Deer Isle-Stonington Elementary School
Breakfast/Lunch & Milk Order
Week of __________________to ____________________
Childs Name____________________________________
Teachers Name_____________________Grade________
Breakfast (served with juice and milk) Lunch (served
with milk)
Regular - $1.00 per day Regular - $1.50 per day
Reduced - 30¢ per day Reduced - 40¢ per day
Cold Lunch Milk or Extra Milk
25¢ each
Please circle the days that your child is purchasing
breakfast, lunch or milk:
Breakfast: M T W TH F
Lunch: M T W TH F
Milk: M T W TH F
Total Money Enclosed:____________
PLEASE NOTE
- This slip and payment must be returned on MONDAY (or the
first
school day of the week)..
- Make sure the envelope you use has your childs name and their teachers
name written on the front of it.
PLEASE DO NOT PUT BUS NOTES IN
YOUR CHILDS LUNCH ENVELOPE!
*********************************************************
Kitchen Staff Use Only:
Credit:_____________ Owed:_____________
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