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What was the total cost for all labor, materials, appliances,
or equipment THEY PROVIDED in the reference month?
[enter value]
_____________
What was the total cost for all labor, materials, appliances,
or equipment THEY PROVIDED two months ago?
[enter value]
_____________
What was the total cost for all labor, materials, appliances,
or equipment THEY PROVIDED last month?
[enter value]
_____________
How much was paid this month?/ What was the total cost for all labor,
materials, appliances, or equipment THEY PROVIDED in the current month?
[enter value] _____________
Since the first of the reference month,
how much have you paid for labor and any materials THEY PROVIDED?
[enter value] _____________