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IRS.gov Website
Publication 587
taxmap/pubs/p587-010.htm#en_us_publink10003776

(p32)

rule

Exhibit A. Family Daycare Provider Meal and Snack Log

Name of Provider _______________________________
Week of _____________________________ Year______________
Keep For Your Records
Child's NameMondayTuesdayWednesdayThursdayFridaySaturdaySundayTotals
 Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack

Number served:
_____
Breakfasts:
_____
Lunches:
_____
Dinners: ______
Snacks: ______
 Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack

Number served:
_____
Breakfasts:
_____
Lunches:
_____
Dinners: _____
Snacks: _____
 Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack

Number served:
_____
Breakfasts:
_____
Lunches:
_____
Dinners: _____
Snacks: _____
 Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack
Hours of attendance: _____
□ Bkfst
□ Snack
□ Lunch
□ Snack
□ Dinner
□ Snack

Number served:
_____
Breakfasts:
_____
Lunches:
_____
Dinners: _____
Snacks: _____