Sponsor: ________________________________ Site Name: ________________________________ _______________________ _______________ Date: Breakfast A B C D E x F = G H Food Components Food Items Serving Purchase Servings Number of Total Number of Meals Used Size Units (lb, Can Per Purch. Purchase Servings size, etc.) Unit Units Used Prepared Served Milk Meat/ Alternate Fruit/Vegetable Grain/Bread Optional Foods Lunch/Supper A B C D E x F = G H Food Components Food Items Serving Purchase Servings Number of Total Number of Meals Used Size Units (lb, Can Per Purch. Purchase Servings size, etc.) Unit Units Used Prepared Served Milk Meat/Alternate Fruit/Vegetable Fruit/Vegetable Grain/Bread Optional Foods (Serve at least Two of the Four Components) Snack A B C D E x F = G H Food Components Food Items Serving Purchase Servings Number of Total Number of Meals Used Size Units (lb, Can Per Purch. Purchase Servings size, etc.) Unit Units Used Prepared Served Milk Meat/Alternate Fruit/Vegetable Grain/Bread Optional Foods At a minimum, columns B, D, F, and H must be completed.
Sponsor: ________________________________ Site Name: ________________________________ Date: _______________________ _______________ Breakfast A B C D E x F = G H Number of Meals Served Food Components Food Items Used Serving Size Purchase Units (lb, Can size, etc.) Servings Per Purch. Unit Number of Purchase Units Used Total Servings Prepared Milk Meat/ Alternate Fruit/Vegetable Grain/Bread Optional Foods Lunch/Supper A B C D E x F = G H Number of Meals Served Food Components Food Items Used Serving Size Purchase Units (lb, Can size, etc.) Servings Per Purch. Unit Number of Purchase Units Used Total Servings Prepared Milk Meat/Alternate Fruit/Vegetable Fruit/Vegetable Grain/Bread Optional Foods Snack (Serve at least Two of the Four Components) A B C D E x F = G H Number of Meals Served Food Components Food Items Used Serving Size Purchase Units (lb, Can size, etc.) Servings Per Purch. Unit Number of Purchase Units Used Total Servings Prepared Milk Meat/Alternate Fruit/Vegetable Grain/Bread Optional Foods At a minimum, columns B, D, F, and H must be completed.
62-Food-Production-Record-Form.docx