Меню-требование на выдачу продуктов питания (Код формы 0504202)
Утверждаю
Руководитель Меню-требование на выдачу продуктов питания N _______
учреждения ___________ ______________
(подпись) (расшифровка
подписи)
"__" _____________ 20__ г.
-----------------+------+-------+-------+------+--------- +---------+
Коды категорий |Плано-|Коли- |Плано- |Факти-|Персонал | КОДЫ |
довольствующихся|вая |чество |вая |ческая|(коли- +---------+
(группы) |стои- |доволь-|стои- |стои- |чество Форма по ОКУД | 0504202 |
---------+-------+мость |ствую- |мость |мость,|человек) +---------+
суммар- |по пла-|одного|щихся |на всех|руб. | на "__" ________ 20__ г. Дата | |
ных ка- |новой |дня, |по пла-|доволь-| | +---------+
тегорий |стои- |руб. |новой |ствую- | | Учреждение ______________________________________ по ОКПО | |
|мости | |стои- |щихся, | | +---------+
|одного | |мости |руб. | | Структурное подразделение _______________________ | |
|дня | |одного | | | +---------+
| | |дня | | | Материально ответственное лицо __________________ | |
---------+-------+------+-------+-------+------+--------- +---------+
1 | 2 | 3 | 4 | 5 | 6 | 7
+--------+-------+------+-------+-------+------+--------+
| | | | | | | |
+--------+-------+------+-------+-------+------+--------+
| | | | | | | |
+--------+-------+------+-------+-------+------+--------+
| | | | | | | |
+--------+-------+------+-------+-------+------+--------+
| | | | | | | |
+--------+-------+------+-------+-------+------+--------+
Всего | | | |
+-------+------+--------+
----------------------+------+------------------------------------------------------------------------------------------------------------------------------------------------+---------------------
Продукты питания |Еди- | Количество продуктов питания, подлежащих закладке | Расход продуктов
-----------------+----+ница +---------------------------------+----------------------------------------------------+----------------+-------------------+--------------------+ питания
наименование |код |изме- | З А В Т Р А К | О Б Е Д | П О Л Д Н И К | У Ж И Н | для обслуживающего | (количество)
| |рения | | | | | персонала +---------------------
| | | | | | | | операция
| | +---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |на доволь- |на пер-
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |ствующихся |сонал
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 |20 | 21 |22| 23 |24 |25 |26 |27 |28 |29 | 30 | 31 | 32 | 33 | 34 | 35
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Количество | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
порций | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Выход - вес | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
порций | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Мясо (говядина, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
баранина) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Свинина | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Птица | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Субпродукты | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
мясные (печень, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
почки, язык, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
мозги) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Колбаса вареная | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сардельки, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
сосиски | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Свежая рыба | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сельди | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Масло сливочное | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Масло топленое | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Маргарин | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Масло | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
растительное | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Молоко свежее | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Молоко | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
сгущенное | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Кефир | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сметана | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Творог | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сыр | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Яйцо | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Молочные смеси | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Мука пшеничная | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Форма 0504202 с. 2
----------------------+------+------------------------------------------------------------------------------------------------------------------------------------------------+---------------------
Продукты питания |Еди- | Количество продуктов питания, подлежащих закладке | Расход продуктов
-----------------+----+ница +---------------------------------+----------------------------------------------------+----------------+-------------------+--------------------+ питания
наименование |код |изме- | З А В Т Р А К | О Б Е Д | П О Л Д Н И К | У Ж И Н | для обслуживающего | (количество)
| |рения | | | | | персонала +---------------------
| | | | | | | | операция
| | +---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |на доволь- |на пер-
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |ствующихся |сонал
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 |20 | 21 |22| 23 |24 |25 |26 |27 |28 |29 | 30 | 31 | 32 | 33 | 34 | 35
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Крахмал | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Крупа гречневая | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Крупа манная | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Рис | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Пшено | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Лапша, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
вермишель, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
рожки и другие | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
изделия | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Макароны | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Геркулес | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Горох | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сахар рафинад | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Сахарный песок | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Варенье, джем | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Повидло разное | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Конфеты | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
фруктово-ягодные| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Печенье разное | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Компот | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(сухофрукты) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Кисель сухой | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Яблоки | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Картофель | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Капуста свежая | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
и квашеная | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Лук | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Морковь | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Огурцы | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Свекла | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Хлеб пшеничный | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Хлеб ржаной | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Кофе | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Чай | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
-----------------+----+------+---+---+---+----+---+---+----+---+----+----+------+------+-----+------+------+----+---+----+--+----+---+---+---+---+---+---+----+----+-----+----+------------+--------
Бухгалтер ___________ ______________ Повар __________ ______________
(подпись) (расшифровка (подпись) (расшифровка
подписи) подписи)
Врач
(диетсестра) ___________ ______________ Кладовщик __________ ______________
(подпись) (расшифровка (подпись) (расшифровка
подписи) подписи)