VF0001 991st MOCK Order 4 of 4.pdf

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Commercial Meals for NVNG - BPAs
Solicitation number
W9124X22Q0003
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REPORT DATES

1. REQUESTOR UNIT, ADDRESS AND BUILDING 2. TO VENDOR 3. DATE (YYYMMDD)

PAGE ___ OF ___

VEGETARIANISM:

4. REPORT DATES

9a. SIGNATURE 9b. RANK 9c. DATE (YYYYMMDD)

BREAKFAST:1.____2.____3.____

8. ACTIVTY LEVEL

Light (850 Cal) Moderate (950 Cal)

Heavy (1067 Cal) Ex Heavy (1283 Cal)

Lacto-ovo-vegetarianism (includes eggs, dairy, and honey):

Lacto-vegetarianism (includes dairy, no eggs):

Ovo-vegetarianism (includes eggs, no dairy):

Pescatarianism (includes fish and other forms of seafood):

LUNCH:1.____2.____3.____

DINNER:1.____2.____3.____

UNIT PAGE: MEAL INFORMATION PROVIDED BY UNIT TO COMMERCIAL VENDOR

7. GRAND TOTAL MEALS

REQUESTED

MEALS REQUESTED BY CATEGORY

Total SIK Stock Meals (without dietary accomodations)

Vegan (no animal product or by-product; no eggs, dairy, or honey):

Gluten-free (no wheat, barley, rye, or oats):

VF 0001

Light (850 Cal) Moderate (950 Cal)

Heavy (1067 Cal) Ex Heavy (1283 Cal)

Light (850 Cal) Moderate (950 Cal)

Heavy (1067 Cal) Ex Heavy (1283 Cal)

NOTE: (V - Vegan, P - Pescatarian, GF - Gluten-free, LV - Lacto-veg, OV - Ovo-veg, LOV - Lact-ovo-veg)

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

GF: _____

P: _____ LOV:

V: _____ OV: ____

Reg: _____ LV: ____

10. CASH MEALS

CALORIC REQUIREMENT PER MEAL: 850 Calories

MEAL DATE:

Regular Meals without dietary restrictions Vegan (no animal product or by-products) Pescatarian (includes fish and other forms of seafood) Gluten-free (no wheat, barley, rye, or oats) Lacto-vegetarian (includes dairy, no eggs) Ovo-vegetarian (includes eggs, no dairy) Lacto-ovo-vegetarian (includes eggs, dairy, and honey)

LUNCH DINNERBREAKFAST

TOTAL MEALS FOR THE DAY:

950 Calories 1067 Calories 1283 Calories

CALORIC REQUIREMENT PER MEAL: 850 Calories

MEAL DATE:

Regular Meals without dietary restrictions Vegan (no animal product or by-products) Pescatarian (includes fish and other forms of seafood) Gluten-free (no wheat, barley, rye, or oats) Lacto-vegetarian (includes dairy, no eggs) Ovo-vegetarian (includes eggs, no dairy) Lacto-ovo-vegetarian (includes eggs, dairy, and honey)

LUNCH DINNERBREAKFAST

950 Calories 1067 Calories 1283 Calories

CALORIC REQUIREMENT PER MEAL: 850 Calories

MEAL DATE:

Regular Meals without dietary restrictions Vegan (no animal product or by-products) Pescatarian (includes fish and other forms of seafood) Gluten-free (no wheat, barley, rye, or oats) Lacto-vegetarian (includes dairy, no eggs) Ovo-vegetarian (includes eggs, no dairy) Lacto-ovo-vegetarian (includes eggs, dairy, and honey)

LUNCH DINNERBREAKFAST

950 Calories 1067 Calories 1283 Calories

PAGE ___ OF ___

TOTAL MEALS FOR THE DAY:

TOTAL MEALS FOR THE DAY:

1. REQUESTOR UNIT, ADDRESS AND BUILDING 2. TO VENDOR 3. DATE (YYYMMDD)1. REQUESTOR UNIT, ADDRESS AND BUILDING 2. TO VENDOR 3. DATE (YYYMMDD)

10a. SIGNATURE: 11b. RANK: 11c. DATE:

VF 0001

10a. Print (First, Last, M.I.):

VENDOR PAGE: MEAL INFORMATION PROVIDED BY UNIT TO COMMERCIAL VENDOR

Sheet1
Blank Page
Group22: Choice2
Group23: Choice2
Group24: Choice2
4: 12-Nov-2021
5: 13-Nov-2021
6:
Text1: 29
Text2: 29
Text3: 0
Text4: 1
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Total: 0
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Total_5: 34
V_4: 1
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Text22: 5
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Reg 3:
Total_6: 0
Reg 6:
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Text41: 1
Text42: 2
Text983: 2
Text984: 2
1: 991st TC, AASF

19990 Army Aviation Blvd Reno, NV 89506

2: Vendor Y
3: 26-Oct-2021
Date44_af_date: 26-Oct-2021
Text40: SFC
Text26: Salazar, Vera B
2021-10-26T10:17:10-0700
SALAZAR.VERA.BRIEANNA.1368038632

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