Region NCR

Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

A. Mass Production Items

2 Science & Math Equipment

1 Heat Conduction Apparatus (with 5 Philab Industries,

5 pc
different metals) Inc.

Philab Industries,
2 Wire Gauze 5 pc Inc.

Philab Industries,
3 Tripod 5 pc Inc.

Philab Industries,
4 Test Tube Holder 5 pc Inc.

Philab Industries,
5 Pulley Set: 5 set Inc.

//cgaltea Page 1 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

5.1 1 pc - Double Pulley

5.2 1 pc - Single Pulley

Philab Industries,
6 Test Tube Rack 5 pc Inc.

Philab Industries,
7 Protractor, blackboard 1 pc Inc.

Philab Industries,
8 Compass, blackboard 1 pc Inc.

9 Models of 7-sided to 12-sided Philab Industries,

5 set
Regular Polygons 5 set Inc.

//cgaltea Page 2 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

Philab Industries,
10 Linear Pair/Angle Demonstrator 1 pc Inc.

11 Place Value Chart with decimal Philab Industries,

1 pc
pockets Inc.

3 Mathematics Equipment Models

1 Manipulative Water Consumption Atlantic Plastic &

1 pc
Meter Model, blackboard Metal Craft, Inc.

Manipulative Electricity Atlantic Plastic &

2 Consumption Meter Model, 1 pc Metal Craft, Inc.
blackboard

11 Storage Cabinets (R4B, R10, & NCR)

unit Philab Industries,

1 Storage Cabinet (for Science), steel 1 Inc.

//cgaltea Page 3 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

unit Philab Industries,

2 Storage Cabinet (for Math), steel 1 Inc.

B. Market Items

16 Science Equipment

Philab Industries,
1 Simple Anenometer 1 set Inc.

2 Magnetic Compass 5 unit Philab

Inc.
Industries,

3 Pair of Bar Magnets 5 pair Philab

Inc.
Industries,

4 Aneroid Barometer, wall-mount 1 unit Philab

Inc.
Industries,

//cgaltea Page 4 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

Philab Industries,
6 Electricity and Magnetism Kit: 1 kit Inc.

6.1
2 pcs - Dry Cell Holder (size D)
@ PhP 48.78 each

6.2
2 pcs - Dry Cell, size D @ PhP
32.30 each

6 pcs - Blue Connecting Wire w/

6.3 crocodile clips & banana plugs @
PhP 33.91 each

6.4
1 pc - Knife Switch, SPST @ PhP
238.00 each

6.5
3 assemblies - Bulb & Socket
Assembly @ 55.22 each

//cgaltea Page 5 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

1 spool - 100 grams Magnetic

6.6 Copper Wire, AWG 20 @ PhP 83.30
each

6.7
1 pc - Iron Core Rod (non-
corrugated) @ PhP 95.00 each

8 Long Nose Pliers, 6" 1 pair Philab

Inc.
Industries,

Double-pan Balance, 500 grams Philab Industries,

11
capacity 2 pc Inc.

Philab Industries,
13 Flashlight with incandescent bulb 1 pc Inc.

Glasswares, Plastic Wares, and Porcelain

17 Wares

//cgaltea Page 6 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

1 Alcohol Thermometer, -20C to 2 pc VG Roxas Co., Inc.

110C

2 Stirring Rod, 6mm x 250mm long

Philab Industries,
5 pc Inc.

4 Mortar and Pestle, porcelain, 150 ml.

Philab Industries,
5 set Inc.

5 Funnel, plastic 5 pc VG Roxas Co., Inc.

Test Tube, 16mm x 150mm long,

6 20 pc VG Roxas Co., Inc.
borosilicate

7 Plastic Ruler, 12 inches or 30 cm 5 pc VG Roxas Co., Inc.

//cgaltea Page 7 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

8 Beaker, 250 ml., borosilicate

Philab Industries,
5 pc Inc.

10 Beral Pipette, 5 ml.

Philab Industries,
5 pc Inc.

26 Mathematics Equipment

Philab Industries,
1 Clinical Thermometer, digital 5 pc Inc.

2 Base Ten Blocks 5 set Nikka Trading

4 Meterstick, plastic 10 pc Nikka Trading

//cgaltea Page 8 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

5 Tape Measure, 1.5 meters

Philab Industries,
5 pc Inc.

6 Calculator, Scientific 5 pc Nikka Trading

7 Plastic Ruler, 12 inches or 30 cm

Philab Industries,
25 pc Inc.

8 Geoboard, 5 x 5 5 pc Nikka Trading

9 Geoboard, 11 x 11
Philab Industries,
1 pc Inc.

10 Basic 3-Dimensional Models

Philab Industries,
5 set Inc.

//cgaltea Page 9 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

11 Circle Area Demonstrator 1 pc Nikka Trading

12 Volume Demonstrator Set:

Philab Industries,
1 set Inc.

12.1
Cylinder and Cone Volume
Comparing Tool

12.2
Quadrangular Volume
Demonstrator

Models of Deriving Formula for

13 1 set Nikka Trading
Volume: Linking Cubes

16 Geostrips
Philab Industries,
1 set Inc.

//cgaltea Page 10 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

17 Protractor (for student)

Eduresources
25 pc Publishing, Inc.

18 Compass (for student)

Philab Industries,
25 pc Inc.

19 Sphere with 32 movable segments

Eduresources
1 set Publishing, Inc.

NOTE : PLEASE ACCOMPLISH PORTION BELOW APPROPRIATELY (WITH SIGNATURES & CONTACT NUMBER).

and/or and/or
Accomplished by: [Signature over Printed name] [Signature over Printed name] [Signature over Printed name]
Math Teacher Science Teacher School Property Custodian

//cgaltea Page 11 of 24
 Region NCR
Delivery Information Sheet

Mass Production, and Supply and Delivery of 49,623 Science and Mathematics Equipment for Grades 4 to 6 (Teachers Kit) to 38,689 Public Elementary Sc

Name of School: BUTING ELEMENTARY SCHOOL Division:

School ID No. : School Address:

* REQUIRED FIELDS TO BE ACCOMPLISHED.

QTY UNIT
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED
DESCRIPTION per of SUPPLIER
NO. NO. DELIVERY * QUANTITY * QUANTITY *
KIT ISSUE

Submitted to DepEd Central Office (CMD) by: [Signature over Printed name]
Principal/ School Head

Principal/School Head's Telephone number/s, and/or

Cellular phone number/s:

Date:

//cgaltea Page 12 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 13 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 14 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 15 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 16 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 17 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 18 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 19 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 20 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 21 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

//cgaltea Page 22 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

[Signature over Printed name]

School Property Custodian

//cgaltea Page 23 of 24
ers Kit) to 38,689 Public Elementary Schools

PASIG CITY
A SANTOS ST. BUTING ,PASIG CITY

OTHER REMARKS/OBSERVATIONS
(Good condition/ Defective/ Short Delivery/
Others) *
Use additional sheet if necessary

[Signature over Printed name]

Principal/ School Head

//cgaltea Page 24 of 24