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Student Name: 

Teacher's Name: 

 MEALS with milk @ $2.80 =  

  2nd Helping @ $0.75 =  

 Milk Only @ $0.30 =   *   TOTAL DUE:  $

My child will be bringing a sack lunch days this month.

MILK IS INCLUDED WITH ALL HOT LUNCHES
WHITE MILK MONDAY - THURSDAY  AND CHOCOLATE MILK ON FRIDAYS
Instructions:  Please fill in the information above, select the items below,
print and bring to the School Office.
Monday Tuesday Wednesday Thursday Friday
         

3

 4 5 6 7
Spaghetti/Meat Sauce
Tossed Salad
Bread
Orange		 Chicken Nuggets
BBQ Sauce
Carrot/Celery Stix
Bread
Peaches		 Hot Dog/Bun
Celery/Carrot Stix
Chips
Mixed Fruit		 Hamburger/Bun
Potato Chips
Celery/Carrot Stix
Mixed Fruit		 Beef/Bean Burrito
Corn
Tossed Salad
Apple
Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd  Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only
         
10 11 12 13 14
Chicken Patty
Mashed Potatoes
Mixed Vegetables
Bread
Apricots		 Tacos
Cheese/Lettuce/Tomatoes
Pinto Beans		 Sloppy Joe
Peas/Carrots
Pears		 Polish Sausage/Bun
Chips
Celery/Carrot Stix
Apple		 Tostada w/Salsa
Cheese/Lettuce/Tomato
Corn
Peaches
Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only
         
17 18 19    
Pizza
Tossed Salad
Applesauce		 Rotini/Meat Sauce
Mixed Vegetables
Bread
Pineapple Tidbits		 Creamed Turkey
Mashed Potatoes
Relish Tray
Bread
Orange

Have a
Blessed Christmas!!!

Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only		 Meal
2nd Helping
Milk Only