Icertifythattheinformationonthisformistrueandcorrecttothebestofmyknowledgeandthat Iwillclaimreimbursmentonlyforeligiblemealsservedtoeligibleparticipants.Iunderstandthat misrepresentationmayresultinprosecutionunderapplicablestateorfederalstatutes.
MMDEMOSPONSOR
(3333)
Classroom:None ChildName Time In InOut Out ParentSignature Age BALPDEAtt ParentInitials Meals Nbr Carter,Brooklynn 5y3m XXX X 10 Cava,Brian 4y4m XXX X 1 Dowell,Bryson 3y9m XXX X 25 Harris,Daniel 3y5m XXX X 8 Johnson,Johnny3y4m16 Jones,Kaay 4y6m XXX X 9 Larkin,Danielle 3y8m XXX X 12 Pates,Nora4y5m22 Roberts,Landon2y1m11 Roberts,Makayla 5y3m4 Smith,Annie 5y7m XXX X 20 Smith,Ari3y8m24 Tudor,Chad3y8m17 Walker,Aubrey 2y8m6 P White,London 1y10m XXX X 13 Totals888 8
DailyAttendance&MealCountReport Danielle'sDemoSponsoredCenter
Monday,May1,2023
Date: Teacher: Page1of2 6/8/2023 11:34:39PM
Icertifythattheinformationonthisformistrueandcorrecttothebestofmyknowledgeandthat Iwillclaimreimbursmentonlyforeligiblemealsservedtoeligibleparticipants.Iunderstandthat misrepresentationmayresultinprosecutionunderapplicablestateorfederalstatutes.
MMDEMOSPONSOR
ChildName Time In InOut Out ParentSignature Age BALPDEAtt ParentInitials Meals Nbr Carter,Brooklynn 5y3m XXX X 10 Cava,Brian 4y4m XXX X 1 Dowell,Bryson 3y9m XXX X 25 Harris,Daniel 3y5m XXX X 8 Johnson,Johnny 3y4m XXX X 16 Jones,Kaay 4y6m XXX X 9 Larkin,Danielle 3y8m XXX X 12 Pates,Nora 4y5m XXX X 22 Roberts,Landon 2y1m XXX X 11 Roberts,Makayla 5y3m XXX X 4 Smith,Annie 5y7m XXX X 20 Smith,Ari 3y8m XXX X 24 Tudor,Chad 3y8m XXX X 17 Walker,Aubrey 2y8m6 P White,London 1y10m XXX X 13 Totals141414 14
DailyAttendance&MealCountReport Danielle'sDemoSponsoredCenter (3333) Tuesday,May2,2023 Classroom:None
Date: Teacher: Page2of2 6/8/2023 11:34:39PM