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Dietary Special Needs

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Special Dietary Needs

This statement is for a participant without a disability who is medically certified as having a special dietary need.
(download this form) Special Diet Statement 

Carbohydrate Information: December 2015, January 2016, February 2016, March 2016,

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Tini Van-Oehlertz, Food Service Director        Inserted ImageOffice Hours: 6:30 a.m. - 3:00 p.m.         Phone: 402-488-0931 EXT. 10154








Pius X • 6000 A St. • Lincoln, NE 68510 • 402-488-0931 • Fax: 402-488-1061

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