Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BOLO ELEMENTARY SCHOOL
BOLO, LABRADOR, PANGASINAN
DEED OF DONATION
KNOW ALL MEN BY THESE PRESENTS:
This Deed of Donation made and executed by the ____BOLO BRGY. COUNCIL_____________________
herein represented by its __HON. MARK JEFFERSON N. USON – BOLO BRGY. CHAIRMAN______,with office address at
_____BOLO LABRADOR, PANGASINAN______________________, hereinafter called the DONOR
- in favor of The DEPARTMENT OF EDUCATION-BOLO ELEMENTARY SCHOOL herein represented by its school head, REXY P. PANCHO
with office address at Bolo,Labrador, Pangasinan, hereinafter called the DONEE.
WITNESSETH
That for and in consideration of a desire to contribute a share for the cause of the education of Filipino learners through the
Adopt-a-School Program of the Department of Education, the DONOR has freely and voluntarily given, transferred and conveyed by
way of donation to the DONEE, its successors and assigns free and clear of any and all liens and encumbrances whatsoever all its
rights, interests and title on:
_____________________________________________________________________________________________
Details of the Donation
SUPPLEMENTAL FEEDING
Amount
8, 500
Schools & Addresses
BOLO ELEMENTARY SCHOOL
with a total amount of Php 8,500 .
IN WITNESS WHEREOF, the DONOR has hereto subscribed herself/himself this 31th day of July , 2023.
HON. MARK JEFFERSON N. USON – BOLO BRGY. CHAIRMAN
DONOR
REPUBLIC OF THE PHILIPPINES)
____________________________ ) ss.
ACKNOWLEDGMENT
BEFORE ME this (date), personally appeared to me with
____________________________CTC# _______________ Issued on/at ________________________________
____________________________CTC# _______________ Issued on/at ________________________________
Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledged to me that the
same is free and voluntary act and deed, including that of the entities that they represent.
This instrument refers to a Deed of Donation that consists of 1 page, including this whereon this acknowledgement is written, and
which is signed by the parties concerned on each and every page thereof.
WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.
NOTARY PUBLIC
Doc. No. ________
Page No.________
Book No.________
Series of ________
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BOLO ELEMENTARY SCHOOL
BOLO, LABRADOR, PANGASINAN
DEED OF ACCEPTANCE
The DONEE, for and in behalf of the schools in the City Schools Division of Dasmarinas hereby
accepts the donation from the DONOR, with the donation package composed of the following :
100 pcs. Eco Bags worth P3,000
*details of donations here
For and in behalf of the recipient Division Office, the DONEE expresses his most sincere appreciation
for the benevolence shown by the DONOR.
In witness whereof, the DONEE has set his hands this December 13, 2019 in Dasmariñas City.
NAME OF SCHOOL PRINCIPAL
DONEE
SIGNED IN THE PRESENCE OF:
NAME OF ASP COORDINATOR
Adopt-a-School Program Coordinator
NAME OF SCHOOL BE FOCAL PERSON
School Brigada Eskwela Focal Person
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_______________________________) SS.
x----------------------------------------------------x
BEFORE ME, a Notary Public for and in the _______________________________, this ___ day of
______________ personally appeared the following persons exhibiting to me their competent evidence of identity:
Name
_____________________________
_____________________________
Government Issued ID
_________________________
_________________________
Date/Place Issued
___________________
___________________
known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledged to
me that the same is their free and voluntary act and deed.
This instrument, consisting of (___) pages, including the page on which this acknowledgement is written, has
been signed on the left margin of each and every page thereof by the concerned parties and their witnesses, and sealed with
my notarial seal.
WITNESS MY HAND AND NOTARIAL SEAL on this ____ day of ______________ 20___, at
___________________________________.
Notary Public
Doc. No. ______
Page No._______
Book No._______
Series of 20_____