BRIDGE TO INDEPENDENCE HOUSEHOLD GOODS AND …

BRIDGE TO INDEPENDENCE HOUSEHOLD GOODS AND FURNISHINGS

WORKSHEET

ITEMS

KITCHEN Dishes Silverware Kitchen Knives Glasses Cups Tea Pitcher Tupperware Pots/Pans Cookie Sheet Cooking Utensils Can Opener Measuring Cups Salt/Pepper Shaker Pot Holders Kitchen Trash Can Kitchen Towels Dish Clothes Dish Rack/Drainer Ice Trays

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

ITEMS

Cleaning Paper Towels Laundry Detergent Laundry Basket Bleach All purpose Cleaner Dish Liquid Disinfectant Broom Mop Mop Bucket Dust Pan Dust Clothes Toilet Brush Trash Bags Light Bulbs

03/25/13

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

Page 1 of 2

Worksheet DOM Form B2I.10

BRIDGE TO INDEPENDENCE HOUSEHOLD GOODS AND FURNISHINGS

WORKSHEET

ITEMS

Bedroom Blanket Sheet Set Pillow Alarm Clock

ITEMS

Bathroom Bath Towels Hand Towels Wash Clothes Shower Curtain Shower Hooks Small Trash Can

ITEMS

Toiletries Shampoo Soap Lotion Toothpaste Mouthwash Razors Hand Soap Toilet Tissue Tissues

ITEMS

Furnishings Bed Frame Mattress Bed Table Kitchen Table Kitchen Chairs Sofa Chair

03/25/13

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

I OWN/FAMILY OWNS

COST AT DISCOUNT COST AT OTHER

STORE

STORE

Page 2 of 2

Worksheet DOM Form B2I.10

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