Brand
Description Pack Size Cases Total Price
Keebler/30100-91822 Graham Crackers - Honey Rite 150/3ct
Kellogg's/24100-10480 Cheezit's Crackers 60/1oz
GM/31937 Strawberry Chex mix 60/1.03oz
GM/31932 Cheddar Chex Mix 60/.92oz
Kellogg's/26547 Rice Crispy Treat 80/1.3oz
Kellogg's/59772 Strawberry Nutrigrain Bar 96ct
Kellogg's/59779 Apple Cinnamon Nutrigrain Bar 96/ct
Kellogg's/5512 Pop Tart-Brown Sugar Cinnamon 120/1.76
Kellogg'd/55130 Pop Tart-Strawberry 120/1.76
Switch/00314 Tropical Pineapple Sparkling Drink* 24/8oz
Switch/00316 Watermelon Strawberry Sparkling Drink* 24/8oz
Apple & Eve/86000 Apple Juice 100% Juice 40/4.23oz
Apple & Eve/86001 Fruit Punch 100% Juice 40/4.23oz
Apple & Eve/86003 Orange Tangerine Juice 100% Juice 40/4.23oz
Apple & Eve/84526 Apple Juice 100% Juice 36/6.75oz
Apple & Eve/84528 Fruit Punch 100% Juice 36/6.75oz
Apple & Eve/84523 Orange Tangerine Juice 100% Juice 36/6.75oz
Purelife Water * 48/8oz
Purelife Water * 24/16.9oz
SIGNATURE:
DATE:
PO#
201672
200022
200024
203344
200026
203133
202835
Budget Code:
203343
202968
202525
200016
201670
202859
NOTE: Please keep in mind Nutrition Services MUST have your order no later than 3 weeks before snacks are needed.
200018
INSTRUCTIONS:
1. Complete order form and sign electronically via Adobe Acrobat Pro or Adobe Acrobat Reader.
2. By signing this form electronically, you will be prompted to save and E-mail the snack request form to Louise Romo in Nutrition Services.
3. Contact information - Work #: 916-566-1600 ext 36501 E-mail: louise.romo@twinriversusd.org.
4. Submit completed form to budget services for approval.
5. Budget services will send a copy of the approved request form to Nutrition Services.
SUBTOTAL:
*CRV included
TOTAL:
Today's Date:
Required Date:
Twin Rivers Unified School District
Nutrition Services
Order Form for PURCHASED SNACKS
Orders must be placed 3 weeks before they are needed
Name/Phone:
School:
202971
209080
201232
Item #
203154
Case Price
203130
v. 21-22
$ 25.00
$ 6.00
$ 20.00
$ 26.00
$ 26.00
$ 50.00
$ 38.00
$ 38.00
$ 44.50
$ 44.50
$ 20.00
$ 20.00
$ 8.00
$ 8.00
$ 8.00
$ 13.00
$ 13.00
$ 13.00
$ 15.00
0.00
0.00
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