Transcription of Free and Reduced-Price Documentation Samples
1 OSPI CNS October 2016 free and Reduced-Price Documentation Samples free AND Reduced-Price Documentation FOR FISCAL YEAR 2017 Attendance (place a 1 in the box under month when a child is in attendance) Child s Name E/IEA Effective date Oct 2016 Nov 2016 Dec 2016 Jan 2017 Feb 2017 March 2017 April 2017 May 2017 June 2017 July 2017 Aug 2017 Sept 2017 Linda Anderson 11/20/2016 1 1 1 1 Wally Clark 11/12/2016 1 1 1 1 1 1 1 Donna Day 10/25/2016 1 1 1 1 1 1 Molly Evans 11/13/2016 1 1 1 1 1 Judy Franklin 12/13/2016 1 1 1 1 Jeff Johnson 2/14/2017 1 1 1 Roxanne Jones 8/1/2016 1 1 1 1 1 1 Joan Keller 8/23/2016 1 1 1 1 1 Kathy Kim 9/2/2016 1 1 1 1 1 1 1 Sally Long 2/28/2017 1 1 1 Diane Nelson 10/10/2016 1 1 1 1 1 1 George O Neil 8/12/2016 1 1 1 1 1 Jennifer Parker 3/13/2015 1 1 1 Expired Expired Carol Reynolds 8/15/2016 1 1 1 1 1 1 Terry Smith 8/23/2016 1 1 1 1 1 1 1 Sue Thomas 10/9/2016 1 1 1 1 1 Glenn Turner 1/10/2017 1 1 Ron
2 Wilson 10/12/2016 1 1 1 1 License Capacity (30) Total F/RP Children in Attendance 9 10 14 7 16 6 14 12 Percentage F/RP based upon licensed capacity 30% 23% 20% 46% 40% Total of ALL Children in Attendance (changes monthly) 28 25 Percentage F/RP based upon attendance 25% 24% The F/RP % must be 25% or greater in order for the site to claim. In this example, the March 2017 claim cannot be paid. OSPI CNS October 2016 Current List of free and Reduced-Price Children in Attendance May 2017 Children in Attendance Paula Anders* Bailey Baxter Walter Crosby* Danny Davidson* Martha Elders* Jill Frank* Willie Hines Ray Jackson* Kim Kramer* Sam Larsen* Marvin Manor Jamie Newton* Greg Olson* Cassie Payton Karen Palmer Ricky Rocket Tristen Schuller* Arnie Sheppard Samuel Tanner* Harold Wilcox *Child is free or reduced -PriceChild s Name E/IEA Date Paula Anders 11/20/2016 Walter Crosby 11/12/2016 Danny Davidson 10/25/2016 Martha Elders 11/13/2016 Jill Frank 12/13/2016 Ray Jackson 2/14/2017 Jason Jones 8/1/2016 Joe Kilmer 8/23/2016 Kim Kramer 9/2/2016 Sam Larsen 2/28/2017 Jamie Newton 8/12/2016 Greg Olson 12/10/2016 Karen Palmer 1/13/2016 Exp.
3 Cameron Rogers 8/15/2016 Tristen Schuller 8/23/2016 Gerald Talbert 10/9/2016 Samuel Tanner 1/10/2017 Robbie Williams 10/12/2016 Total free / Reduced-Price (children in attendance) 12 Percentage free / Reduced-Price (Using License Capacity) (49) Total Children in Attendance 20 Percentage free / Reduced-Price (Using Attendance) 60%
