FOOD SERVICE MANAGER'S TALLY SHEET

File: aaamg_01.txt
Page: 01
Total Pages: 1
SUBJECT:  FOOD SERVICE MANAGER'S TALLY SHEET

					TOTAL's   129       $4158.90

	TALLY  IN	XOUT		SHEET 		OF	TALLY NUMBER

STATION					CARRIER
	SITE 15

CONSIGNOR					B/L NUMBER
DESERT DUNES INN

CONSIGNEE					CAR NUMBER AND INITIALS
SITE 15 MEDICAL INSPECTOR

AUTHORITY					SEAL NUMBERS
AFR 146-7  PARA 5-59 K (3)			

CONTAINERS	UNITS							  UNIT
OR		PER		CONTENTS	UNIT	TOTAL UNITS	  SALES TOTAL VALUE
PIECES		CON-							  PRICE
			CHICKEN NUGGETS	 LB		9                3-72	        3441.00
			CHICKEN DRUMSTICK  LB		30              1-11	            33.30
			CHICKEN BREAST	LB		60	    3-29	          197.40
---------------------------------------------LAST ITEM----------------------------------------------------------------
			THE ABOVE ITEMS WERE CONDEMNED	TOTAL	         3671.70
			UNFIT FOR HUMAN CONSUMPTION AND
			DESTROYED

			THE ABOVE ITEMS WERE INSPECTED
			AND FOUND TO BE UNFIT FOR
			ITS  INTENDED PURPOSE.  PRODUCTS
			CONDEMNATION IS A RESULT OF
			FREEZER FAILURE.  DETERMINATION
			COULD NOT BE MADE AS TO HOW
			PRODUCTS WERE AT A HIGH INTERNAL
			TEMPERATURE.  RECOMMEND DISPOSALS

						ENVIRONMENTAL HEALTH

PACKER (Tally Outuse)			

I CERTIFY THAT THE ABOVE LISTED ARTICLES (Subject to Veterinary Inspection) WERE INSPECTED BY ME AND THAT THEY CONFORM TO THE CONTRACT REQUIREMENTS.        
.
INSPECTOR'S  SIGNATURE

CHECKER

RECEIVED THE ABOVE LISTED ARTICLES IN APPARENT GOOD ORDER AND CONDITION
(EXCEPT AS NOTED)

SIGNATURE
GRADE OR TITLE: FOOD SERVICES MANAGER				DATE:  26 JAN 91
AF FORM 129