ADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013Region:DivisionSchool:Address:School ID:Contract Nos.:Eail Address: INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATEDONATIONS PARTICULARS QTY.AMOUNT DONORPRIVATE SECTOR1.C!ASSR""#Ne$ constr%ction e.g. 1 store&' 2classroo 21'300'000.00A(C Cor)orationReha*ilitation+Re)air2 classroo 2 200'000.00DE, Enter)rises2.,-RNI.-RE e.g. .eacher/s .a*le 3 10'000.00A(C Cor)oration archair 10 1'000.00A(C Cor)oration3. ."I!E. 2 3AS4 ,ACI!I.IESNe$ constr%ction .oilets 1 30'000.00 Renovation+Re)air 3ash ,acilities 2 10'000.00 5. #AIN.ENANCE e.g. constr%ction aterials' 6aints2 gallons )aints 2 1'000.00 7.REA! S.A.E e.g. land 1 hectare 100'000.00 0.".4ERS 6!S S6ECI,8 constr%ction of concrete fence 1 0'000.00 .".A!1'092'000.00 *Please attach the following document Prepared by:1.Deed of Donation2.Deed of AcceptanceSchool HeadPrincipal!"# Appro$ed by: Schools Di$ision SuperintendentADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013as)sch_for 01DONOR DATE COMPLETED/LGU TURN OVER#arch :' 2012,e*r%ar& 22' 2012;an%ar& 10' 2012;an%ar& 10' 2012&ahoo.coLEARNING SUPPORTDONATIONS PARTICULARS QTY. AMOUNTDONORPRIVATE SECTOR1.A,D"!/0"S,A- ED-CA.I"NA! #A.ERIA!S2.SC4""! S-66!IES3.ED-CA.I"NA! ,I!#+ !I(RARIES5.".4ERS 6!S.S6ECI,8.".A!*Please attach the following document Prepared by:1.Deed of Donation2.Deed of Acceptance&'A()"* ). )"!(!#Principal "Appro$ed by:#ARIN" S. (A8.EC' Ed.'D.'CSEESchools Di$ision SuperintendentADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013as)sch_for 02svis_de)ed>&ahoo.coDONOR DATE COMPLETED/LGU TURN OVER%oted by:SA+,'- ). -A*!. 'd. D.'PS "/(-''PPASP Di$ision #oordinatorADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013Region: IDivision I!"C"S S-RSchool: SAN =ICEN.E IN.E&ahoo.coDONOR DATE COMPLETED/LGU TURN OVERN+A N+AN+A N+AN+A N+A%oted by:SA+,'- ). -A*!. 'd. D.'PS "/(-''PPASP Di$ision #oordinatorADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013Region: IDivision I!"C"S S-RSchool: SAN =ICEN.E IN.E7 %A %A %A %A.".A! N+A N+A N+A N+A*Please attach the following document Prepared by:1.Deed of Donation2.Deed of Acceptance &'A()"* ). )"!(!#Principal "Appro$ed by:#ARIN" S. (A8.EC' Ed.'D.'CSEESchools Di$ision SuperintendentADOPT-A-SCHOOLPROGRAMQUARTERLYREPORTAs of ______________2013as)sch_for 0:svis_de)ed>&ahoo.coDONOR DATE COMPLETED/LGU TURN OVER%A %A%A %A%A %A%A %A%A %A%A %A%A %A%A %A%A %A%A %AN+A N+A%oted by:SA+,'- ). -A*!. 'd. D.'PS "/(-''PPASP Di$ision #oordinator