Paragraph 2
(a)
Full name of person claiming reimbursement;
(b)
address where children are cared for;
(c)
name and address of person to whom payment is to be made;
(d)
period of claim;
(e)
number of children cared for on each day during period of claim;
(f)
number of sessions each day;
(g)
the quantity, price and total cost of milk and dried milk consumed each month for the period of the claim.