|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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)
|
Cost
|
|
990149 Chicken, Smackers, (popcorn)
|
4.3 oz
|
180
|
269
|
3.00
|
590
|
0
|
13.00
|
0.00
|
60
|
20.00
|
$0.000
|
|
001167 Potatoes, Baby Bakers - 8
|
8 potatoes
|
180
|
160
|
0.00
|
288
|
0
|
3.20
|
0.00
|
0
|
27.20
|
$0.000
|
|
990094 WHOLE WHEAT BUN or ROLL
|
.2 oz
|
180
|
12
|
0.04
|
15
|
*0
|
0.26
|
*0.00
|
0
|
2.03
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990163 Pizza, Pizza Hut
|
slice
|
120
|
315
|
5.20
|
620
|
1
|
13.50
|
0.00
|
30
|
28.50
|
$6.440
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000582 CORN DOG, WG/CONDIMENTS
|
each
|
100
|
284
|
2.51
|
818
|
*13
|
8.22
|
*0.00
|
40
|
40.32
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990164 Wedge,Potato/SeaSalt & Pepper
|
3.53oz
|
300
|
100
|
0.00
|
390
|
1
|
1.00
|
0.00
|
0
|
21.00
|
$0.000
|
|
990165 Ketchup, Culinary Secrets
|
1.5 Tbl
|
300
|
30
|
0.00
|
240
|
6
|
0.00
|
0.00
|
0
|
7.50
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
754
|
4.08
|
1619
|
*50
|
17.86
|
*0.00
|
*51
|
*116.41
|
$1.610
|
|
% of Calories
|
|
|
|
4.87%
|
|
*26.5%
|
21.3%
|
*0.0%
|
|
*61.8%
|
|
|
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)
|
Cost
|
|
001235 Chicken Burger on a Bun, RHS
|
SERVING
|
160
|
264
|
2.53
|
513
|
*1
|
14.51
|
*0.00
|
55
|
11.95
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000941 Pizza, Ripper
|
each
|
120
|
300
|
4.33
|
480
|
2
|
11.33
|
0.00
|
28
|
29.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000967 Hamburger/spicy ranch & onion
|
SERVING
|
120
|
432
|
6.61
|
465
|
*7
|
20.77
|
*0.00
|
40
|
45.01
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
000871 Vegetables, Country Mix
|
1/2 cup
|
480
|
80
|
0.00
|
13
|
*N/A*
|
0.00
|
0.00
|
0
|
16.00
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
720
|
4.70
|
986
|
*45
|
18.83
|
*0.00
|
*49
|
*103.10
|
$0.000
|
|
% of Calories
|
|
|
|
5.88%
|
|
*25.0%
|
23.5%
|
*0.0%
|
|
*57.3%
|
|
|
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)
|
Cost
|
|
000036 Chili Crispitos
|
One Each
|
120
|
270
|
3.00
|
370
|
1
|
14.00
|
0.00
|
25
|
23.00
|
$0.000
|
|
990064 CHEESE SAUCE
|
1/3 cup
|
120
|
57
|
1.83
|
460
|
3
|
3.33
|
0.00
|
7
|
6.67
|
$0.000
|
|
000861 WG Breadstick, Mozzarella
|
each
|
120
|
140
|
2.00
|
270
|
*N/A*
|
6.00
|
0.00
|
15
|
15.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*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
|
$0.000
|
|
000684 or
|
0
|
0
|
*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
|
576
|
8.28
|
919
|
*6
|
26.02
|
*0.00
|
66
|
59.80
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990063 CORN: frozen, yellow
|
.5 cup
|
480
|
66
|
0.04
|
1
|
*N/A*
|
0.27
|
0.00
|
0
|
15.84
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
001227 Cookie, WG Chocolate Frosted
|
Cookie
|
480
|
170
|
1.50
|
100
|
15
|
6.00
|
0.00
|
5
|
27.00
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
1006
|
8.70
|
1340
|
*61
|
30.58
|
*0.00
|
62
|
147.86
|
$0.000
|
|
% of Calories
|
|
|
|
7.78%
|
|
*24.3%
|
27.4%
|
*0.0%
|
|
58.8%
|
|
|
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)
|
Cost
|
|
001182 Beef, Philly Steak
|
each
|
120
|
362
|
6.05
|
826
|
6
|
14.50
|
0.00
|
55
|
35.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000939 Pizza, Domino's
|
each
|
120
|
265
|
3.75
|
555
|
*N/A*
|
8.00
|
0.00
|
20
|
29.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000840 Chicken Hot & Spicy on Bun
|
each
|
160
|
390
|
2.60
|
515
|
*4
|
17.01
|
0.00
|
10
|
41.77
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990164 Wedge,Potato/SeaSalt & Pepper
|
3.53oz
|
480
|
100
|
0.00
|
390
|
1
|
1.00
|
0.00
|
0
|
21.00
|
$0.000
|
|
990165 Ketchup, Culinary Secrets
|
1.5 Tbl
|
480
|
30
|
0.00
|
240
|
6
|
0.00
|
0.00
|
0
|
7.50
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
786
|
4.44
|
1712
|
*53
|
18.27
|
*0.00
|
*35
|
*123.04
|
$0.000
|
|
% of Calories
|
|
|
|
5.08%
|
|
*27.0%
|
20.9%
|
*0.0%
|
|
*62.6%
|
|
|
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)
|
Cost
|
|
001234 Chicken nuggets, Tyson
|
5 pieces
|
260
|
140
|
0.00
|
250
|
0
|
1.50
|
0.00
|
50
|
3.00
|
$0.000
|
|
000235 POTATOES-IDAHOAN REAL
|
2/3 cup
|
260
|
80
|
0.00
|
314
|
*1
|
1.00
|
*0.00
|
0
|
17.00
|
$0.000
|
|
990175 Chicken Gravy, Low Sodium
|
1/2 cup
|
260
|
50
|
0.00
|
280
|
*N/A*
|
2.00
|
0.00
|
0
|
6.00
|
$0.000
|
|
990038 WHOLE WHEAT BUN or ROLL
|
2 oz
|
260
|
115
|
0.38
|
149
|
*2
|
2.57
|
*0.00
|
0
|
20.28
|
$0.000
|
|
000684 or
|
0
|
0
|
*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
|
$7.119
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
000942 Green Beans, Low Sodium
|
1/2 cup
|
480
|
20
|
0.00
|
6
|
*N/A*
|
0.00
|
0.00
|
0
|
4.00
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
990128 Fruit Snacks - Welches
|
each
|
480
|
80
|
0.00
|
10
|
11
|
0.00
|
0.00
|
0
|
19.00
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
767
|
3.36
|
1360
|
*56
|
13.30
|
*0.00
|
*52
|
*122.01
|
$2.076
|
|
% of Calories
|
|
|
|
3.94%
|
|
*29.2%
|
15.6%
|
*0.0%
|
|
*63.6%
|
|
|
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)
|
Cost
|
|
000543 CHIPS CHILI & CHEESE
|
EACH
|
170
|
574
|
7.25
|
1011
|
*3
|
22.45
|
*0.00
|
47
|
64.89
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990163 Pizza, Pizza Hut
|
slice
|
120
|
315
|
5.20
|
620
|
1
|
13.50
|
0.00
|
30
|
28.50
|
$6.440
|
|
000684 or
|
0
|
0
|
*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
|
$0.000
|
|
001148 Salsa
|
2 Tbls
|
110
|
5
|
0.00
|
35
|
1
|
0.00
|
0.00
|
0
|
1.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990025 BROCCOLI: frozen, boiled
|
.5 CUP
|
480
|
26
|
0.02
|
10
|
1
|
0.11
|
0.00
|
0
|
4.92
|
$0.000
|
|
001011 Cookie, Penuche cho chip
|
#40 SCOOP
|
480
|
142
|
2.06
|
69
|
*13
|
6.80
|
*0.00
|
14
|
19.41
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
887
|
7.90
|
1275
|
*59
|
26.11
|
*0.00
|
*55
|
*128.66
|
$1.610
|
|
% of Calories
|
|
|
|
8.02%
|
|
*26.6%
|
26.5%
|
*0.0%
|
|
*58.0%
|
|
|
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)
|
Cost
|
|
990127 Chicken/Pepper Jack/Spicy Ranc/Crispy
|
each
|
120
|
486
|
5.76
|
1059
|
*5
|
23.08
|
0.00
|
72
|
41.98
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000941 Pizza, Ripper
|
each
|
120
|
300
|
4.33
|
480
|
2
|
11.33
|
0.00
|
28
|
29.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000161 Hamburger on a Bun
|
Patty
|
160
|
364
|
6.02
|
681
|
*9
|
16.29
|
*0.00
|
40
|
38.30
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000938 Fries, Golden
|
3.53oz
|
480
|
100
|
0.50
|
5
|
0
|
3.00
|
0.00
|
0
|
16.00
|
$0.000
|
|
990165 Ketchup, Culinary Secrets
|
1.5 Tbl
|
480
|
30
|
0.00
|
240
|
6
|
0.00
|
0.00
|
0
|
7.50
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
817
|
6.15
|
1422
|
*53
|
23.01
|
*0.00
|
*52
|
*118.63
|
$0.000
|
|
% of Calories
|
|
|
|
6.77%
|
|
*25.9%
|
25.3%
|
*0.0%
|
|
*58.1%
|
|
|
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)
|
Cost
|
|
001181 Pizza, Domino's
|
slice
|
130
|
280
|
3.83
|
587
|
3
|
9.33
|
0.00
|
23
|
29.67
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000036 Chili Crispitos
|
One Each
|
130
|
270
|
3.00
|
370
|
1
|
14.00
|
0.00
|
25
|
23.00
|
$0.000
|
|
990064 CHEESE SAUCE
|
1/3 cup
|
130
|
57
|
1.83
|
460
|
3
|
3.33
|
0.00
|
7
|
6.67
|
$0.000
|
|
000861 WG Breadstick, Mozzarella
|
each
|
130
|
140
|
2.00
|
270
|
*N/A*
|
6.00
|
0.00
|
15
|
15.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*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
|
576
|
8.28
|
919
|
*6
|
26.02
|
*0.00
|
66
|
59.80
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
990036 CARROTS:frozen, boiled
|
.5 CUP
|
480
|
27
|
0.09
|
43
|
3
|
0.50
|
0.00
|
0
|
5.64
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
2.48
|
*0.00
|
0
|
8.41
|
$0.000
|
|
990081 Fruit
|
cup
|
480
|
115
|
0.03
|
12
|
23
|
0.15
|
0.00
|
0
|
29.53
|
$0.000
|
|
000562 Milk variety-lowfat
|
half pint
|
480
|
118
|
0.30
|
170
|
17
|
0.50
|
0.00
|
6
|
18.60
|
$0.000
|
|
Weighted Daily Average
|
|
|
813
|
7.47
|
1317
|
*49
|
25.48
|
*0.00
|
58
|
112.21
|
$0.000
|
|
% of Calories
|
|
|
|
8.27%
|
|
*24.1%
|
28.2%
|
*0.0%
|
|
55.2%
|
|
|
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)
|
Cost
|
|
001149 TACO PIE WITH SALAD TOPPING
|
SERVINGS
|
120
|
319
|
6.81
|
730
|
*4
|
15.21
|
*0.48
|
49
|
25.83
|
$0.000
|
|
990038 WHOLE WHEAT BUN or ROLL
|
2 oz
|
120
|
115
|
0.38
|
149
|
*2
|
2.57
|
*0.00
|
0
|
20.28
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000939 Pizza, Domino's
|
each
|
160
|
265
|
3.75
|
555
|
*N/A*
|
8.00
|
0.00
|
20
|
29.00
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000840 Chicken Hot & Spicy on Bun
|
each
|
120
|
390
|
2.60
|
515
|
*4
|
17.01
|
0.00
|
10
|
41.77
|
$0.000
|
|
000684 or
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000888 Hoagie Choices
|
Each
|
80
|
444
|
4.57
|
1245
|
*9
|
17.06
|
*0.00
|
*43
|
*48.44
|
$0.000
|
|
000790 with
|
0
|
0
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
*N/A*
|
$0.000
|
|
000586 Vegetable Bar
|
.5 cup
|
480
|
63
|
0.03
|
176
|
*1
|
| | | |