (4) Clients (5) Inventory (7) (8) (6) – – (Lbs.) Case (Cases/Units) (Cases) (Cases/Units) (Cases/Units) (Cases/Units) (Cases/Units) (Cases/Units)
www.foodbanksbc.org 4554 Hollister Ave. Santa Barbara, CA 93110 Tel: (805) 967-5741 FAX: 683-4951 490 W. Foster Road Santa Maria, CA 93455 Tel: (805) 937-3422 FAX: 937-8750 Monthly Report U.S.D.A. COMMODITY DISTRIBUTION (HHP) Number of Households Served: ________ Number of Individuals Served: _________ 1-3 4-6 7+ For the Month of: Agency: Reporter: Telephone No.: Fax No.: (1) (2) (3) (4) (5) (6) (7) (8) (9) COMMODITY: Case Weight (Lbs.) Units Per Case Beginning Inventory (Cases/Units) Received Per Invoice (Cases) Total (3) + (4) (Cases/Units) Distributed to Clients (Cases/Units) Ending (5) – (6) (Cases/Units) Physical Inventory (Cases/Units) DIFFERENCE (7) – (8) (Cases/Units)
USDA-Monthly-Reporting-Form.docx