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Student:  _______________________                    Week of:  __________________

Teacher:  Mrs. Helms                                             Classroom:  _________________

 

(Circle Days)

Price

 

Quantity

 

Total

 

 

 

 

 

 

 

Milk (White)

M  T  W  R  F

$0.50

x

__________

=

$_____________

   Milk(Choc)  

M  T  W  R  F

$0.50

x

___________

=

$_____________

 

 

 

 

 

 

 

    Juice (Apple)  

M  T  W  R  F

$0.25

x

___________

=

$_____________

Juice (Orange)

M  T  W  R  F

$0.25

x

__________

=

$_____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      

 

 

 

 

 

 

 

 

 

 

Total Payment

 

$_____________