oct-order-form

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Hot Lunch Menu Order Form Name: _________________ Date

Menu Option

10/2/2017

Mac & Cheese, fresh fruit, and veggies (V)

$ ______________

10/3/2017

Chicken Enchiladas Verde, fresh fruit, and veggies

$ ______________

10/4/2017

Chicken Pasta Alfredo, WG Garlic Bread, fresh fruit, and veggies

$ ______________

Curried chickpeas & rice, fresh fruit, and veggies (V,GF,DF)

$ ______________

Breaded Chicken Breast Sandwich, fresh fruit, and veggies (DF)

$ ______________

Mozzarella Pasta Bake, WG Breadstick, fresh fruit, and veggies (V)

$ ______________

10/10/2017

Chicken Fajitas, fresh fruit, and veggies

$ ______________

10/11/2017

Chicken Stuffing & Gravy, WG Garlic Bread, fresh fruit, and veggies

$ ______________

10/12/2017

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

$ ______________

10/13/2017

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

$ ______________

10/16/2017

Meaty Lasagna, fruit and veggies

$ ______________

10/17/2017

Waffle Breakfast, Fruit Spread-Strawberry, fruit, roasted potatoes (V, DF)

$ ______________

10/18/2017

Teriyaki Chicken w/Rice, fruit, and veggies (DF)

$ ______________

10/19/2017

Chicken Bites, fruit, and veggies

$ ______________

10/20/2017

Pepperoni pizza bagel, fruit, and veggies

$ ______________

10/23/2017

Meaty Chili, WG Cornbread, fruit, and veggies

$ _______________

10/5/2017

10/6/2017

10/9/2017

Meal

Month: _________ 2017 Milk

Cost


Date

Menu Option

10/24/2017

Sweet Thai Veggie Stir-fry, fresh fruit, and veggies (V)

$ ______________

10/25/2017

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

$ ______________

10/26/2017

Meaty Spaghetti, Ranch, WG Garlic Bread, fresh fruit, and veggies (DF)

$ ______________

10/27/2017

Turkey Hot Dog, fresh fruit, and veggies (DF)

$ ______________

10/30/2017

Mac & Cheese, fresh fruit, and veggies (DF)

$ ______________

10/31/2017

BBQ Chicken Sandwich, fresh fruit, and veggies (DF)

$ ______________

Cost per meal: $4.00

Meal

Cost per milk: $0.75

Milk

Cost

TOTAL:

$ _______________


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