Food Report

Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Phone Number

Area CodePhone Number
Food Report for the Month
Food boxes $65.00 each a boxes food for family
Churches Outreach Emergency Food Boxes
Pitt County School Social Worker
ENC Clergy Resources Center Hub
Pitt County DSS
Pitt County Sheriffs Department
Greenville Police Department
Veterans Food Boxes
How many boxes @ $65.00 each
Grand Total
Senior CSFP food boxes USDA In kind each boxes $75.00 each
How Many Senior food boxes from USDA
Total of In-Kind Donations.
Signature
Should be Empty: