B.A.C. DAILY MEAL COUNT FORM
Date
Site Name
Choose a Site
School A
School B
School C
School D
Address
Choose an Address
Houston A
Houston B
Dallas A
San Antonio A
Telephone
Supervisor's Name
MEALS AVAILABILITY
Meal Type
Breakfast
Lunch
Snack
Supper
Meals Received
Meals Available From Previous Day
TOTAL MEALS AVAILABLE
MEALS SERVED
Total First Meals Served to Children
Total Second Meals Served to Children
Total Meals Served to Program Adults
Total Meals Served to Non-Program Adults
Total Meals Served
Total Damaged/Incomplete/Other Non-reimburseable Meals
Total Leftover Meals
TOTAL OF ITEMS
ADDITIONAL REQUESTS
Number of Additonal Children Requesting a Meal after all available meals were served
SUMMARY
TOTAL MEALS AVAILABLE
TOTAL OF ITEMS
DIFFERENCE
* If the difference is not equal to ZERO, please check again your input
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