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CHURCH NUMBER: CHURCH NAME: DISTRICT: I. NON-CASH ITEMS x Cost Amount A. Health Kits #Kits ( ) $12.00 B. School Kits #Kits ( ) $11.00 C. Sewing Kits #Kits ( ) $18.00 D. Cleaning Bucket (Flood Buckets) #Buckets ( ) $55.00 E. Children’s Disaster Kits #Kits ( ) Your Cost F. Layette Kits #Kits ( ) $35.00 G. Bedding Kits #Packs ( ) $50.00 H. Blankets #Blankets ( ) $5.00 I. Birthing Kits #Kits ... ................
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