Food Pickup Report — Sandia Church of the Nazarene

Please fill in all of the information from the receipt so that we can report to Desert Harvest.

Date

Donor

Driver

First Name

Last Name

Bakery (in lbs)

Dairy (in lbs)

Deli (in lbs)

Grocery (in lbs)

Meat (in lbs)

Non-food (in lbs)

Produce (in lbs)

Miscellaneous (in lbs)

Total Weight (in lbs)