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Print Form Laredo Independent School District Child Nutrition Program 101 W. Saunders St. P. O. Box 2457 Laredo Texas 78040 Phone 956 795-3650 Fax 956 795-3657 Catering / TAKS Snacks / Special Event Requisition Form Fill out a separate form for each day of an event. All orders are subject to service availability for that day. NOTE Two 2 weeks notice is required on all Catering Requests Name of Organization Today s Date Phone Number Purpose of Function Charge to account number Fax Number Name of Representative Date Needed Number of Guests Time Delivery Needed By please include time a*m* p*m* Billing Address Exact Location of Event Building school dept. room etc* attach diagram of set-up if needed Type of Service place an X Supply Order Delivery Only Set Up w/ Delivery Food preparation request Meal Service Food Request MENU Quantity Item Description Unit Price Total Price Other Instructions School Administrator s Approval and Date Per Person Do Not Write Below This Line For Child Nutrition Program Use Only Total Price Delivery Charge Tax if applicable In accordance with Federal law and U*S* Department of Agriculture policy this institution is prohibited from discriminating on the basis of race color national origin sex age or disability. To file a complaint of discrimination write USDA Director Office of Civil Rights 1400 Independence Avenue SW Washington D*C* 20250-9410 or call 800 795-3272 or 202 720-6382 TTY. All orders are subject to service availability for that day. NOTE Two 2 weeks notice is required on all Catering Requests Name of Organization Today s Date Phone Number Purpose of Function Charge to account number Fax Number Name of Representative Date Needed Number of Guests Time Delivery Needed By please include time a*m* p*m* Billing Address Exact Location of Event Building school dept. room etc* attach diagram of set-up if needed Type of Service place an X Supply Order Delivery Only Set Up w/ Delivery Food preparation request Meal Service Food Request MENU Quantity Item Description Unit Price Total Price Other Instructions School Administrator s Approval and Date Per Person Do Not Write Below This Line For Child Nutrition Program Use Only Total Price Delivery Charge Tax if applicable In accordance with Federal law and U*S* Department of Agriculture policy this institution is prohibited from discriminating on the basis of race color national origin sex age or disability. room etc* attach diagram of set-up if needed Type of Service place an X Supply Order Delivery Only Set Up w/ Delivery Food preparation request Meal Service Food Request MENU Quantity Item Description Unit Price Total Price Other Instructions School Administrator s Approval and Date Per Person Do Not Write Below This Line For Child Nutrition Program Use Only Total Price Delivery Charge Tax if applicable In accordance with Federal law and U*S* Department of Agriculture policy this institution is prohibited from discriminating on the basis of race color national origin sex age or disability. To file a complaint of discrimination write USDA Director Office of Civil Rights 1400 Independence Avenue SW Washington D*C* 20250-9410 or call 800 795-3272 or 202 720-6382 TTY.

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