Home / Content / Donation Receipt Declaration [HTTP_S18_MPrater]

Parallel Systems and Computing Laboratory (PSCLab)

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

August 10th, 2018

Mr. Matthew Prater

Highland High School
4301 E Guadalupe Rd,
Gilbert, AZ 85234, USA
 

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 3PCS 400 tie-points breadboard, 4 power rails for Arduino Jumper Wire $8.21 3 $24.63 08/10/2018
Particle PHOTONH Wi-Fi Kit with Comprehensive Development Tools and Free Cloud Access $19.00 7 $133.00 08/10/2018
ACROBOTIC 0.96" Inches Blue I2C 128x64 OLED LCD Display Module for Arduino, ESP8266, MSP420, STM32, 8051, Raspberry Pi LED Screen $9.99 7 $69.93 08/10/2018
Cable Matters USB-C Cable (USB A to USB C Cable/USB C to USB Cable) in Black 6.6 Feet $5.99 7 $41.93 08/10/2018
Obecome 6Pcs 5g 10g 2x20g 50g 100g Grams Precision Steel Calibration Weight Kit Set with Tweezers for Balance Scale $8.50 2 $17.00 08/10/2018
Digital Load Cell Weight Sensor 1KG Portable Electronic Kitchen Scale + HX711 Weighing Sensors Ad Module for Arduino $7.79 7 $54.53 08/10/2018
Total     $341.02  
DECLARATION BY DONEE ORGANIZATION:

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: Matthew Prater

Organization: Gilbert Public Schools

Title: Teacher

Email: matthew.prater@gilbertschools.net

Date: August 10, 2018