Baking Products Canned Fruit
__ ___ White/Bread Flour __ ___ Peaches
__ ___ Whole Wheat/Rye Flour __ ___ Pears
__ ___ Biscuit Mix __ ___ Fruit Cocktail
__ ___ Corn Meal __ ___ Chunky Mixed Fruits
__ ___ Sugar, granulated/brown __ ___ Apricots
__ ___ Sugar Substitutes __ ___ Mandarin Oranges
__ ___ Shortening, Oil, Nonstick Spray __ ___ Cranberry Sauce (Whole/Jellied)
__ ___ Cocoa/Baking Chocolate __ ___ Pineapple
__ ___ Salt/Pepper/Spices __ ___ Other
__ ___ Baking Soda/Powder/Cornstarch
__ ___ Yeast Snack Products
__ ___ Other __ ___ Gelatin/Pudding
__ ___ Chinese Noodles
Beverages/Mixes __ ___ Popcorn/Pretzels
__ ___ Tea (bag/instant) __ ___ Snack/mix
__ ___ Coffee (per/instant/decaf) __ ___ Candy/Gum
__ ___ Hot Cocoa Mix/Ovaltine __ ___ Crackers/Cookies
__ ___ Tang/Koolaid/Wyler's __ ___ Cereal Bars/Other
__ ___ Orange Juice (canned/frozen)
__ ___ Grapefruit Juice (canned/frozen) Bread and Baked Products
__ ___ Soft Drinks __ ___ Bread, white
__ ___ Bread, whole wheat
Dairy Products __ ___ Bagels
__ ___ Milk __ ___ English muffins
__ ___ Eggs/Egg Substitute __ ___ Waffles
__ ___ Cool Whip-type product __ ___ French toast
__ ___ Cheese, cheddar __ ___ Taco/Tortilla Shells
__ ___ Cheese, Mozzarella
__ ___ Cheese, sliced Canned Meats and Soups
__ ___ Cheese, processed __ ___ Beef/Chicken
__ ___ Cheese, Parmesan __ ___ Tuna/Shrimp/Crab/
__ ___ Yogurt __ ___ Dry/Dehydrated Soup/Mix
__ ___ Frozen Yogurt/Ice Cream __ ___ Cream o' Mushroom/Chicken
__ ___ Butter/Margarine __ ___ Chicken/Beef Bouillon
__ ___ Sour Cream __ ___ Chinese Bi-packs
__ ___ Cottage Cheese __ ___ Other
__ ___ Other
Pet Food
Vegetables __ ___ Canned Meat
__ ___ Canned Green Beans __ ___ Dry Chow
__ ___ Canned Green Peas __ ___ Pet Snacks
__ ___ Canned Whole Corn
__ ___ Canned Mixed Vegetables Pasta
__ ___ Canned Mushrooms __ ___ Macaroni/Spaghetti
__ ___ Canned Tomatoes, sauce __ ___ Egg noodles/Lasagna
__ ___ Canned other __ ___ Rice
__ ___ Frozen Broccoli
__ ___ Frozen Mixed Vegetables Cleaning Aids
__ ___ Frozen Whole Corn __ ___ Dishwashing Detergent
__ ___ Frozen Green Beans __ ___ Clothes Washing Detergent
__ ___ Frozen Green Peas __ ___ Clothes Softner (liquid/sheets)
__ ___ Frozen Spinach __ ___ Bleach/Stain Remover
__ ___ Frozen Vegetable Blends __ ___ Oven Cleaner
__ ___ Frozen Other __ ___ Carpet Deodorizer
__ ___ Dry Beans __ ___ Air Freshener/Potpourri
__ ___ Other __ ___ Disinfectant
__ ___ Other __ ___ Other
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Baby Products Medicines/Vitamins
__ ___ Diapers __ ___ Multi Vitamin (adult)
__ ___ Baby Wipes __ ___ Multi Vitamin (child)
__ ___ Baby Cleaning Lotion __ ___ Vitamin C
__ ___ Mineral/Baby Oil __ ___ Calcium
__ ___ Anti-Rash Cream __ ___ Other Mineral/Vitamin
__ ___ Other __ ___ Special Formula Vitamin
__ ___ Aspirin
Teeth Care __ ___ Tylenol
__ ___ Toothpaste(s) __ ___ Ibuprofen
__ ___ Toothbrush __ ___ Anti-Diarrhea Medicine
__ ___ Dental Floss __ ___ Cough Drops/Syrup
__ ___ Oral Rinses __ ___ Anti-Gas (liquid/tablets)
__ ___ Other __ ___ Decongestant (liquid/tablets)
Eye Care/Ear Care __ ___ Sore Throat Lozenges
__ ___ Contact Lens Solution __ ___ Nasal Spray/Inhaler
__ ___ Contact Lens Cleaner __ ___ Bandages/Gauze
__ ___ Contact Lens Disinfectant __ ___ Antibiotic Ointment/ Aid
__ ___ Other __ ___ Other
Hair Care Products Paper and Kitchen Products
__ ___ Shampoo __ ___ Toilet Paper
__ ___ Hair Conditioner __ ___ Facial Tissue
__ ___ Hair Coloring Agents __ ___ Aluminum Foil
__ ___ Home Perm Treatment __ ___ Waxed Paper
__ ___ Hair Spray __ ___ Plastic Wrap
__ ___ Mousse __ ___ Plastic sealable bags
__ ___ Other __ ___ Paper Towels
__ ___ Garbage Bags
Soaps and Body Cleansers
__ ___ Hand Soap(s) Shaving Products/Skin Care
__ ___ Face Soap __ ___ Razor Blades
__ ___ Body Soap(s) __ ___ Shave Cream
__ ___ Other __ ___ Baby Powder
__ ___ Medicated Powder
Personal Hygiene __ ___ Hand/Body Lotion
__ ___ Feminine Hygiene - 1 __ ___ Cotton Balls/Cotton Swabs
__ ___ Feminine Hygiene - 2 __ ___ Deodorant/Antiperspirant
__ ___ Other
__ ___ Other
Sauces/Spreads/Seasoning Packets Miscellaneous
__ ___ Spaghetti Sauce __ ___ Light bulbs (Watt/Brand)
__ ___ Sandwich Spread __ ___ Batteries (Size/Brand)
__ ___ Taco Mix __ ___ Invisible Tape/Staples
__ ___ Stir Fry Mix __ ___ Glue (Regular/Instant)
__ ___ Other Mix __ ___ Water Filter
__ ___ Ranch Salad Dressing Mix __ ___ Envelopes (type)
__ ___ Barbecue __ ___ Car Wax/Car Polish
__ ___ Salad Dressing (flavor/brand) __ ___ Insecticide
__ ___ Other __ ___ Photographic Film
__ ___ Other __ ___ Tapes (cassette/ video)
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Jams/Jellies/Syrups, Peanut Butter Condiments
__ ___ Jam __ ___ Mayonnaise
__ ___ Jelly __ ___ Mustard
__ ___ Preserves __ ___ Ketchup/Catsup
__ ___ Marmalade __ ___ Vinegar/Soy sauce
__ ___ Pancake/Maple Syrup __ ___ Salad Dressing/Mix
__ ___ Peanut Butter __ ___ Steak Sauce
__ ___ Other __ ___ Other/Salsa
Cake and Pie: Mixes and Fixings
__ ___ Cake Mix __ ___ Pie Filling
__ ___ Other __ ___ Other mix
__ ___ Cake Frosting __ ___ Frozen Cake
__ ___ Pie Shells
__ ___ Frozen Pie
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