Form 02AG019E (SUOA-S-38) by 3YMS37H8

VIEWS: 2 PAGES: 2

									                                            *02AG019E-001*
                                   OKLAHOMA DEPARTMENT OF HUMAN SERVICES


                                             Number of Meals Served


Nutrition site name                    Month and year         Project use only:
                                                              Average number of days served per month:
Nutrition project name                                        Average meals budgeted per day:
                                                              Eligible meals budgeted per month:
                                                              Eligible meals served this month:
Site use only:                                                Eligible meals budgeted to date:
Actual number of days served this month:                      Eligible meals served to date:
Eligible meals served this month:                             (same as NAPIS report)

         Total     Total        Congregate            Home delivered                Volun             Total
         meals     meals     participants served     participants served   Guests   -teers   Staff    per-     Other
Date      pre-      pur-                                                   under    under    under    sons     meals
         pared    chased     60+     60-     Total   60+    60-    Total    60        60      60     served    served
 (1)      (2)         (3)    (4)      (5)     (6)    (7)     (8)    (9)     (10)    (11)     (12)     (13)       (14)
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OKDHS issued 11-10-2006                               02AG019E (SUOA-S-38)                                    Page 1 of 2
02AG019E (SUOA-S-38)                                                                     Number of Meals Served


        Total    Total      Congregate          Home delivered                Volun             Total
        meals    meals   participants served   participants served   Guests   -teers   Staff    per-    Other
Date     pre-     pur-                                               under    under    under    sons    meals
        pared   chased   60+    60-    Total   60+    60-    Total    60        60      60     served   served
 (1)      (2)    (3)     (4)     (5)    (6)    (7)     (8)    (9)     (10)    (11)     (12)     (13)     (14)
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total




Page 2 of 2                                                                            OKDHS issued 11-10-2006

								
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