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Utside the household? 9. What was the total food cost for your family in the past 30 days? $____________ Source of income for food costs: 10. How much did you spend during the past 30 days for items such as soap, detergent, toothpaste, cigarettes, alcohol, deodorant, shampoo, toilet tissue, etc.? $____________ Source of income for the above items: 11. What were your utility costs for the past 30 days? $____________ Source of income for utility costs: I have answered truthfully to the best of my .

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