Spreadsheet: 261707cd-4585-419b-af1e-df12aff56922
Sheet: Sheet1

ON-SITE MONTHLY REPORT | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23
FOOD BANK OF WNY
FOOD BANK AGENCY NUMBER |  |  |  |  |  |  |  |  | MONTH |  |  |  | YEAR |  |  |  | CITY
AGENCY NAME |  |  |  |  |  |  |  |  |  |  |  | PHONE |  |  |  | COUNTY
PLEASE CHECK EACH MEAL YOUR AGENCY PROVIDES: |  |  |  |  |  |  |  |  | Breakfast |  |  | Lunch |  |  | Dinner |  |  | Snacks
1 | I | M | 2 | I | M | 3 | I | M | 4 | I | M | 5 | I | M | 6 | I | M |  | I | M
Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  |  |  | 0
Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  |  |  | 0
Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  |  |  | 0
Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  |  |  | 0
8 | I | M | 9 | I | M | 10 | I | M | 11 | I | M | 12 | I | M | 13 | I | M | 14 | I | M
Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  |  |  | 0
Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  |  |  | 0
Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  |  |  | 0
Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  |  |  | 0
15 | I | M | 16 | I | M | 17 | I | M | 18 | I | M | 19 | I | M | 20 | I | M | 21 | I | M
Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  |  |  | 0
Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  |  |  | 0
Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  |  |  | 0
Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  |  |  | 0
22 | I | M | 23 | I | M | 24 | I | M | 25 | I | M | 26 | I | M | 27 | I | M | 28 | I | M
Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  | Children |  |  |  |  | 0
Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  | Adults |  |  |  |  | 0
Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  | Elderly |  |  |  |  | 0
Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  | Infants |  |  |  |  | 0
29 | I | M | 30 | I | M | 31 | I | M
Children |  |  | Children |  |  | Children |  |  |  | TOTALS |  |  |  |  |  |  |  |  |  |  |  |  | 0
Adults |  |  | Adults |  |  | Adults |  |  |  | I = Individuals (non-duplicated count) |  |  |  |  |  | M= Meals (duplicated count) |  |  |  |  |  |  | 0
Elderly |  |  | Elderly |  |  | Elderly |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
Infants |  |  | Infants |  |  | Infants |  |  |  | Total Children |  |  | 0 |  |  |  | Total Children |  |  | 0 |  |  | 0
 |  |  |  |  |  |  |  |  |  | Total Adults |  |  | 0 |  |  |  | Total Adults |  |  | 0
 |  |  |  |  |  |  |  |  |  | Total Elderly |  |  | 0 |  |  |  | Total Elderly |  |  | 0
 | Please return by the 7th |  |  |  |  |  |  |  |  | Total Infants |  |  | 0 |  |  |  | Total Infants |  |  | 0
 | of the following month to:
 | Food bank of WNY |  |  |  |  |  |  |  |  | TOTAL PEOPLE |  |  | 0 |  |  |  | TOTAL MEALS |  |  | 0
 |  | Buffalo, NY 14206
 | Phone: [PHONE]/Fax [PHONE]
 |  |  | Email: [EMAIL]
Completed by |  |  |  |  |  |  |  |  | Date |  |  |  |  |  |  |  |  | REVISED 12/3/2007