Please complete this order form and return to Laurie Hesgard at Colby High School. It has become necessary to charge for products from the Food Services Program.

From	School

Date	Time

PLEASE GIVE THREE DAYS NOTICE WHEN ORDERING.

Please indicate below the quantity of each item you are ordering.

Quantity	Item	Cost per Unit	Total Cost
Doz.	Cookies	$3.50	$
Doz.	Muffins	9.00	$
½ Pint	Milk	.30	$
100 Cups	Coffee/Cups	7.00	$
Juice Box	.26	$
4 oz. Cup	Juice Cup	.20	$
Veggie Tray	13.00	$
Fruit Tray	16.00	$

Name of Activity/Meeting, etc.

**One of the following “charges to” lines MUST BE COMPLETED or the order cannot be filled.

Charge to district:

Account # and/or name	Amount $

Charge to CHS Activity Account	Amount $

Charge to (other)	Amount $

Please note: The Food Service’s first responsibility is to prepare a nutritious lunch for the students of the school district. There may be times when they will be unable to fulfill your request.

THANK YOU!

It has become necessary to charge for products from the Food Services Program. Please complete this order form and return to your building secretary.

From	School

Date Needed

To Be Charged To The Budget Of

(For example: Colby Elem., Grade	; CHS Activity Account	; Office of the Principal	; etc.)

Please indicate below the quantity of each item you are ordering.

Quantity	Item	Cost per Unit	Total Cost
Cases	Graham Crackers	$21.50 case (10# Case)	$
Cases	Animal Crackers (1 oz. Pkgs. – 100 per case)	28.00	$
Boxes	Milk Straws	3.50	$
Cases	Milk Straws	83.30	$
Bags	Napkins	5.06	$
Cases	Napkins	50.00	$
Each	Plastic Aprons	.29	$
Boxes	Plastic Aprons	28.90	$
Boxes	Vinyl Rubber Gloves	4.50	$
Cases	Vinyl Rubber Gloves	45.00	$
Cartons	Milk	.30	$
Sleeve (50 ct.)	Foam Bowls (8 oz.)	2.00	$
Plates 6” Plates 9”	22.00	$
Plastic Spoons & Forks	10.00	$

Signature of Teacher	Date	Signature of Principal	Date