BE Form 05 DON SEVERO FELISMINO ELEMENTARY SCHOOL STA. LUCIA DOLORES, QUEZON School Year _________ BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED Date: _____________________ ITEMS/ MATERIALS QUANTITY DATE RECIEVED Grade & Section: ______________________ NAME OF DONOR ASSUMED COST OF ITEMS Per Unit Total TOTAL Prepared by: ________________________________________________ Committee on Documentation Chair/Member Noted by: _______________LIZA T. IRANZO_______________________________ School Head