Home / Content / Donation Receipt Declaration [HTTP_S19_DLenz]

Parallel Systems and Computing Laboratory (PSCLab)

Arizona Sate University
699 S. Mill Avenue, # 553
Tempe, AZ 85281, USA

October 2nd, 2019

Mrs. Deborah Lenz

McClintock High School
1830 E Del Rio Dr 
Tempe, AZ 85282

Donation Receipt Declaration

The donation recorded on this form is made in accordance with the High-school Teacher Training Program that is implemented as the part of the the education plan of Prof. Fengbo Ren’s CAREER project funded by National Science Foundation (NSF).

For reporting purposes, the donation receipt declaration form is required to be signed by the donee to substantiate all contributions donated to qualified organizations.Therefore, please review and confirm the following information regarding the property donated to your organization by PSCLab and Arizona State University. Thank you in advance for your cooperation.

All of the items listed below were

Item Unit Price Quantity Value Date Received
Elegoo EL-CP-004 120pcs Multicolored Dupont Wire 40pin Male to Female, 40pin Male to Male, 40pin Female to Female Breadboard Jumper Wires Ribbon Cables Kit for arduino $6.98 2 $13.96 10/02/2019
Vktech 5pcs 2M Waterproof Digital Temperature Temp Sensor Probe DS18b20 $13.25 1 $13.25 10/02/2019
Adafruit ATWINC1500 WiFi Breakout $22.99 2 $45.98 10/02/2019
HiLetgo 3pcs 400 Ties Mini Solderless Breadboard $5.95 8 $47.60 10/02/2019
ELEGOO MEGA 2560 R3 Board ATmega2560 ATMEGA16U2 + USB Cable for Arduino RoHS Compliant $14.86 2 $29.72 10/02/2019
Particle | Photon Wi-Fi with Headers  $19.00 14 $266.00 10/02/2019
Digital Load Cell Weight Sensor 1KG Portable Electronic Kitchen Scale + HX711 Weighing Sensors Ad Module for Arduino $7.77 14 $108.78 10/02/2019
Obecome 6Pcs 5g 10g 2x20g 50g 100g Grams Precision Steel Calibration Weight Kit Set with Tweezers for Balance Scale $8.50 13 $110.50 10/02/2019
ACROBOTIC 0.96"" Inches Blue I2C 128x64 OLED LCD Display Module for Arduino, ESP8266, MSP420, STM32, 8051, Raspberry Pi LED Screen $9.99 14 $139.86 10/02/2019
AUSTOR 1050 Pieces Resistor Kit 38 Values 1% Resistors 0 Ohm-1M Ohm 1/4W Metal Film Resistors Assortment for DIY Projects and Experiments $11.85 1 $11.85 10/02/2019
Premium Breadboard Jumper Wires Male to Male 0.1" Square Head 100-Pack 10 Colors 24AWG by Hellotronics (15CM, 1P M/M) $10.88 2 $21.76 10/02/2019
Total     $809.26  

The above property:

  1. Is scientific equipment and substantially all of its use will be teaching, research, or experimentation, or for student training.
  2. Will be used in the United States for education purposes.
  3. Will not be transferred (by the donee) in exchange for money, other property, or services.

Signed by

Name: Debbie Lenz

Organization: McClintock High School

Title: Honors/Academy Chemistry Teacher

Email: dmlenz@tempeunion.org

Date: December 10, 2019