EVENT FOOD FORM
Please read, sign & return to Monica Benteler
if
your child is not allowed to eat the foods listed below
(please provide lunch for your child)
BUDDY PICNIC
Date and Time: June 1, 2017 11:30-1:30
Where: STS Cafeteria
Food Items Hebrew National Beef Frank
White Hot Dog Bun 6”
Lays Potato Chips 1 oz bag
If you need more specific information on food being served, please contact Monica Benteler
PLEASE PROVIDE LUNCH FOR YOUR CHILD IF YOUR CHILD WILL NOT BE EATING THE FOODS
LISTED ABOVE, AND YOU WILL NEED TO SIGN BELOW AND RETURN TO SCHOOL BY MONDAY,
MAY 22, 2017
STUDENT NAME/ CLASS: _______________________________________
X ___________________________________________________________
(Parent Signature)
St. Theresa School
693713
Frank All-Beef 8 per # 6" - 4802688
Nutrition Facts
Serving Size 1 frank (57g)
Amount Per Serving
Calories 180
Calories from Fat 144
% Daily Value*
Total Fat 16g
25%
Saturated Fat 7g
35%
Trans Fat 1g
Description:
Hebrew National Products Are Made With 100% Kosher
Beef That Contain No Fillers, Artificial Flavors, Colors Or
Byproducts. Hebrew National Delivers S Uperior
Performance And Great Flavor.
Cholesterol 30mg
10%
Sodium 540mg
22%
Total Carbohydrate 1g
0%
Dietary Fiber 0g
0%
Sugars 0g
Protein 7g
Vitamin A 0%
*
Vitamin C 0%
Calcium 0%
*
Iron 4%
* Percent Daily Values are based on a 2,000 calorie diet.
Your Daily Values may be higher or lower depending on your
calorie needs:
Information:
Pack Size : 4/5 LB
Material Description : Frank All-Beef 8 per # 6"
Material SUPC : 4802688
Total Fat
Sat Fat
Cholesterol
Sodium
Total Carbohydrate
Dietary Fiber
Calories per gram:
Fat 9
Calories
Less than
Less than
Less than
Less than
Carbohydrate 4
2,000
65g
20g
300mg
2,400mg
300g
25g
2,500
80g
25g
300mg
2,400mg
375g
30g
Protein 4
Child Nutrition
No
Product Formulation Statement
No
CN Identification
Notes:
Ingredients:
Beef, Water, Contains 2% Or Less Of: Salt, Sodium Lactate, Spices, Hydrolyzed Soy Protein, Paprika, Sodium
Diacetate, Garlic Powder, Sodium Erythorbate, Flavorings, Sodium Nitrite. Contains: Soy.
Allergens:
Soybeans
Disclaimer: 1. The nutritional values indicated may not be complete based on limited information from product manufacturer. 2. This is a representation of the nutritional label. Because the data may
change from time to time, this information may not always be identical to the nutritional label information on products sold. 3. If the Nutritional Label, Allergen Information and/or Ingredient List on Sysco
Market conflicts with these three statements on the product packaging itself, the statements on the product packaging control. To ensure that you have complete and current information on a product,
always contact the product manufacturer.4. These items' qualification as 'gluten-free' is dependent on the accuracy of the gluten-free representations of the manufacturers of the items and their
ingredients. Therefore, Sysco and its affiliates do not guarantee that any item will be completely gluten-free. Consumers with celiac disease and/or gluten sensitivities should exercise proper caution in
the consumption of any food items and should always consider their individual dietary requirements and needs.
St. Theresa School
693713
Bun Hot Dog White 6" Hinged - 2496624
Nutrition Facts
Serving Size 1 roll (1.7 oz) (48g)
Amount Per Serving
Calories 130
Calories from Fat 18
% Daily Value*
Total Fat 2g
3%
Saturated Fat 0g
0%
Trans Fat 0g
Description:
144 Buns Per Case. Classic, Fully Baked Hotdog Bun
Accommodates All Standardsize Wieners. The Side
Slice Bun Is 6 Inches Long And Almost 2 Inches Wid E.
Popular In B&I, Colleges/Universities And Schoo Ls. - Product Benefits: Freshly Frozen. Fully Ba Ked. Thaw &
Serve. Heat & Serve. Toast & Serve -- Comparable
Products: Can Be Used In Place Of Scrat Ch,
FrozenDough, Proof N Bake And/Or Parbaked Pr
Oducts. CanBe Used In Place Of Fresh Delivery, Cl Ub
Store OrBox Store. - - Packing Information: Sh Ipping
Carton Can Serve As The Bread Rack. Stack C Artons,
Cut Away End And Pull Directly From Carton. -- Prep &
Cooking Instructions: Allow Bread To THaw In Dry
Storage On Shelf Or Rack For12 To 24 HoUrs In
Original Packaging (Bag Or Case If Bulk PacKed).
Stage In Kitchen On Bread Rack. Kitchen PrepAs
Normal. All Breads Can Be Heated Slightly To E Nhance
The Aroma And Deliver A Crisper Crust To ThE Produ...
Information:
Pack Size : 12/12 CNT
Material Description : Bun Hot Dog White 6" Hinged
Material SUPC : 2496624
Cholesterol 0mg
0%
Sodium 250mg
10%
Total Carbohydrate 24g
8%
Dietary Fiber 0g
2%
Sugars 3g
Protein 4g
Vitamin A 0%
*
Vitamin C 0%
Calcium 6%
*
Iron 8%
* Percent Daily Values are based on a 2,000 calorie diet.
Your Daily Values may be higher or lower depending on your
calorie needs:
Total Fat
Sat Fat
Cholesterol
Sodium
Total Carbohydrate
Dietary Fiber
Calories per gram:
Fat 9
Calories
Less than
Less than
Less than
Less than
Carbohydrate 4
2,000
65g
20g
300mg
2,400mg
300g
25g
2,500
80g
25g
300mg
2,400mg
375g
30g
Protein 4
Child Nutrition
No
Product Formulation Statement
No
CN Identification
Notes:
Ingredients:
ENRICHED FLOUR (WHEAT FLOUR, MALTED BARLEY FLOUR, NIACIN, REDUCED IRON, THIAMIN
MONONITRATE, RIBOFLAVIN, FOLIC ACID), WATER, HIGH FRUCTOSE CORN SYRUP, SOYBEAN OIL,
WHEAT GLUTEN, CONTAINS 2% OR LESS OF EACH OF THE FOLLOWING: YEAST, SALT, DOUGH
CONDITIONERS (CONTAINS ONE OR MORE OF THE FOLLOWING: SODIUM STEAROYL LACTYLATE,
CALCIUM STEAROYL LACTYLATE, MONOGLYCERIDES AND/OR DIGLYCERIDES, CALCIUM PEROXIDE,
CALCIUM IODATE, DATEM, ETHOXYLATED MONO- AND DIGLYCERIDES, ENZYMES), CALCIUM SULFATE,
ASCORBIC ACID, AMMONIUM SULFATE, CALCIUM CARBONATE, SORBIC ACID. CONTAINS: WHEAT
Allergens:
CONTAINS: Wheat;
Disclaimer: 1. The nutritional values indicated may not be complete based on limited information from product manufacturer. 2. This is a representation of the nutritional label. Because the data may
change from time to time, this information may not always be identical to the nutritional label information on products sold. 3. If the Nutritional Label, Allergen Information and/or Ingredient List on Sysco
Market conflicts with these three statements on the product packaging itself, the statements on the product packaging control. To ensure that you have complete and current information on a product,
always contact the product manufacturer.4. These items' qualification as 'gluten-free' is dependent on the accuracy of the gluten-free representations of the manufacturers of the items and their
ingredients. Therefore, Sysco and its affiliates do not guarantee that any item will be completely gluten-free. Consumers with celiac disease and/or gluten sensitivities should exercise proper caution in
the consumption of any food items and should always consider their individual dietary requirements and needs.
St. Theresa School
693713
Chip Potato Regular Single Serving - 5511175
Nutrition Facts
Serving Size 1 OZ (28g)
Amount Per Serving
Calories 150
Calories from Fat 90
% Daily Value*
Total Fat 10g
15%
Saturated Fat 1g
5%
Trans Fat 0g
Description:
Chip Potato Reg Ss Lays Regular Single Serve -- Pr
Oduct Dimensions: 20.063X16.250X10.688 -- Product
Benefits: N/A -- Comparable Products: N/A -- Packi Ng
Information: N/A -- Prep & Cooking Instructions : Ready
To Eat -- Directions For Use:N/A -- Envir Onmental
Information: N/A -- Formulation Data: N/A -- Handling
Instructions: N/A -- Serving Suggesti Ons: Single -Storage AndUsage: Dry -- Suggested Uses: Use In
Foodservice Distribution
Cholesterol 0mg
0%
Sodium 180mg
7%
Total Carbohydrate 15g
5%
Dietary Fiber less tha...
4%
Sugars 0g
Protein 2g
Vitamin A 0%
*
Vitamin C 10%
Calcium 0%
*
Iron 2%
* Percent Daily Values are based on a 2,000 calorie diet.
Your Daily Values may be higher or lower depending on your
calorie needs:
Information:
Pack Size : 104/1 OZ
Material Description : Chip Potato Regular Single
Serving
Material SUPC : 5511175
Total Fat
Sat Fat
Cholesterol
Sodium
Total Carbohydrate
Dietary Fiber
Calories per gram:
Fat 9
Calories
Less than
Less than
Less than
Less than
Carbohydrate 4
2,000
65g
20g
300mg
2,400mg
300g
25g
2,500
80g
25g
300mg
2,400mg
375g
30g
Protein 4
Child Nutrition
No
Product Formulation Statement
No
CN Identification
Notes:
Ingredients:
Potatoes, Sunflower Oil and/or Corn Oil, and Salt.No Preservatives.
Allergens:
Information Not Available
Disclaimer: 1. The nutritional values indicated may not be complete based on limited information from product manufacturer. 2. This is a representation of the nutritional label. Because the data may
change from time to time, this information may not always be identical to the nutritional label information on products sold. 3. If the Nutritional Label, Allergen Information and/or Ingredient List on Sysco
Market conflicts with these three statements on the product packaging itself, the statements on the product packaging control. To ensure that you have complete and current information on a product,
always contact the product manufacturer.4. These items' qualification as 'gluten-free' is dependent on the accuracy of the gluten-free representations of the manufacturers of the items and their
ingredients. Therefore, Sysco and its affiliates do not guarantee that any item will be completely gluten-free. Consumers with celiac disease and/or gluten sensitivities should exercise proper caution in
the consumption of any food items and should always consider their individual dietary requirements and needs.