After School Snack Daily Record Form

Name of School__________________________________________________

  Month/Year

Date

Area Eligible Snacks Served
(50%)	Non-Area Eligible	

Paid	

Free	

Reduced	
Total Non-Area Eligible Snacks Served	

						

						

						

						

						

						

Total						

After School Snack

Food Cost	

Item	
Unit Size	
Number of Units Used	
Weekly
Total	
Unit
Cost	
Total
Cost	
		M	T	W	T	F				

										

										

										

										

										

										

										
Total										
Other Cost	

Item	
Unit Size	Number of Units Used	
Weekly
Total	
Unit Cost	
Total	
		M	T	W	T	F				

										

										
										
Total										

Hours	X	Rate	=		Total Hours
% of  Payroll Related Cost		X	Total Hours	=

Food_____________
Labor____________
Other____________

Total____________

LABOR