Exhibit I CSFP Commodity Inventory Report.pdf

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Attached to
Master Agreement AZ|CTR078755
Contract number
CTR078755
Issued by
Arizona

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This document is the CSFP Commodity Inventory Report form used by agencies participating in the Coordinated Hunger Relief Program administered by the Arizona Department of Economic Security (AZDES). The form serves as a monthly reporting template for agencies to track commodity inventory receipt, distribution, and reconciliation as of the last business day of each month.

The report captures transaction details for commodities distributed through the program, including commodity name, lot number, sales order number, purchase order reference, receipt date, cases received, previous month inventory balance, and cases distributed. The form requires agencies to track book inventory, physical count ending inventory, reconciliation counts, and distribution deadlines for each commodity lot. Completed reports must be submitted by the 15th of the following month to coordinatedhungerreliefprogram@azdes.gov and the assigned Contract Specialist. The August 2024 template provides a structured framework for agencies to maintain accurate inventory records and ensure timely distribution of commodities to eligible recipients.

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REPORT MONTH Month - Year AGENCY Reporter

COMMODITY NAME LOT# SALES ORDER # PURCHASE ORDER # & LINE

ITEM #

DATE

RECEIVED

# OF CASES

RECEIVED

PREVIOUS MONTH ENDING

INVENTORY

# CASES

DISTRIBUTED

Exhibit I CSFP Commodity Inventory Report

REPORT MONTH Aug-24 AGENCY Reporter

COMMODITY NAME LOT# SALES ORDER # PURCHASE ORDER # & LINE

ITEM #

DATE

RECEIVED

# OF CASES

RECEIVED

PREVIOUS MONTH ENDING

INVENTORY

# CASES

DISTRIBUTED

Complete this form and send entire workbook each month as of the last business day of the month.

Please e-mail to: coordinatedhungerreliefprogram@azdes.gov and your assigned Contract Specialist by the 15th of the following month.

REPORT MONTH Aug-24

COMMODITY NAME LOT# # CASES

TRANSFER

BOOK

INVENTORY

PHYSICAL COUNT ENDING

INVENTORY

RECONCILIATION

COUNT DATE TO DISTRIBUTE BY

REPORT MONTH Aug-24

COMMODITY NAME LOT# # CASES

TRANSFER

BOOK

INVENTORY

PHYSICAL COUNT ENDING

INVENTORY

RECONCILIATION

COUNT DATE TO DISTRIBUTE BY

Complete this form and send entire workbook each Please e-mail to: coordinatedhungerreliefprogram@

File details come from the government source that posted it. Updated .