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Lehigh Valley Kashrut Commission
MASHGIACH REPORT FORM
LVKC MATCHING EVENT PO#:
DATE OF EVENT:
-
Month
-
Day
Year
BUSINESS VISITING
JCC - JEWISH COMMUNITY CENTER
JDS - JEWISH DAY SCHOOL
JFLV - JEWISH FEDERATION
JFS - JEWISH FAMILY SERVICES
MANHATTAN BAGEL
GIANT
WEIS
CARVEL
MENCHIES
RITAS
PELLMAN CHEESECAKE FACTORY
OTHER
If other, Please specify:
NAME OF MASHGIACH FILLING OUT FORM:
E-mail Address
EVENT:
EVENT LOCATION:
PERSON IN CHARGE OF EVENT:
PO NUMBER IF AVAILABLE:
DATE (Please fill out one event sheet per day if multi-day event):
-
Month
-
Day
Year
START TIME
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
END TIME
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
TIME TO BE PAID FOR:
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
TOTAL TIME TO BE PAID FOR (Hours/Minutes):
WERE THERE ANY DIFFICULTIES?
ADDITIONAL COMMENTS:
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Submit
Should be Empty: