General Lake Hot Lunches Form December 2012 & January 2013 ** Due date: Friday November 30th, 2012 **
Child’s Name: ___________________________________________________________________
Teacher’s name: _________________________________ Room Number: ________________
Friday December 7th # of cheese pizza slices: ____________@ $2.00 =______________
Friday December 14th # of cheese pizza slices: ____________@ $2.00 = ______________
Friday December 21th # Chicken Pitas: __________________@*$3.00 =_____________
No lettuce ⃝ or No sauce ⃝
Friday January 11th # of cheese pizza slices: ____________@ $2.00 = _____________
Friday January 18th # of cheese pizza slices: ____________@ $2.00 = ______________
Friday January 25th # Chicken Pitas: __________________@ *$3.00 =____________
No lettuce ⃝ or No sauce ⃝
TOTAL $=_____________
Payment may be made by cash or cheque payable to General Lake Public School. Please fill out one form per child, and return the form with your child the latest Friday November 30th, 2012. If payment is for more than one child, Please fill out one form per child and send the completed forms together with your child in a sealed envelope or Ziploc bag. If you have any questions or concerns please feel free to contact a member of General Lake School Council at (613) 687-2404.
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