QTY UNIT OTHER REMARKS/OBSERVATIONS

PACKAGE ITEM DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. DESCRIPTION per of SUPPLIER DELIVERY * QUANTITY * QUANTITY * Others*
KIT ISSUE Use additional sheet if necessary

18 Sphere with 32 movable segments 1 set Eduresources

Publishing, Inc. 1 set Good Condition

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

LEWNYL D. ORCASITAS and/or SARILYN M. SIMON and/or RICKY P. CASTILLO

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

Submitted to DepEd Central Office (CMD) by: RODNIE P. GUBATON

[Signature over Printed name]
Principal/School Head

Principal/School Head's Telephone numbers, ____________________________________

and/or Cellular phone number/s: ____________________________________

Date: ____________________________________
 QTY UNIT OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. DESCRIPTION per of SUPPLIER DELIVERY * QUANTITY * QUANTITY * Others*
KIT ISSUE Use additional sheet if necessary

8 Plastic Ruler, 12inches or 30cm 5 pc Scientific

Company
Product
4/18/2016 10 pcs Good Condition

Eduresources
9 Demonstration Clock 1 pc
Publishing, Inc.
Measuring Cup, 250mL Capacity, w/
5 pc Scientific Product 4/18/2016 10 pcs
10 graduations Company Good Condition
Eduresources
11 Liter Volume set 5 set Publishing, Inc.
5 set Good Condition
12 Double-pan Balance, 500-gram capacity 2 unit Scientific
Company
Product
4/18/2016 4 unit
Good Condition
13 Basic 3-Dimensional Models 1 set Eduresources
Publishing, Inc.

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

LEWNYL D. ORCASITAS and/or SARILYN M. SIMON and/or RICKY P. CASTILLO

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

Submitted to DepEd Central Office (CMD) by: RODNIE P. GUBATON

[Signature over Printed name]
Principal/School Head

Principal/School Head's Telephone numbers, ____________________________________

and/or Cellular phone number/s: ____________________________________

Date: ____________________________________
 QTY UNIT OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. DESCRIPTION per of SUPPLIER DELIVERY * QUANTITY * QUANTITY * Others*
KIT ISSUE Use additional sheet if necessary

Philab Industries,
8 Beral Pipette, 5 mL 4 pc Inc.

Eduresources
9 Flashlight with Incandescent bulb 1 pc 4/18/2016 1 pc Good Condition
Publishing, Inc.
13 Science Equipment Models
Human Ear Model 1 pc Philab Industries,
1 Inc.
2 Human Nose Model 1 pc Philab Industries,
Inc.
Philab Industries,
3 Model of Ivertebrates 3 pc
Inc.

4 Model of Vertebrates 3 pc Eduresources

Publishing, Inc.

5 Human Torso Model (Miniature-type) 1 pc Eduresources

Publishing, Inc. 2 pc
Good Condition
16 Plastic Wares
1 Plastic Thermometer, Celsius Scale 1 pc Nikka Trading 9/29/2016 2 pc
Good Condition
2 Set of Measuring Cups and Spoons 2 set Nikka Trading 9/29/2016 4 set
Good Condition
3 Plastic Ruler, 12 inches or 30 cm 5 pc Nikka Trading 9/29/2016 10 pc
Good Condition
18 Mathematics Equipment
1 Digital Clock, tabletop 1 unit Nikka Trading 9/29/2016 2 unit
Good Condition
2 Beads, 16 mm 50 pc Nikka Trading 9/29/2016 100 pcs
Good Condition
Eduresources
3 Weighing Scale, analog, 5kg. capacity 1 unit Publishing, Inc.

Eduresources
4 Square tiles, 10cm x 10cm, plastic 10 pc Publishing, Inc. 10 pcs Good Condition
Eduresources
5 Square tiles, 2.54cm x 2.54cm, plastic 100 pc Publishing, Inc. 100 pcs Good Condition
Eduresources
6 Pattern Blocks, 250pcs / set 2 set Publishing, Inc.
 Cuisenaire rods/ Number Sticks, 250 pcs. / Scientific Product
7 set 1 set Company 4/18/2016 2 set Good Condition
 QTY UNIT OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM DESCRIPTION per of SUPPLIER DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. KIT ISSUE DELIVERY * QUANTITY * QUANTITY * Others*
Use additional sheet if necessary

3.1 1 pc - Blackboard Triangle, 30° x 60°

3.2 1 pc - Blackboard Triangle, 45° x 45°

4 Meterstick, plastic 10 pc Nikka Trading 10 pcs

Good Condition
Philab Industries,
5 Tape Measure, 1.5 meters 5 pc
Inc.

6 Calculator, Scientific 5 pc Nikka Trading 5 pcs

Good Condition
Philab Industries,
7 Plastic Ruler, 12 inches or 30 cm 25 pc 25 pcs
Inc. Good Condition
8 Geoboard, 5x5 5 pc Nikka Trading

Philab Industries,
9 Geoboard, 11x11 1 pc
Inc.
Philab Industries,
10 Basic 3-Dimensional Models 5 set
Inc.

11 Circle Area Demonstrator 1 pc Nikka Trading

Philab Industries,
12 Volume Demonstrator Set 1 set
Inc.

12.1 Cylinder and Cone Volume Comparing Tool

12.2 Quadrangular Volume Demonstrator

Models of Deriving Formula for Volume:

13 1 set Nikka Trading
Linking Cubes

14 Alcohol Thermometer, -20°C to 110°C 3 pc Nikka Trading

Philab Industries,
15 Geostrips 1 set
Inc.
Eduresources
16 Protractor (for student) 25 pc 25 pcs
Publishing, Inc. Good Condition
 Philab Industries,
17 Compass (for student) 25 pc 28 pcs
Inc. Good Condition
 QTY UNIT OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM DESCRIPTION per of SUPPLIER DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. KIT ISSUE DELIVERY * QUANTITY * QUANTITY * Others*
Use additional sheet if necessary

3 Assembles - Bulb & Sockets assembly @

6.5 4/18/2016 3 assembles Good Condition
PhP 55.22 each
1 Spool - 100 grams Magnetic Copper Wire,
6.6 4/18/2016 1 spool Good Condition
AWG 20 @ PhP 83.30 each
1 pc - Iron Core Rod (Non-corrugated) @
6.7 4/18/2016 1 pc
PhP 95.00 each Good Condition
7 Long Nose Pliers, 6" 1 pair Scientific
Company
Product
4/18/2016 1 pair Good Condition

8 Double- Pan Balance, 500 grams capacity 2 pc Scientific

Company
Product
4/18/2016 2 pcs
Good Condition
9 Flashlight with Incandescent bulb 1 pc Scientific
Company
Product
4/18/2016 1 pc
Good Condition
16 Glasswares, Plastic Wares, and Porcelain Wares

1 Alcohol Thermometer -20°C to 100°C 2 pc VG Roxas Co., Inc. 9/29/2016 3 pcs

Good Condition
Philab Industries,
2 Stirring Rod, 6mm x 250 mm, long 5 pc
Inc.
Philab Industries,
3 Mortar and Pestle, Porcelain, 150 mL 5 set
Inc.

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

Test Tube, 16mm x 150 mm long,

5 20 pc VG Roxas Co., Inc.
borosilicate

6 Plastic Ruler, 12 inches or 30 cm 5 pc VG Roxas Co., Inc. 4/18/2016 10 pcs

Good Condition
Philab Industries,
7 Beaker, 250 mL, Borosilicate 5 pc
Inc.
Philab Industries,
8 Beral Pipette, 5 mL 5 pc
Inc.
17 Mathematics Equipment
Philab Industries,
1 Clinical Thermometer, digital 5 pc
Inc.

2 Base Ten Blocks 5 set Nikka Trading

3 Blackboard Triangles Set 1 set Nikka Trading 9/29/2016 1 set
Good Condition
 QTY UNIT OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM DESCRIPTION per of SUPPLIER DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. KIT ISSUE DELIVERY * QUANTITY * QUANTITY * Others*
Use additional sheet if necessary

Philab Industries,
10 Linear pair/Angle Demonstrator 1 pc
Inc.
Philab Industries,
11 Place Value Chart with decimal pockets 1 pc
Inc.
3 Mathematics Equipment Models
Manipulative Water Consumption Meter
1 1 pc Atlantic Plastic &
Model, blackboard Metal Craft, Inc.
Manipulative Electricity Consumption Meter
2 1 pc Atlantic Plastic &
Model, blackboard Metal Craft, Inc.
9 Storage Cabinets
Philab Industries,
1 Storage Cabinet (for Science), steel 1 unit 8/15/2016 1 pc
Inc. Good Condition
Philab Industries,
2 Storage Cabinet (for Math), steel 1 unit 8/15/2016 1 pc
Inc. Good Condition
B. Market Items
15 Science Equipment

1 Simple Anemometer 1 set Scientific

Company
Product
4/18/2016 1 pc
Good Condition
Philab Industries,
2 Magnetic Compass 5 unit
Inc.

3 Pair of Bar Magnets 5 pair Scientific

Company
Product
4/18/2016 5 pair
Good Condition
Philab Industries,
4 Aneroid Barometer, wall mount 1 unit 4/18/2016 1 unit
Inc. Good Condition
5 Human Torso Model 1 unit Scientific
Company
Product
4/18/2016 1 unit
Good Condition
6 Electricity and Magnetism Kit 1 kit Scientific
Company
Product
4/18/2016 1 kit
Good Condition
2 pcs - Dry Cell Holder (Size D) @ PhP 48.78
6.1 4/18/2016 2 pcs
each Good Condition
6.2 2 pcs - Dry Cell Size D @ PhP 32.30 each 4/18/2016 2 pcs
Good Condition
6.3 6& pcs - Blue Connecting Wire w/ Crocodile Clips
Banana plugs @ PhP 33.91 each 4/18/2016 6 pcs
Good Condition
6.4 1 pc - Knife Switch, SPST @ PhP 238.00 each 4/18/2016 1 pc
Good Condition
 Region VI
Delivery Information Sheet

Mass Production, and supply and delivery of 49, 623 Science and Mathematics Equipment for Grades 1 to 3 (Teacher's Kit) to 38,689 Public Elementary Schools

Name of School: ONDOY ELEMENTARY SCHOOL Division: AKLAN

School ID no: 114724 School Address: ONDOY, IBAJAY, AKLAN
______________
*REQUIRED FIELDS TO BE ACCOMPLISHED.

OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM QTY UNIT DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. DESCRIPTION per of SUPPLIER DELIVERY * QUANTITY * QUANTITY * Others*
KIT ISSUE
Use additional sheet if necessary

A. Mass Production Items

2 Science & Math Equipment
Heat Conduction Apparatus (with 5 different Philab Industries,
1 5 pc
metals) Inc.
Philab Industries,
2 Wire Gauze 5 pc
Inc.

Tripod 5 pc Philab Industries,

3 Inc.
Philab Industries,
4 Test tube Holder 5 pc
Inc.
Philab Industries,
5 Pulley set 5 set
Inc.

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.
Models of 7-sided to 12-sided regular Philab Industries,
9 5 set
polygons 5 set Inc.
y Schools
 Region VI
Delivery Information Sheet

Mass Production, and supply and delivery of 49, 623 Science and Mathematics Equipment for Grades 1 to 3 (Teacher's Kit) to 38,689 Public Elementary Schools

Name of School: ONDOY ELEMENTARY SCHOOL Division: AKLAN

School ID no: 114724 School Address: ONDOY, IBAJAY, AKLAN
______________
*REQUIRED FIELDS TO BE ACCOMPLISHED.

OTHER REMARKS/OBSERVATIONS
PACKAGE ITEM QTY UNIT DATE OF DELIVERED UNDELIVERED (Good condition/ Defective/ Short Delivery/
NO. NO. DESCRIPTION per of SUPPLIER DELIVERY * QUANTITY * QUANTITY * Others*
KIT ISSUE
Use additional sheet if necessary

A. Mass Production Items

8 Storage Cabinets
1 Storage Cabinet (for Science), steel 1 unit Multifocus Corp. 8/15/2016 161 unit Good Condition

2 Storage Cabinet (for Math), steel 1 unit Multifocus Corp. 8/15/2016 1 unit Good Condition

B. Market Items
11 Science Equipment
Double-pan Balance, 500gram capacity 2 unit Scientific Product 4/18/2016 4 units Good Condition
1 Company
Connecting Wires with bulb & socket
2
assembly
# 250mm long Connecting Wire w/ crocodile Philab Industries,
2.1 2 pc
clips Inc.
Philab Industries,
2.2 # Bulb and Socket assembly 1 set
Inc.

3 Dry Cell Holder, 1 chamber, for size D dry cell 2 pc Scientific

Company
Product
4/18/2016 2 pc
Good Condition
4 Toy Car, non-friction, non-battery 2 pc Nikka Trading 9/29/2016 2 pc
Good Condition
Eduresources
5 Hand Magnifying Lens, 5x 2 pc 2 pc
Publishing, Inc. Good Condition
Philab Industries,
6 Pair of Bar Magnets 2 pair 4/18/2016 5 pairs
Inc. Good Condition
7 Weighing Scale, bathroom type 1 unit Nikka Trading 9/29/2016 1 unit
Good Condition
7 Weighing Scale, bathroom type 1 unit Nikka Trading 9/29/2016 1 unit
Good Condition
y Schools