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State StreetUkiah, CA 95482Child Care Food ProgramMEAL COUNT RECORD Month/Year: Provider: oin connection with receipt of federal funds and that deliberate misrepresentation or withholding of informationEmay result in prosecution under applicable stat and federal statutes.I also certify thatnI have followed CCFP requirements on types and minimum amounts of foods served; I have claimed meals served topenrolled children 12 years of age and under; I have claimed meals served to my own children only when they were kfed at the same time as day care children, AND ONLY IF I AM EILIGIBLE; I have claimed meals only within thexlimitations of my child care license; and that this Meal Count accurately reflects the number of eliglible meals served. Signature Month & YearYES!! My menus are enclosedFor Office Use OnlyLUNCHNUMBER ENROLLEDADA BREAKFASTDINNERSNACKSINITIALS]Claim no more than 2 major meals and 1 snack or 2 snacks and 1 major meal per child per day.7Time meals are served (including shifts, if applicable)TMWFvI certify that this information is true and correct in all respects; I understand that this information is being givenMinimum Serving Amounts For:Monday Tuesday WednesdayThursdayFriday Ages 3-6 Ages 6-12 Breakfast1/2 cup3/4 cup1 cupMilk1/4 cup 1/2 slice1 slice Grains/Breads1/2 OZ1 OZMeat or alternativeLunch1 1/2 OZ2 OZ1/4 cup totalDinnerI hereby certify that this information is true and correct in all respects; I understand that this information is being given in connection with receipt ofDate: MENU PLANProvider's NameFruit or vegetablegForms due by the 5th day of the month following care to NCO/RCCC, P. O. Box 1078, Lower Lake, Ca 95457.Provider's Signature#Date Rev 4/07NCO/RCCC Month/YearA.M. Snack (select 2 of 4) P.M. 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