HomeMy WebLinkAboutEnrollment Verification FormFLORIDA DEPARTMENT OF EDUCATION
FOOD AND NUTRITION MANAGEMENT
SUMMER- FOOD SERVICE PROGRAM—E-(OR CHILDREN
CAMP ENROLLMENT VERIr=ICA T ION FORM
Sponsor Name City of Miami/Parks & Rec Agreement Number 04-0899
444 SW 2 Avenue 8 Floor
Address ---- -- ------
Miami Florida Zip Code 33130
Telephone (305) 41 6-1 308 Date April 1, 2009
Residential Camp Yes Iron -residential Camp
Dates of Total Children -_ -__Number of Children
Encampment Enrolled Eligible for
Reimbursement
6/8/09 - 8/14/09 3,370 3,370
ig tore --Sponso�-or_Re.presentative
Pe ro G. Hernandez, City Manager _
SFSP-S4