| TOT'S PLACE MENU RECORD (3) | |||||
| DATE: | |||||
| MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
| BREAKFAST | |||||
| 1. Fluid milk | milk | milk | milk | milk | milk |
| 2. Fruit, vegetable or | Cold Cereal | Pancakes | Banana Bread | English Muffins | Cold Cereal |
| full-strength juice | Bananas | Syrup | Pineapple | Peanut Butter & Jelly | Grapes |
| 3. Cereal and/or bread/ | Apple Sauce | Mandarin Oranges | |||
| cereal/rice/pasta/ | |||||
| noodles or equivalent | |||||
| Other food (optional) | |||||
| ** | ** | ** | ** | ||
| LUNCH | |||||
| 1. Fluid milk | milk | milk | milk | milk | milk |
| 2. Meat and/or alternate | H.M. Chicken & Rice | Sloppy Joes/Ground | Turkey & Cheese | H.M. Goulash | Tomato Soup |
| 3/4. Vegetables and/or fruit | Casserole | Beef on Bun | Sandwiches | (w gr. beef, tomatoes, | Grilled Cheese |
| (2 varieties required) | Broccoli | Green Beans | on Wheat Bread | & macaroni) | Sandwiches |
| 5. Bread and/or cereal/ | Apple Slices | Pears | H.M. Chicken and | lettuce salad, cuc. | (white bread) |
| rice/pasta/noodles or | Vegetable Soup w/ | tom. & gr. peppers | Pineapple | ||
| equivalent | extra Vegetables | w/ Ranch Dressing | Saltine Crackers | ||
| Other food (optional) | Oranges | Peaches | |||
| ** | ** | ** | ** | ** | |
| SNACK: 2 OUT OF 4 | |||||
| 1. Fluid milk | Milk | Milk | |||
| 2. Meat and/or meat alternate | Yogurt | String Cheese | H.M. Rice Crispie | Celery & Peanut | Gold Fish Crackers |
| 3. Veg/fruit or full-strength | Peaches | White grape juice | Treats | Butter | Apple Juice |
| juice | Water | ||||
| 4. Bread/cereal/rice/pasta/ | |||||
| noodles and/or equivalent | |||||
| Other food (optional) | |||||
| ** | ** | ** | ** | ** | |
| I certify that I have been informed of the meal pattern regulations of the Child Care Food Program | |||||
| and that I have served the following meal components in the proper amounts. | |||||
| Signature:________________________________________________________________________Date: _______________________________________________________ | |||||
| 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, Room 326- W, Whitten Building, | |||||
| 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202)720-5964 (voice and TDD). USDA is an equal opportunity provider | |||||
| and employer | |||||