JURUPA UNIFIED SCHOOL DISTRICT
Barbeque Rental Form
School Site: Date of Request:
Contact Person: Date Required:
Program to be Charged:
Barbeques must be cleaned by your site, prior to returning them to the Central
Stores/Receiving Warehouse, or there will be a $50.00 cleaning fee for each unit.
This cost will be charged to your site!
Barbeques can be rented for $100.00 a day, per barbeque. Please send the completed form to the
Central Stores/Receiving Warehouse, with a copy to Food Services. Thank you!
District Office to
1. Barbeque Please Check ($100) $100.00
2. Additional Barbeque Please Check (If applies) ($100) $100.00
3. Cleaning Fee Please Check (If applies) ($50) $50.00
Request Approved by CSR Date
I hereby acknowledge receipt of the equipment listed above. Equipment listed above has been returned to CSR.
________________________ ___________ _______________________ ___________
Requestor's Signature Date Authorized Signature Date