PVDS Destination Poster

PVDS Destination [D]

FY2010

FY2010 Vending Machine Income Report

In accordance with 34 C.F.R. PART 395.38 — VENDING FACILITY PROGRAM FOR THE BLIND ON FEDERAL AND OTHER PROPERTY.

At the end of each fiscal year, each property managing department, agency, or instrumentality of the United States shall report to the Secretary the total number of applications for vending facility locations received from State licensing agencies, the number accepted, the number denied, the number still pending, the total amount of vending machine income collected, and the amount of such vending machine income disbursed to the State.

Vending Machine Income1

Total Number of applications for vending facilities received from the SLA’s

Total number of applications accepted

Total number of applications denied2

Total number of applications pending

Vending machine commissions received from non-blind vendors. (National Vending or Local Commercial Supplier)

(1.5% operating fee not included)

Total amount of commission or income sharing disbursed to State Licensing Agency.

$

$

The above data is taken from records on file in the office of:

Signature: _____________________________________

Title: _____________________________________

Installation: _____________________________________

Address: _____________________________________

Phone: _____________________________________

 

1Do not include income from postal products machines or recreational/information service machines.

2Attach explanation of each denial.