Date:
Saturday, July 31, 2010
School:
Hugh John MacDonald School
LFE Account No.:
123
Address:
567 Bannatyne Ave., Winnipeg, Manitoba, R3A 0G8
Contact:
Sharon Andruniak
Ph:
204-786-5631
Ext:
School's Current Balance:
8369
Regular Labels
Value
Qty
Total
10oz/284ml Label
1
x
=
10oz./284ml Label
1
x
=
168g, 180g, 190g & 200g UPC
1
x
=
900ml UPC
2
x
=
19oz./540ml Label
2
x
=
28oz./796ml Label
2
x
=
Soup 19oz/540ml , Chili 14oz/425ml Chunky
2
x
=
1.36kg UPC
3
x
=
1.89L Label V8
3
x
=
48oz/1.36L Label
3
x
=
Food service Products:
Point Value
Qty
Eating Smart Soup
4/case UPC
9
x
=
Frozen Soup
3/case UPC
9
x
=
Heat 'n Serve Tubbed Entrees
3/case UPC
9
x
=
Frozen Entrees
4/case UPC
12
x
=
Bonus Certificates
x
=
Special Offers
x
=
Others
x
=
Note:
We have a total of
cartons in this deposit.
Total Points
=
I, the undersigned, hereby certify that the information given in the Label Redemption Form is complete, accurate and fully discloses the value of the labels we have collected. I understand that I am responsible for holding the physical labels for a period of 6 months (180 days) in the event that an on-site audit is required. At the end of this period, the labels will be destroyed at the school's cost.
signature of Notary Public ______________________________________
print name ________________________________
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