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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT As of March 2013 Region: Division: School: Address: School ID: Contact no: IV-A

CALABARZON Quezon Don Severo Felismino Elementary School Sta. Lucia Dolores, Quezon 108680 09213242371 Email Address: marina.casinas@deped.gov.ph
PARTICULARS QTY. AMOUNT DONOR PRIVATE SECTOR DATE COMPLETED/TURN OVER

DONATIONS 1. AUDIO-VISUAL EDUCATIONAL MATERIALS 2. SCHOOL SUPPLIES BOOKS (KINDER) BOOK (REFERENCE) 3. 4. EDUCATIONAL FILM/ LIBRARIES OTHERS PLS. SPECIFY

LGU

RICO ACUNA LITO LAPID

80 PCS 25 PCS

6.00 PHP 15.00 PHP

MURAL PAINTINGS BARBWIRE FENCE 10 SACKS OF RICE

28 BLOCKS

28,000 PHP 47,500 PHP 20,000 PHP 116,500 Greg Castanares Greg Castanares

12-12/1-13 8-30-12 12-21-12

Please attach the following documents 1. Deed of Donation 2. Deed of Acceptance

Prepared by: Marina T. Casinas Head Teacher II Approved by:

Noted By: _____________________________________________ ASP Division Coordinator

____________________________________________________ Schools Division Superintendent

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