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SFSP-I ATTACHMENT A <br /> SE, O-~F9 <br /> y~~'; ~s.>~^ STATE OF HAWAII <br /> e - DEPARTMENT of EDUCAT[ON SUMMER FOOD SERVICE PROGRAM <br /> { j OtTice oI Hawau Child Nutritiao Prog~ams <br /> ~ - 1106 Koko Head Aveuue <br /> qa~•_ ~ Honolulu, HI 96816.3797 SITE INFORMATION SHEET <br /> 'i <br /> M:P,tRJ:\ <br /> County of Hawaii-Dept. of Parks & <br /> SPONSOR NAME: Recreation, Recreation Division AGREEMENT NUMBER: ~ 70 7 <br /> INSTRUCTIONS: COMPLETE EVERYTHING IN BLACK INK. LIST SITES CONSECUTIVELY. IF MORE SPACES FOR SITES ARE NEEDED, <br /> PLEASE DUPLICATE THIS PAGE. SHOW ONLY THE TOTAL NUMBER OF DAYS FOOD WII,L BE SERVED. DO NOT INCLUDE HOLIDAYS <br /> (IULY 4) OR WEEKENDS, UNLESS FOOD IS ACTUALLY SERVED. CAP'S WII,L BE COMPLETED BY THE DEPARTMENT OF EDUCATION. <br /> *CAMPS MUST LIST EACH SESSION SEPARATELY. <br /> *ALL NEW SITES MUST ALSO COMPLETE A SITE INFORMATION FORM (SFSP~4). <br /> *ACCORDING TO REGULATIONS, SPONSOR MUST VISIT ALL NEW SITES BEFORE THE SITES ARE L[STED BELOW. <br /> *ADP =AVERAGE DAII,Y PARTICIPATION AT THE MEAL SERVICE. IF THE SITE PARTICIPATED LAST YEAR, USE THE ACTUAL ADP FROM <br /> LAST YEAR'S DAII,Y SITE RECORDS (NOT WHAT WAS ON LAST YEAR'S APPLICATION) OR CURRENT ENROLLMENT. CAMPS SHOULD REPORT <br /> HERE THE NUMBER OF ELIGIBLE CHII,DREN ONLY. <br /> <br /> *IF ANY OF THE FOLLOWING SITES HAS DISABLED ADULTS YOU MUST CONTACT THE DEPARTMENT OF EDUCATION IMMEDIATELY. <br /> FOR DOE <br /> USE ONLY <br /> DATES OF <br /> EXACT NAME, ADDRESS & OPERATION TOTAL MEAL TB11ES <br /> SITE PHONE NUMBER OF SITES, BEGIN END NO OF CAP CAP <br /> NO. NAME OF S1TE SUPERVISOR MO/DAY MO/DAY DAYS MEAL ADP FROM TO 1 2 <br /> Yano Memorial Hall <br /> 1 82-6156 Mamalahoa Hwy 6/16/03 7/25/03 29 ttBUN~cli` 80 10:30 11:30 <br /> Capt. Cook, HI 96704 sxgcx am am <br /> PxoNE: (gpg) 323-3060/) hn Littl DEVNER ~IU <br /> Hale Halawai BR~_ <br /> 75-5760 Alii Dr. <LuNCII-~ 40 " <br /> 2 Kailua-Kona, HI 96740 sxgcx <br /> PHONE: SO8 7- DINNER ~S <br /> Kekuaokalani Gym/Park <br /> 75-5500 Kuakini Hwy " L"BU~NCI[ 150 " <br /> 3 Kailua-Kona, HI 96745 sNncK <br /> PHONE: (g08) 327-3553/V ctor McD niel DINNER <br /> Hisao aGyym-Kam Park <br /> 54-3853 Akoni-Pule Hwy CB~xcI~• 60 " <br /> 4 Kohala, HI 96715 sNACx <br /> PHONE: (808) 889-6506/ ris Cac ley DINNER <br /> Waimea Comm Ctr <br /> 65-1260 Kawaihae Road H ~ 80 " <br /> 5 Kamuela, HI 96743 sNncx ~3g <br /> PHONE: (808) 887-3014/ can Goya DINNER 7~ <br /> Papaikou Gym aRK_ <br /> 27-228 Maluna Place " <br /> 6 Papaikou, HI 96781 ~-.L[JNCH- • 75 11:00 12:00 <br /> PHONE: SNACK <br /> (808) 964-3304/J e Bautis a DINNER am <br /> 35-1994 Government Roa e>tx <br /> 7 Papaaloa, HI 96780 sNA H 11:30 <br /> PHONE: g08 962-2103/J hn Kushi DINNER am am <br /> <br />