Office of Superintendent of Public Instruction by x2zRh72

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									                                                                                                   Attachment 8
Office of Superintendent of Public Instruction                                                       Nutrition Services
Old Capitol Building                                                                                CNP 2000 Program
P.O. Box 47200                                                                                         (360) 725-6200
Olympia, WA 98504-7200



                               Summer Food Service Program Budget

                                                            Sponsor
           Sponsor                      Program Year                  Agreement Number              Revision #
                                                 2012
                                                           Meal Costs

                                      Will Meals be sold to adults?
             Yes         No
                                           Breakfast             Lunch             Snack            Supper
   If Yes, Price Charged for:                    $_____           $_____           $_____            $_____

                                                  Indirect Cost Agreement

          Indirect Cost Rate:
                                                   %

                                                   Administrative Revenue
Expected federal reimbursement for administration                                                        $________
                                                       Operating Revenue
Expected federal reimbursement for general operations                                                    $________
                                            Total Number of Meals Projected
Expected number of breakfasts to be served for entire program                                            ________
Expected number of a.m. snacks to be served for entire program                                           ________
Expected number of lunches to be served for entire program                                               ________
Expected number of p.m. snacks to be served for entire program                                           ________
Expected number of suppers to be served for entire program                                               ________
                                                                      Total Expected Number of Meals     _________

                       Operating Costs                                          Administrative Costs
Food                                                              Administrator *

Direct labor *                                                    Monitor *

Facilities/utilities                                              Secretary *

Transportation of food to sites *                                 Bookkeeper, accountant

Transportation of children to sites *                             Printing, mail costs, phone

Nonfood supplies *                                                Office supplies *

Equipment rental *                                                Travel to/from sites *

                                                                  Indirect costs
Other(specify) *
         Total Operating Costs                         $________ Utilities


                                                                  Other(specify) *
                                                                      Total Administrative Costs          $_______
* Indicates Indirect Cost Category




Form SPI 1145-E                                              Page 1                         Memorandum No. 004-12M
OSPI/Child Nutrition Services                                                                            May 2012

								
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