hot-lunch-order-form

Page 1

Hot Lunch Menu Order Form Name: _________________ Date

Menu Option

9/11/2017

Meatball Past Bake, Garlic Bread, fresh fruit, and veggies

$ ______________

Egg Fried Rice, fresh fruit, and veggies (V, GF, DF)

$ ______________

9/13/2017

Meaty Moes, fresh fruit, and veggies (DF)

$ ______________

9/14/2017

Rolled Enchiladas Rojas, fresh fruit, and veggies (V)

$ ______________

9/15/2017

Whole Grain Chicken Corn Dog, fresh fruit, and veggies (DF)

$ ______________

Chicken Pot Pie, Whole wheat role, fresh fruit, and veggies

$ ______________

Teriyaki Chicken with Rice, fresh fruit, veggies (DF)

$ ______________

Bean & Cheese Burritos, fresh fruit, and veggies (V)

$ ______________

Meaty Lasagna, ranch, whole grain breadstick, fresh fruit, and veggies

$ ______________

Traditional Pizza Bagel, fresh fruit, and veggies (V)

$ ______________

9/25/2017

Meaty Spaghetti, fruit and veggies (DF)

$ ______________

9/26/2017

French toast breakfast, peach fruit spread, fruit, roasted potatoes (V, DF)

$ ______________

9/27/2017

Soft Chicken Tacos, fruit, and veggies (GF filling, DF)

$ ______________

9/28/2017

Sweet thai chicken stir-fry, fruit, and veggies

$ ______________

Roasted garlic pizza bagel, fruit, and veggies (V)

$ ______________

9/12/2017

9/18/2017

9/19/2017

9/20/2017

9/21/2017

9/22/2017

9/29/2017

Cost per meal: $4.00

Meal

Month: _________ 2017

Cost per milk: $0.75

Milk

Cost

TOTAL:

$ _______________


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