JC-1_ANNEX-1300000-PWS-Attachment-J-1300000-11.xlsx
XLSX spreadsheet 328 KB Posted
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- N4019219R9201
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Attachment JC-1 Annex 1300000 PWS-Attachment J-1300000-11 Excel File
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| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | 3-Mar-12 | |
| NAVMED 10110/3 | ||
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
| Date: | 31-Mar-12 | |
| NAVMED 10110/3 | ||
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
Holiday
| Date: | |
| NAVMED 10110/3 | |
| Daily Accounting Worksheet |
| Customer Head Count | Breakfast | Lunch | Dinner | |
| RIK-Navy - AD | ||||
| RIK-Marines - AD | ||||
| RIK-Air Force - AD | ||||
| RIK-Army - AD | ||||
| RIK-Marine Corps Reserve | ||||
| RIK-Air Force Reserve | ||||
| RIK-Army Reserve | ||||
| RIK-Air Force ROTC | ||||
| RIK-Army ROTC | ||||
| RIK-Air Force Academy Cadets | ||||
| Army Academy Cadets | ||||
| Air National Guard | ||||
| Army National Guard | ||||
| Navy Reserve | ||||
| Navy ROTC Midshipmen | ||||
| Navy Academy Midshipmen | ||||
| Civilian Applicant for Navy | ||||
| Coast Guard - AD | ||||
| Coast Guard Cadets | ||||
| Other | ||||
| Navy OIF/OEF | ||||
| Marine Corps OIF/OEF | ||||
| Air Force OIF/OEF | ||||
| Army OIF/OEF | ||||
| Daily Totals |
RIK Meal Total 0 0 0 0
Inpatient Meals 0
Blood Donor Meals 0
Discount Rate Meals (Dep. of E-4 & Below) 0
1078b Provisions (free meals) 0
Standard Rate Meals (Cash Paying Patron) 0
Total Meal Head Count 0 0 0 0
Take-Out Collections (Dollar Value) $ - 0
Discount Rate Collections (Dollar Value) $ - 0
Standard Rate Collections (Dollar Value) $ - 0
Total Meal Rate Collections (Standard + Discount Rates) $ - 0
Daily Page 1
| Nutrition Management Department at MTF: | ||||||||||||||||||||||
| MEAL-DAY Accounting for the Month of (MTH/YR): | ||||||||||||||||||||||
| Do you operate a Flat Rate Service? Type a number one for Yes or zero for No. | 1 | |||||||||||||||||||||
| BDFA: | $7.81 | |||||||||||||||||||||
| Annual Operating Charge for A la Carte/Item Priced Service (1.xx) | 0.33 | Prime Vender (PV) Allowance | $2.85 | |||||||||||||||||||
| Breakfast | 0.40 | Dining Room Supplemental Allowance | $1.15 | $0.55 | ||||||||||||||||||
| Annual Operating Charge for Flat Rate Service at | Lunch | 0.65 | Flat Rate Charge for Lunch or Dinner | $4.60 | ||||||||||||||||||
| Dinner | 0.65 | Flat Rate Charge (B+L+D) - Surcharge | $10.00 | Adj. BDFA = (BDFA + 15%) + PV Suppl. | $11.83 | |||||||||||||||||
| PAGE | RATIONS-IN-KIND | Breakfast RIK | ||||||||||||||||||||
| 1 | Breakfast Breakdown of Meals Fed by Category | Summary | ||||||||||||||||||||
| Navy AD | Marine Corps AD | Air Force AD | ARMY AD | Marine Corps Res. | Air Force Res. | ARMY Res. | Air Force ROTC | ARMY ROTC | AF Acad. Cadets | ARMY Acad. Cadets | Air National Guard | ARMY National Guard | Navy Res. | Navy ROTC Midship. | Navy Acad. Midship. | Civilian Appl. Navy | Coast Guard AD | Coast Guard Cadets | Other | Total # Fed | 20% |
| [1a] | [1b] | [1c] | [1d] | [1e] | [1f] | [1g] | [1h] | [1i] | [1j] | [1k] | [1l] | [1m] | [1n] | [1o] | [1p] | [1q] | [1r] | [1s] | [1t] | [2] | [3] | |
| = Sum of | = [2] | |||||||||||||||||||||
| all [1]'s | x 20% | |||||||||||||||||||||
| DATE | ||||||||||||||||||||||
| 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 13 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 14 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 20 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 21 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 24 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 25 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 26 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 30 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| Holiday | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.00 |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Meal Days | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
Prepared By: Reviewed By:
Signature Signature
BUMED 10110/3 (REV 05/13)
Daily Page 2
| PAGE | RATIONS-IN-KIND | Lunch RIK | ||||||||||||||||||||
| 2 | Lunch Breakdown of Meals Fed by Category | Summary | ||||||||||||||||||||
| Navy AD | Marine Corps AD | Air Force AD | ARMY AD | Marine Corps Res. | Air Force Res. | ARMY Res. | Air Force ROTC | ARMY ROTC | AF Acad. Cadets | ARMY Acad. Cadets | Air National Guard | ARMY National Guard | Navy Res. | Navy ROTC Midship. | Navy Acad. Midship. | Civilian Appl. Navy | Coast Guard AD | Coast Guard Cadets | Other | Total # Fed | 40% |
| [4a] | [4b] | [4c] | [4d] | [4e] | [4f] | [4g] | [4h] | [4i] | [4j] | [4k] | [4l] | [4m] | [4n] | [4o] | [4p] | [4q] | [4r] | [4s] | [4t] | [5] | [6] | |
| = Sum of | = [5] | |||||||||||||||||||||
| all [4]'s | x 40% | |||||||||||||||||||||
| DATE | ||||||||||||||||||||||
| 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 13 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 14 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 20 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 21 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 24 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 25 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 26 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 30 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| Holiday | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Meal Days | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
Daily Page 3
| PAGE | RATIONS-IN-KIND | Dinner RIK Summary | RIK Box or Night Meals | |||||||||||||||||||||
| 3 | Dinner Breakdown of Meals Fed by Category | |||||||||||||||||||||||
| Navy AD | Marine Corps AD | Air Force AD | ARMY AD | Marine Corps Res. | Air Force Res. | ARMY Res. | Air Force ROTC | ARMY ROTC | AF Acad. Cadets | ARMY Acad. Cadets | Air National Guard | ARMY National Guard | Navy Res. | Navy ROTC Midship. | Navy Acad. Midship. | Civilian Appl. Navy | Coast Guard AD | Coast Guard Cadets | Other | Total # Fed | 40% | Total # Fed | 40% |
| [7a] | [7b] | [7c] | [7d] | [7e] | [7f] | [7g] | [7h] | [7i] | [7j] | [7k] | [7l] | [7m] | [7n] | [7o] | [7p] | [7q] | [7r] | [7s] | [7t] | [8] | [9] | [10] | [11] | |
| = Sum of | = [8] | = [10] | ||||||||||||||||||||||
| all [7]'s | x 40% | x 40% | ||||||||||||||||||||||
| DATE | ||||||||||||||||||||||||
| 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 13 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 14 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 20 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 21 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 23 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 24 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 25 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 26 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 29 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 30 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| Holiday | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| Meal Days | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| MONTH TOTALS BY CATEGORY OF RIK: | ||||||||||||||||||||
| BLD Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Meal Days | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| NOTE: NIGHT MEAL TOTALS ARE INCLUDED UNDER NAVY AD TOTAL. | ||||||||||||||||||||
| NOTE: By using the "Holiday" line for months with holidays, the Month Total for Meal Day Credit already includes the Holiday Meal Day Credit and the Month Total for Monetary Allowance also already includes the Holiday Meal Allowance. A separate line for the Holiday Allowance will not show on spreadsheet or 10110 report. |
Daily Page 4
| PAGE | RATIONS-IN-KIND | BLOOD DONORS | CASH PATRONS MEALS | Cash Patron | ||||||||||||||||
| 4 | Meal Day | Monetary | Total | Meal Day | Monetary | Breakfast Summary | Lunch Summary | Dinner Summary | Night Meals | Meal Day | ||||||||||
| Credit | Allowance | Meals | Credit | Allowance | Standard | Discount | Total | 20% | Standard | Discount | Total | 40% | Standard | Discount | Total | 40% | Night | 40% | Credit | |
| Total | Total | Served | Total | Total | Rate | Rate | # Fed | Rate | Rate | # Fed | Rate | Rate | # Fed | # Fed | Total | |||||
| [12] | [13] | [14] | [15] | [16] | [17a] | [17b] | [18] | [19] | [20a] | [20b] | [21] | [22] | [23a] | [23b] | [24] | [25] | [26] | [27] | [28] | |
| = [15] X Flat Rate w/o oper. char. | ||||||||||||||||||||
| = [3]+[6] + | = [12] x | = [14] | = Sum of | = [18] | = Sum of | = [21] | = Sum of | = [24] | = [26] | = [19]+[22] | ||||||||||
| [9]+[11] | BDFA + PV | X 40% | All [17]'s | x 20% | All [20]'s | x 40% | All [23]'s | x 40% | x 40% | +[25]+[27] | ||||||||||
| DATE | ||||||||||||||||||||
| 1 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 2 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 3 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 4 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 5 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 6 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 7 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 8 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 9 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 10 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 11 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 12 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 13 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 14 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 15 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 16 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 17 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 18 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 19 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 20 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 21 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 22 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 23 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 24 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 25 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 26 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 27 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 28 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 29 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 30 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| 31 | 0.0 | $0.00 | 0 | 0.0 | $0.00 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0.00 |
| Holiday | 0.0 | $0.00 | 0 | 0 | 0 | 0.00 | 0 | 0 | 0 | 0.00 | 0 | 0 | 0 | 0.00 | 0 | 0.00 | 0.00 | |||
| Meals | Total | Total | 0 | Total | Total | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Total | ||||
| Meal Days | 0.00 | $0.00 | 0.00 | $0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Total Cash Meals | Standard Rate | Discount Rate | Note: Night Meal Totals included under Standard Rate Totals. |
| 0.00 | 0 |
| Cash Meal Day Credit Totals | Standard Rate | Discount Rate | Total Cash Meal Day Credits | 0.00 |
| 0.00 | 0.00 |
Daily Page 5
| PAGE | CASH SALES MONETARY BREAKDOWN | Total Meal Day Credit for Dining Room | INPATIENTS EATING IN | INPATIENTS | OUTPATIENT EXCEPTIONS | ||||||||||||||||
| 5 | Total Std Rate Collections | Std. Rate Modif. Collections | Total Dis. Rate Collections | Total Meal Rate Collections | Take Out Container Charge | Flat Rate Operating Charge | A la Carte Operating Charge | DINING ROOM | Occup. Bed Days | Monetary | APU Occup. Bed Days | 20% | Monetary Allowance | ER & APU Meals | 40% | Outpt. Meal Collections | Flat Rate Operating Charge | ||||
| B | L | D | Meal Day | Allowance |
| [29] | [30] | [31] | [32] | [33] | [34] | [35] | [36] | [37a] | [37b] | [37c] | [38] | [39] | [40] | [41] | [42] | [43] | [44] | [45] | [46] | [47] |
| info from reg. w/ oper. char. | w/o oper. char. | info from register | info from reg. w/ oper. char. | info from register | # of Meals B, L, D x oper. char. | =[29] x oper. char. or 0.33 | = [12]+[15] + [28]+[45] | = [39] x ADJ BDFA | =[41] x 20% | = [42] x ADJ BDFA | =[44] x 40% | = [45] x Flat Rate w/o oper. char. | # of Outpt Meals x oper. char. |
| DATE | |||||||||||||||||||||
| 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 4 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 5 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 6 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 7 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 8 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 9 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 11 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 12 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 13 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 14 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 15 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 16 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 17 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 18 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 19 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 20 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 21 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 22 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 23 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 24 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 25 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 26 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 27 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 28 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 29 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 30 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| 31 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | |||
| Holiday | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0 | 0 | 0 | 0 | 0 | $0.00 | 0.0 | $0.00 | 0.0 | $0.00 | $0.00 | ||
| Meals | Total | Total | Total | Total | Total | Total | Total | Total | 0 | 0 | 0 | Total | Total | Total | Total | Total | Total | Total | Total | Total | Total |
| Meal Days | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00 | 0.00 | 0.00 | $0.00 | 0 | 0 | $0.00 | 0 | 0.00 | $0.00 | $0.00 |
NOTE: Inpatient Meal Day credit on Holidays is 1.25 not 1.0; this includes .20 for Breakfast, .40 for lunch and .65 for the holiday meal.
Operating Charge
$ - 0 Flat Rate Service
FALSE A la Carte Service
Daily Page 6
| PAGE | GRAND TOTALS | FOOD COST | MEAL-DAY COSTS | |||||||||
| 6 | Meal Day | Food $ | Spoilage | Supplement | Patient | Total Patient | Dining Room | Total Issues: | Over/(Under) Issues | Average | Patient | Dining Rm |
| Credits | Earnings/ | and | Issues | Trayline Only | Trayline | Only | Subsistence | Meal Day | Meal Day | Meal Day | ||
| Allowances | Surveyed | (Oral and TF) | Issues | Issues | Issues | & Supplements | Cost | Cost | Cost | |||
| [48] | [49] | [50] | [51] | [52] | [53] | [54] | [55] | [56] | [57] | [58] | [59] | |
| Total Actual | +/(-) | |||||||||||
| = See | = See | Inpatients | (Subsistence & | Meal Day | = See | = See | ||||||
| Below | Below | Only | Nourishments) | =[51] + [52] | Food Cost | = [55] - [49] | =[55]/[48] | Below | Below | |||
| DATE | ||||||||||||
| 1 | 0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | ERROR:#DIV/0! | ERROR:#DIV/0! |
| 2 | 0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | ERROR:#DIV/0! | ERROR:#DIV/0! |
| 3 | 0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | ERROR:#DIV/0! | ERROR:#DIV/0! |
| 4 | 0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | ERROR:#DIV/0! | ERROR:#DIV/0! |
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