|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reimbursable Meal Total 480
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Portion
Size
|
Reimb
Qty
|
Cals¹ (kcal)
|
S-Fat¹ (g)
|
Sodm¹ (mg)
|
Sugars
(g)
|
T-Fat
(g)
|
Tr-Fat² (g)
|
Cholst
(mg)
|
Carb
(g)
|
Fiber
(g)
|
Protn
(g)
|
VIt-A
(IU)
|
Calcm
(mg)
|
Vit-C
(mg)
|
Iron
(mg)
|
Cost
|
|
990149 Chicken, Smackers, (popcorn) 110452
|
4.3 oz
|
180
|
269
|
3.00
|
590
|
0
|
13.00
|
0.00
|
60
|
20.00
|
3.00
|
18.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990038 WHOLE WHEAT BUN or ROLL
|
2 oz
|
180
|
115
|
0.37
|
149
|
*2
|
2.58
|
*0.00
|
0
|
20.28
|
2.14
|
3.36
|
12
|
12.5
|
0.06
|
0.02
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990163 Pizza, Pizza Hut
|
slice
|
120
|
340
|
7.00
|
700
|
2
|
15.00
|
0.00
|
45
|
35.00
|
3.00
|
16.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$6.973
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
001209 Corn Dog, WG w/ condiments
|
each
|
100
|
274
|
2.51
|
613
|
*9
|
9.22
|
*0.00
|
40
|
35.32
|
5.05
|
9.24
|
*0
|
*4.2
|
*0.00
|
*0.10
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990253 Hoagie Choices
|
Each
|
80
|
469
|
4.93
|
1094
|
*10
|
19.73
|
*0.00
|
*51
|
49.93
|
5.71
|
25.59
|
*563
|
*26.9
|
*6.93
|
*0.68
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990025 BROCCOLI: frozen, boiled
|
.5 CUP
|
480
|
26
|
0.02
|
10
|
1
|
0.11
|
0.00
|
0
|
4.92
|
2.76
|
2.85
|
930
|
30.4
|
36.89
|
0.56
|
$0.000
|
|
990251 Fries, Golden
|
4.5 oz
|
480
|
196
|
0.98
|
10
|
0
|
5.89
|
0.00
|
0
|
31.40
|
7.85
|
3.92
|
0
|
11.5
|
1.65
|
1.04
|
$0.000
|
|
990210 Ketchup, Heinz
|
1.5 Tbl spoon
|
480
|
30
|
0.00
|
240
|
6
|
0.00
|
0.00
|
0
|
7.50
|
0.00
|
0.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
118
|
0.03
|
10
|
24
|
0.15
|
0.00
|
0
|
30.08
|
2.58
|
0.86
|
*614
|
*10.1
|
*21.90
|
*0.18
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
110
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
17.80
|
0.00
|
8.00
|
500
|
300.0
|
1.44
|
0.00
|
$0.000
|
|
Weighted Daily Average
|
|
|
845
|
5.68
|
1203
|
*53
|
21.45
|
*0.00
|
*57
|
131.24
|
17.88
|
33.83
|
*2143
|
*361.9
|
*63.05
|
*1.92
|
$1.743
|
|
% of Calories
|
|
|
|
6.05%
|
|
*25.1%
|
22.8%
|
*0.0%
|
|
62.1%
|
|
16.0%
|
|
|
|
|
|
|
Weekly Nutrient Guideline
|
|
|
750 - 850
|
<10
|
1420
|
|
<=0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reimbursable Meal Total 480
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Portion
Size
|
Reimb
Qty
|
Cals¹ (kcal)
|
S-Fat¹ (g)
|
Sodm¹ (mg)
|
Sugars
(g)
|
T-Fat
(g)
|
Tr-Fat² (g)
|
Cholst
(mg)
|
Carb
(g)
|
Fiber
(g)
|
Protn
(g)
|
VIt-A
(IU)
|
Calcm
(mg)
|
Vit-C
(mg)
|
Iron
(mg)
|
Cost
|
|
001235 Chicken Burger on a Bun, RHS
|
SERVING
|
160
|
514
|
1.03
|
828
|
*6
|
12.01
|
*0.00
|
35
|
49.95
|
6.56
|
23.81
|
*277
|
*213.6
|
*3.24
|
*2.13
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000941 Pizza, Ripper
|
each
|
120
|
300
|
4.80
|
500
|
3
|
13.00
|
0.00
|
27
|
28.00
|
2.80
|
17.40
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000850 HAMBURGER/Cheese/ Bun & condiments
|
SERVING
|
120
|
404
|
7.52
|
811
|
*10
|
18.79
|
*0.00
|
48
|
39.30
|
3.58
|
20.68
|
*277
|
*210.5
|
*3.58
|
*3.12
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990253 Hoagie Choices
|
Each
|
80
|
469
|
4.93
|
1094
|
*10
|
19.73
|
*0.00
|
*51
|
49.93
|
5.71
|
25.59
|
*563
|
*26.9
|
*6.93
|
*0.68
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990252 Green Beans Low Sodium USDA
|
1 cup
|
480
|
25
|
0.00
|
218
|
2
|
0.00
|
0.00
|
0
|
4.68
|
3.12
|
1.56
|
0
|
0.0
|
0.00
|
0.00
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
118
|
0.03
|
10
|
24
|
0.15
|
0.00
|
0
|
30.08
|
2.58
|
0.86
|
*614
|
*10.1
|
*21.90
|
*0.18
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
110
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
17.80
|
0.00
|
8.00
|
500
|
300.0
|
1.44
|
0.00
|
$0.000
|
|
Weighted Daily Average
|
|
|
679
|
4.57
|
1185
|
*49
|
15.89
|
*0.00
|
*45
|
94.36
|
10.43
|
32.13
|
*1369
|
*438.4
|
*26.47
|
*1.78
|
$0.000
|
|
% of Calories
|
|
|
|
6.06%
|
|
*28.9%
|
21.1%
|
*0.0%
|
|
55.6%
|
|
18.9%
|
|
|
|
|
|
|
Weekly Nutrient Guideline
|
|
|
750 - 850
|
<10
|
1420
|
|
<=0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reimbursable Meal Total 480
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Portion
Size
|
Reimb
Qty
|
Cals¹ (kcal)
|
S-Fat¹ (g)
|
Sodm¹ (mg)
|
Sugars
(g)
|
T-Fat
(g)
|
Tr-Fat² (g)
|
Cholst
(mg)
|
Carb
(g)
|
Fiber
(g)
|
Protn
(g)
|
VIt-A
(IU)
|
Calcm
(mg)
|
Vit-C
(mg)
|
Iron
(mg)
|
Cost
|
|
000036 Chili Crispitos
|
One Each
|
120
|
270
|
3.00
|
370
|
1
|
14.00
|
0.00
|
25
|
23.00
|
3.00
|
12.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990064 CHEESE SAUCE
|
1/3 cup
|
120
|
67
|
2.00
|
460
|
3
|
3.33
|
0.00
|
7
|
6.67
|
0.00
|
2.67
|
43
|
73.3
|
0.00
|
0.00
|
$0.000
|
|
990185 Cheese Stick, Mozzarella USDA
|
stick
|
120
|
91
|
5.06
|
202
|
0
|
7.09
|
*N/A*
|
20
|
0.00
|
0.00
|
7.09
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990183 Whole Grain Garlic Toast
|
Slice
|
120
|
80
|
0.00
|
180
|
*N/A*
|
2.00
|
0.00
|
0
|
15.00
|
2.00
|
3.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
001181 Pizza, Domino's
|
slice
|
120
|
280
|
3.83
|
587
|
3
|
9.33
|
0.00
|
23
|
29.67
|
3.00
|
19.67
|
667
|
450.0
|
7.00
|
1.80
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000918 SUPER BEEF NACHOS, secondary
|
each
|
240
|
591
|
8.53
|
919
|
*6
|
26.02
|
*0.00
|
66
|
59.80
|
10.85
|
26.71
|
*298
|
*169.0
|
*4.83
|
*2.84
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000261 CARROTS:frozen, boiled
|
CUP
|
480
|
54
|
0.18
|
86
|
6
|
0.99
|
0.00
|
0
|
11.29
|
4.82
|
0.85
|
24715
|
51.1
|
3.36
|
0.77
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
118
|
0.03
|
10
|
24
|
0.15
|
0.00
|
0
|
30.08
|
2.58
|
0.86
|
*614
|
*10.1
|
*21.90
|
*0.18
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
110
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
17.80
|
0.00
|
8.00
|
500
|
300.0
|
1.44
|
0.00
|
$0.000
|
|
Weighted Daily Average
|
|
|
775
|
8.24
|
1176
|
*51
|
23.59
|
*0.00
|
58
|
107.65
|
14.82
|
34.16
|
*26155
|
*576.5
|
*30.86
|
*2.82
|
$0.000
|
|
% of Calories
|
|
|
|
9.57%
|
|
*26.3%
|
27.4%
|
*0.0%
|
|
55.6%
|
|
17.6%
|
|
|
|
|
|
|
Weekly Nutrient Guideline
|
|
|
750 - 850
|
<10
|
1420
|
|
<=0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reimbursable Meal Total 480
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Portion
Size
|
Reimb
Qty
|
Cals¹ (kcal)
|
S-Fat¹ (g)
|
Sodm¹ (mg)
|
Sugars
(g)
|
T-Fat
(g)
|
Tr-Fat² (g)
|
Cholst
(mg)
|
Carb
(g)
|
Fiber
(g)
|
Protn
(g)
|
VIt-A
(IU)
|
Calcm
(mg)
|
Vit-C
(mg)
|
Iron
(mg)
|
Cost
|
|
001234 Chicken nuggets, Tyson 70362
|
5 pieces
|
260
|
200
|
2.00
|
330
|
1
|
9.00
|
0.00
|
25
|
13.00
|
3.00
|
18.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000235 POTATOES-IDAHOAN REAL
|
2/3 cup
|
260
|
80
|
0.00
|
314
|
*1
|
1.00
|
*0.00
|
0
|
17.00
|
1.00
|
2.00
|
5
|
22.4
|
3.60
|
0.37
|
$0.000
|
|
990231 Gravy, Roasted Chicken, low sodium, Pioneer212645
|
1/2 cup
|
260
|
50
|
0.00
|
284
|
*0
|
2.00
|
0.00
|
0
|
6.01
|
0.00
|
2.00
|
0
|
3.4
|
0.00
|
0.00
|
$0.000
|
|
990038 WHOLE WHEAT BUN or ROLL
|
2 oz
|
260
|
115
|
0.37
|
149
|
*2
|
2.58
|
*0.00
|
0
|
20.28
|
2.14
|
3.36
|
12
|
12.5
|
0.06
|
0.02
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000972 Pizza, Papa Kelsey
|
Slice
|
140
|
304
|
7.00
|
825
|
2
|
12.00
|
0.00
|
41
|
32.00
|
4.00
|
19.00
|
250
|
220.0
|
3.00
|
1.08
|
$7.119
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990253 Hoagie Choices
|
Each
|
0
|
469
|
4.93
|
1094
|
*10
|
19.73
|
*0.00
|
*51
|
49.93
|
5.71
|
25.59
|
*563
|
*26.9
|
*6.93
|
*0.68
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990089 MIXED VEGETABLES:frozen,boiled
|
.5 CUP
|
0
|
59
|
0.03
|
32
|
3
|
0.14
|
0.00
|
0
|
11.91
|
4.00
|
2.60
|
3892
|
22.8
|
2.91
|
0.75
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
118
|
0.03
|
10
|
24
|
0.15
|
0.00
|
0
|
30.08
|
2.58
|
0.86
|
*614
|
*10.1
|
*21.90
|
*0.18
|
$0.000
|
|
990128 Fruit Snacks - Welches
|
each
|
480
|
80
|
0.00
|
10
|
11
|
0.00
|
0.00
|
0
|
19.00
|
0.00
|
1.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
110
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
17.80
|
0.00
|
8.00
|
500
|
300.0
|
1.44
|
0.00
|
$0.000
|
|
Weighted Daily Average
|
|
|
638
|
3.65
|
1014
|
*55
|
12.05
|
*0.00
|
*32
|
106.71
|
7.08
|
29.14
|
*1196
|
*395.0
|
*26.19
|
*0.70
|
$2.076
|
|
% of Calories
|
|
|
|
5.15%
|
|
*34.5%
|
17.0%
|
*0.0%
|
|
66.9%
|
|
18.3%
|
|
|
|
|
|
|
Weekly Nutrient Guideline
|
|
|
750 - 850
|
<10
|
1420
|
|
<=0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reimbursable Meal Total 480
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Portion
Size
|
Reimb
Qty
|
Cals¹ (kcal)
|
S-Fat¹ (g)
|
Sodm¹ (mg)
|
Sugars
(g)
|
T-Fat
(g)
|
Tr-Fat² (g)
|
Cholst
(mg)
|
Carb
(g)
|
Fiber
(g)
|
Protn
(g)
|
VIt-A
(IU)
|
Calcm
(mg)
|
Vit-C
(mg)
|
Iron
(mg)
|
Cost
|
|
000543 CHIPS CHILI & CHEESE
|
EACH
|
170
|
639
|
8.77
|
1031
|
*3
|
26.33
|
*0.00
|
71
|
64.89
|
14.64
|
32.85
|
777
|
103.7
|
5.83
|
4.89
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990163 Pizza, Pizza Hut
|
slice
|
120
|
340
|
7.00
|
700
|
2
|
15.00
|
0.00
|
45
|
35.00
|
3.00
|
16.00
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$6.973
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990160 Burrito, Bean & Cheese, Los Cabos 5.2 oz
|
each
|
110
|
291
|
3.62
|
479
|
*N/A*
|
8.29
|
0.00
|
15
|
40.95
|
7.96
|
15.60
|
300
|
150.0
|
92.40
|
59.94
|
$0.000
|
|
001148 Salsa
|
2 Tbls
|
110
|
5
|
0.00
|
35
|
1
|
0.00
|
0.00
|
0
|
1.00
|
0.00
|
0.00
|
100
|
0.0
|
3.60
|
0.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
| | | | |