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5<br />

EXAMPLE PAGE<br />

Phase write each item on e separate line<br />

Meals, snacka and ~atcohok chinks (tncludirtg aoff drtnks) bought ●nd<br />

consumod ●way from horn.. Incfuda UPS and samlce charge.<br />

(1) Bought at w~ canteen, atatf;dfnlng room, ●tc.<br />

. . . . ..sm...~..h~3 . . . . . . . . . . . . . . . ..i . . . . . . . . . . . . . .<br />

. . . . . . . . . . . . ... . ... ..~.~...k . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .<br />

. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

(2) Bought at cafe, mataurant, hotel, fish andchlp shop,<br />

sandwtch bar, pubf{c house, school show tuck show<br />

cin~ etc.<br />

. . . . ...Md..d..kJ.tipQ. .. . ..........<br />

-. . . ..................<br />

......Tm5i-i- .Cke5e.%w’AIt&.Chofil<br />

( \ .......Ba.mfi..cJw5kak<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

. .<br />

Beet, wine, spirtts and other alcoholk drinks bought<br />

and consumed away from home,.<br />

. . . ...hin.d!a.lvbd)....m. . .. . ..........<br />

.......%(M...........................................<br />

Dally shopping items (other ttun.faad) G- ci~ettes, tobaccc<br />

matches, cleaning materiats, tbtJ-atrla&cosmetlca, stationery,<br />

newspapers, magazin~. bookq pastage etc.<br />

........ Mq-.-hQ3 ...... .........................................<br />

........ Td*E...,, ... ...............................<br />

..... %@-wpca .. . .... ...................................<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Clothin~; clothlng matuials. ●ntt fuoMaaK<br />

CONSUMED<br />

ON OFF<br />

?EMISE9PREMISE:<br />

o RING<br />

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Travel by rail, bus air, taxi, Motor vehicles (purchaee, pstrol, oil and<br />

repairs), Cycles ●tc.<br />

. . . . . . . . . . .. Hus..&f& .............................................<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

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Any other payments msdc tu-cMy, wtttr full details, e.g. fuel and Ilght (including<br />

paymonta Into meters), ●ntertainment hafrdraasln~ holidays, furniture,<br />

household goods, domestic help.<br />

. . . .kbd orck:.b&4N<br />

pmls.f?mkd .* .Ml<br />

*<br />

. . ...m*e .....................................................<br />

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