Department of Social Welfare Development

Field Office XI
Supplementary Feeding Program

DISTRIBUTION LIST OF FOOD ITEMS

(CDC)

Name of CDC: ________________________________ Municipality, City & Province: DAVAO CITY

Menu: Nutribun, Oatmeal with Raisins and Sweet and Sour Bola-Bola

MEAT/FISH/
POULTRY/ FLOUR/ FATS AND
VEGETABLES SPICE AND CONDIMENTS OTHERs
PROCESSED PASTA OILS
PRODUCTS

Date
Name of
No. Name of Child Beneficiary Signature Receive
Parent/Guardian Banana d
Tuna Flakes Soy Vinegar,
Oatmeal, Garlic, Onion, Ginger, Ketchup, Cooking Oil, Raisins, Nutribun,
in Oil, Carrots, Kilo Sauce, 60 60ml/
155g/can 33g/pack Kilo Kilo Kilo 100g/pou 40ml/pouch 30g/box Piece
ml/pouch pouch
ch

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty.

10

TOTAL :

Distribution List good for 34 feeding days Page 1 of 3

 PAGE ___ OF ___

Distribution List good for 34 feeding days Page 2 of 3

 Department of Social Welfare Development
Field Office XI
Supplementary Feeding Program

DISTRIBUTION LIST OF FOOD ITEMS

(CDC)

Name of CDC: ________________________________ Municipality, City & Province: DAVAO CITY

Menu:Nutribun, Oatmeal with Raisins and Sweet and Sour Bola-Bola
MEAT/FISH/
POULTRY/ VEGETA FLOUR/ FATS AND
PROCESSED BLES
SPICE AND CONDIMENTS OTHERs
PASTA OILS
PRODUCTS

Oatmea Banana Soy Cooking Raisin Date

Name of Vinegar
No. Name of Child Beneficiary Tuna Flakes
Carrots, l, Garlic, Onion, Ginger, Ketchup, Sauce, Oil, s, Nutribun, Signature Recei
Parent/Guardian in Oil, ,60ml/ ved
155g/can Kilo 33g/pa Kilo Kilo Kilo 100g/pou 60 40ml/pou 30g/b Piece
pouch
ck ch ml/pouch ch ox

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty.
1
2
3
4
5
6
7
8
9
10
TOTAL :
PAGE___OF ___

Prepared by: Approved by:

___________________________ DONESSA C. AUDITOR, RSW LUCILA R. JOVEN, RSW

CHILD DEVELOPMENT TEACHER SFP FOCAL DISTRICT HEAD