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Sep 2009 - Jan 2010 Data Reports ~~U~1TY~~ ~A~ pI~C~ -ACfiN~ ~ INDEP~Na~N~~ ~~RV~~E~ O~I~ M7~~ `i~f ~L~ ~~'"~L~ ~ Nl1~'~~Tl~f~ P~~CRAM , A~II~R~f"~N R~'INI1~~~'hll~~T dN~ ~~~I~TRIRl1TIC7N f:l A1~4JI FC~~~I Inv~ic~ # 10~7 -~R~A Con~~a~to~; ~n~in~t~s S~nio~ N~tri~i~~ ~a~~rac~ 51 ~851 ~ Addre~~; ~ ~~40 ~a~~re~t ~a~k ~r, ~anth~Ye~~: ~~p-Q~ ~ncin~tas, ~A 9~D~~ ~'~I~~~~ne. 7~~-9~3-~~~~ P~ep~red by; ~~ri~t~e ~~~d~e~~ ~~rtding # of M~AL~ Fixed ~ervi~e 5upplemental Mor~thly ~"ota~ Yea~ly T~tal ~ou~ce pravided ~at~ ~ Recovery Act Con~r~g~te Mears 797 $Q.4~4 ~321.~9 $8~~,56 ~OD9 - ~lor~~~~~~ivered Meals ~ecavery Act ~00~ ~ ~0.30 $0.~~ ~"AL . . , . . D . ~ 3~ ~ .~9 86 . . . . . $ . , , $ ais FY osrlo Page 2 c~u~~r~a~s~~ ~~~~~-~~~~u~~ ~~v~~p~r~~~~~~ s~~~r~~~~ ~,v, ~~x a~~~o, ~ N~TR~TION PR~CRAM ~~IJI~R~~:A~V R~~NVF~~"N~~N~` ~rNl~ I~~~l~TF~~Rt~'~Ii7N ~':I A~M F[]RM Invoic~ # ~ V ir~ V R~ 4 ~or~~~a~#or; ~ncin~tas ~enior Nufri~io~ ~ontra~t 38~~ Addre~s; ~ 140 ~~kc~e~t ~~r~ D~. Mon~hlYea~: ~~t-D9 ~nci~i#a~, ~A 9~~~4 Te~~p~tone: 7fi0~94~W~~5~ Prepa~ed ~y: ~hr€s~ie ~o~~s~l~ ~un~in~ # of ~~~L~ ~ix~d ~~rv~ce ~aurce r vi ~~p~lementa~ Mon#h!y Total Ye~rly Tot~! ~ o ~ed ~~~e $ ~nn ~e a~e I~eals ~~~~v~~ Act ~5~ 0,404 ~48,~~ ~ ~ ~ 3.~~ ~ ~ ~ ~ ~ ~ ~ ~ 1 Hom~~~e~ivered ~lea~s ~ecove~y Act ~aa~ - ~a,~o ~Q,ao . . . . . . . . . : TDTAL . . : . . . ~ : . ~ ~ . . . . ~ , ; . . ~ ~ 2~ . . . 3~8 3 . . . . . ~ $ ~ AES FY091i0 Page 2 ~~~NTY~F ~AN ~I~C~ -A~~~C & I~1~EPENDEN~~ ~~RVIC~S P.Q. B~~ ~3~~7, SA~ ~I~C~, ~~1, 9~~93-3~~? f~UTR~Ti~N ~ROGR~1~ ~~~~~~:an~ ~~~n~v~~fi~~n~~ ►~~n ~~n~~~~~~~~~i~~ ~;i n~~ ~nvoice # ~ ~on~~~~tor; ~~c~n~tas ~~n~or Nut~~tian ~o~#ra~~ 51 ~8~~ Addre~s: 1~ 4~ D~kc~e~t P~r~ ar. M~nfhlYe~~; ~I~v-~9 ~ncinitas, ~A 9~0~4 Te~e~hon~, 160-94~R~~51 Pr~pa~ed by; Ch~i~t~e ~o~dsell ~unding ~ of ~EAL~ ~ixed Se~vi~~ ~~pplemental ~lon~h~y T~tal ~ ~e~rly Total Sou~c~ ~rovided Rat~ ~ ~on r~ ate Meals Re~ov~ry Act 73~ ~.4~4 2~8.5~ 1.~~ ~ ~ 2D~9 W ~ $ $ , H~m~*~eliv~~ed Mea~~ R~c~ve~y Act D.30 ~.00 20~~ - ~2 ~ ~ T ~'AL . . ~ . . . ~ ~ ~ ~ ~ ~ ~ ~ 5~ ~.77 9~ . . . . . $ . , . . . . $ ~ AIS FY09110 Page 2 ~~UNT`YUF SAI~ ~~EG~ ~AGIN~ & IND~PE~D~NCE ~E~Vi~E~ ~~~~~i ~J~~ ~~~{~]~r ~i~i ~~~~~~~~l~1 ~f1~~7fV~1~ AI~FRI~:AN R~INV~~TM~NT A~~] R~~71fiTRIRl1Tf~h~ ~I AIM ~~RI~ I~VOIC~ ~ ~ ~A~RA Contrac#o~: ~nc~~i~~~ Seni~r Nu~r~ti~~ ~antrac~ 5~ 385~ A~ddr~ss~ ~ 14~ ~a~~re~t ~'~rk ~r, Mo~~~~Year: Dec-09 ~nc~ni~as, ~A ~2024 ~`e~ephon~~ 7~0#9Q3~22~~ P~epared ~y: ~hr~s~ie ~~adse~l Fund~n # o~ f~EALS ~~xed ~e~v~c~ g , Supp~eme~tal ~#onthly T~t~l ~~arly Total Saurce pr~vided ~ate $ Can re a#e l~ea~s R~cave~y Act ~ 335,~~ ~ 847.49 9 ~ ~~09 ~ 831 ~D D ~ ; $ , W 4~ ~iv ~ ~ ~ Recove~y A~t o~~ ~ ~ ~ ~ao~ - ~a,~o ~o,ao . . . : . : . : . ~ . . ~ . . . ~ ~~7,~~ . . . . . . . . . ~ AIS fY09110 Pag2 2 ~~~NTYQF ~AN ~~~C~-I~CIN~ & IhiD~P~N~~NC~ S~~IJ~~~~ P+~. ~3~~ 5~1~1 DIEGD, CA, 9~193-32~ l NUTRITION ~RQCRA~I A~~~I~:AN RFiNV~~TI~~N~" ANI~ R~I~I~T~IRII~"IC~N ~:I AlI~ F~I~M ~~Y~I~~ # ~D3~ -A~~A Con~ra~tor; ~ncinit~s Senior ~lutrit~on Con~~~~f ~135~~ Ad~ress: ~ 14~ ~akcr~~t ~ar~ Dr. ~lon#h~Year: ,~anW~ ~ ~n~in~tas, ~A 9~D24 Tele~ho~e: 7~D~943-~~5~ Pre~ar~d by: ~h~i~t~e ~ao~s~ll Fund~ng ~ of ~I~~ILS ~ixed ~e~v~ce S~pplerr~~n~al ~Ifo~#hly To~a~ Yearly Total ~nurce ~rav~d~d ~ate $ Con re a#e M~a~s Recavery Act ~ ~ ~~Q9 ~ C1 7~~ $D,404 ~~93.3~ ~~,79 Wor~e~~~fiv~red I~ea~s Recavery Ac~ ~~a~ ~ ~a,~o ~a.ao ~ r~~ . _ ~ . . ~ ~ ~ . : a , ~ . . zs~,~o o ~ . . . ~ ~ , A€S FY09110 Page 2