Department of Social Welfare Development

Field Office XI
Supplementary Feeding Program

DISTRIBUTION LIST OF FOOD ITEMS

(CDC)
Name of Center: __________________________________ Province: DAVAO DEL SUR
Menu: TINOLANG MANOK AND SWEET AND SOUR BOLA-BOLA
MEAT/FISH/POULTRY VEGETABLES SPICE AND CONDIMENTS FATS
/PROCESSED AND
PRODUCTS OILS
No. Name of Parent /Guardian Name of Child Beneficiary Whole Tuna Carrots, Chayote, Garlic, Onion Ginger, Banana Soy Vinegar, Cookin Signature Date
Chicken, Flakes in kilo kilo kilo bulb, kilo ketchup, sauce, 60 ml g oil, received
kilo Oil, 155g Kilo 100 g 60 ml 40 ml
can sachet
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty. Qty.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL:

Prepared by: Checked by: Approved by:

 MARILYN C. BAYOD DONESSA C. AUDITOR LUCIA R. JOVEN,RSW
Child Development Teacher SFP Focal Person District Head/CSWDO Officer