USDA - TEFAP Inventory
Please submit to: Food Bank for the Heartland Agency Partner Name _________________
Amy Gerhart
Director of Agency Relations
10525 J Street Agency Partner # _____________________
Omaha, NE 68127
Commodity Report: Food Item Type and Quantity (Unit of Measure is Cases or Pounds - Indicate Which)
PRODUCT TOTAL
UNIT OF BEGINNING TOTAL TOTAL DISTRIBUTED ENDING
DESCRIPTION OF PRODUCT MEASURE INVENTORY RECEIVED DISPOSED OF TO CLIENTS INVENTORY
1% Milk
1% White Milk
American Process Cheese
Apple Cherry Juice
Apple Juice
Applesauce
Apricot Halves
BBQ Sauce Cups
Beef Rnd Roast
Beef Stew
Blueberries
Boneless Skinless Chicken
Brown Rice
Canned Beef
Canned Chicken
Canned Pork
Carrots
Cheddar Cheese Soup
PRODUCT TOTAL
UNIT OF BEGINNING TOTAL TOTAL DISTRIBUTED ENDING
DESCRIPTION OF PRODUCT MEASURE INVENTORY RECEIVED DISPOSED OF TO CLIENTS INVENTORY
Cherry Apple Juice
Chicken Leg Quarters
Chicken Whole Bagged
Corn
Cranberry Apple Juice
Cream of Mushroom Soup
Deli Turkey Breast Small
Diced Tomatoes
Dried Blueberries
Dried Cherries
English Walnuts
Fresh Tomatoes
Frozen Strawberries
Grape Juice
Grapefruit Juice
Great Northern Beans
Green Beans
Ground Beef Frozen
Hams Boneless
Honey Mustard
Lt Red Kidney Beans
Marinara Sauce Cups
PRODUCT TOTAL
UNIT OF BEGINNING TOTAL TOTAL DISTRIBUTED ENDING
DESCRIPTION OF PRODUCT MEASURE INVENTORY RECEIVED DISPOSED OF TO CLIENTS INVENTORY
Mild Shredded Cheddar
Mixed Fruit
Mixed Vegetables
NF Dry Milk
Orange Juice
Peaches
Peanut Butter
Pears
Pinto Beans
Pork Patties
Pork Sausage Patties
Pork Sloppy Joe Mix
Potato Flakes
Red French Dressing
Reduced Fat Mayonaise
Refried Beans
Rice
Rice Krispies
Roasted Turkey Breast
Salad Dressing
Sliced Frozen Peaches
Sliced Ham
PRODUCT TOTAL
UNIT OF BEGINNING TOTAL TOTAL DISTRIBUTED ENDING
DESCRIPTION OF PRODUCT MEASURE INVENTORY RECEIVED DISPOSED OF TO CLIENTS INVENTORY
Spaghetti Sauce
Sweet Corn
Sweet Potatoes Cut
Tomato Juice
Tomato Soup
Trail Mix
Tuna
Turkey Roast
Vegetable Soup
Vegetarian Beans
White Potatoes Sliced
Whole Grain Rotini
Wide Egg Noodles
PARTICIPATION REPORT: (1st QUARTER + 2ND QUARTER + 3RD QUARTER + 4TH QUARTER = TOTAL CLIENTS SERVED)
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
Meal Provider: = 0 Total Clients Served
Pantry: = 0
Signature of Authorized Representative
Total Clients Served