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Sample company (fictional) · Shared Kitchen UseDraft generated Oct 30, 2026

Kitchen hand-back record

Avery Lund

Record

CompanySample company (fictional)
TradeShared Kitchen Use
BookingAvery Lund

Group

GroupAvery Lund
ContactContact 1
Kind of groupChurch ministry
Serves or sells food to the publicYes
Food permit numberPE-4100
Permit issued byPE-4100
Permit ends onOct 10, 2026
Permit last seenOct 10, 2026
Insurance companyInsurance company 1
Policy numberPO-4100
Insurance ends onOct 10, 2026
Insurance last seenOct 10, 2026
Hall named as additional insuredYes
Agreement signed onOct 10, 2026
Standing deposit$1

Booking

EventAvery Lund
StartsOct 10, 2026
EndsOct 10, 2026
RoomsKitchen
Kitchen equipment usedRange and oven
Expected guests1
Keys handed outKeys handed out 1
Keys returnedYes
Use fee$1
Deposit held$1
Deposit returned$1
Why any deposit was keptWhy any deposit was kept 1
Handed back onSep 30, 2026
Walked through byAvery Lund

Hand back

At key pickup: the kitchen photographed as the group found itPass
Counters, sinks and prep tables washedPass
Range, oven and griddle off and wiped downPass
Dishes, pots and utensils washed and put back where they livePass
Refrigerator and freezer cleared of the group's food, or what stays labeled with the group's name and the datePass
No grease or food scraps left in the sinks or floor drainsPass
Floors swept and moppedPass
Trash and recycling out to the dumpsterPass
Towels and aprons taken home to wash, or left in the laundry binPass
Lights off, windows shut, outside doors lockedPass
Keys or fob handed backPass
Anything broken or missing written up on the bookingPass
At hand-back: the kitchen photographedPass

Photos

Photos taken on the phone at the job print here, each captioned with what it shows.

Damage

Found onWhat happenedWhereRepair or replacement costTaken from the depositWhere it stands
Oct 10, 2026What happened 1Where 1$1$1Reported

Signature

The signature drawn on the phone at the job prints here.