Focus Family Information & Inventory Form
Focus Family #
*
Enter number only
Does this family need a follow up?
*
Yes
No
Adult #1 Name
*
First Name
Last Name
Adult #2 Name
First Name
Last Name
How many children are in the household?
*
na
1
2
3
4
5
6
7
8
9
10
11
12
Child #1 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #2 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #3 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #4 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #5 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #6 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #7 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #8 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #9 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #10 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #11 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Child #12 Name
Current Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Age
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip Code
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Referring Agency
*
Caseworker
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Family Coordinator
*
First Name
Last Name
Date Complete
*
-
Month
-
Day
Year
Date
Notes
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Save
Purchases
Please keep record and list any receipts from vendors purchased that wasn't a donation. List by receipt inclusive of taxes. (i.e. 8/23/20, Target, $45.97). Don't forget to turn in a copy of your receipts to Focus on Home.
Receipt #1 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #2 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #3 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #4 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #5 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #6 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #7 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #8 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #9 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipt #10 Date
-
Month
-
Day
Year
Date
Vendor
Receipt Amount
Receipts Total
Back
Next
Save
Inventory Placed in FF Home
Furniture Donation
KITCHEN
Art Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bakeware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase/Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Can Opener
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Coffeemaker
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Colander/Strainer
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Crock Pot
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Cutting Board
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dishes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Glasses/Cups
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Kitchen Equipment
Oven Mitts
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Knife
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Microwave
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mixer/Blender
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mixing Bowls/Storage
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Pots/Pans
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Refrigerator
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Silverware Set
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Silverware Tray
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Small Appliances
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Tablecloth
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Tea Kettle
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Toaster
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Utensils
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL KITCHEN
DINING ROOM
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bar Stool
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase/Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dining Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dining Table Chairs
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
High Chair/Booster
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Lamp
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mirror
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Sideboard/Buffet
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL DINING ROOM
LIVING ROOM
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Chair (Upholstered/Leather)
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Chair/Sofa Cover
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Coffee Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Pillows/Shams
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk Chair/Side Chair
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Entertainment Center/Armoir
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Futon
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Lamp
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Loveseat
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Ottoman
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Side Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Sofa
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Sofa Table/Console
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Throw
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL LIVING ROOM
MASTER BEDROOM
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bed Hdbd/Ftbd, FQK
Full, Queen, King
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bed Hdbd/Ftbd, Twin
Twin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedframe
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedskirt
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedspread/Comforter/Quilt
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bench
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Blanket/Throw
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase/Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Boxspring - Twin/King
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Boxspring - Full
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Boxspring - Queen
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Chair Upholstered/Leather
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Pillows/Shams
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk Chair/Side Chair
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dresser
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Entertainment Center/Armoire
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Futon
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Hangers
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Lamp
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Laundry Bin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Loveseat
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mattress - Twin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress Full
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress - Queen
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress - King
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mirror
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Nightstand
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Ottoman
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Pillows
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Sheet Set
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
String Lights
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL MASTER BEDROOM
BEDROOM(S)
Total all bedroom inventories here, except master.
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bed Hdbd/Ftbd - FQK
Full, Queen, King
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bed Hdbd/Ftbd - Twin
Twin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedframe
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedskirt
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bedspread/Comforter/Quilt
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bench
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Blanket/Throw
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase/Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Boxspring - T/K
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Boxspring - Full
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Boxspring - Queen
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Bunk Bed
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Chair (Upholstered/Leather)
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Child's Special Item
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Crib/Toddler Bed
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Crib Mattress/Toddler Bed
Mattress
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Crib Sheet
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Pillows/Shams
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Desk Chair/Side Chair
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dresser
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Entertainment Center/Armoire
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Futon
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Hangers
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Lamp
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Laundry Bin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Loveseat
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mattress - Twin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress - Full
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress - Queen
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mattress - King
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
New
Total
Mirror
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Nightstand
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Ottoman
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Pillows
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Sheet Set
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
String Lights
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL BEDROOM(S)
BATHROOM
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Curtains/Drapes
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Hardware Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Laundry Bin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Mirror
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Shower Curtain
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Shower Curtain Liner
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Shower Curtain Rings
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Shower Curtain Rod
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Soap Holder
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Throw Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Toothbrush Holder
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Towels
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Washcloths
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Window Hardware
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL BATHROOM
LAUNDRY
Art/Wall Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Bookcase/Shelves
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dryer
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Laundry Bin
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Organization
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Throw Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Washing Machine
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL LAUNDRY
EXTERIOR
Coffee Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Decorative Items
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Dining Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Patio Chair
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Patio Loveseat
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Rug
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Side Table
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
String Lights
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL EXTERIOR
MISCELLANEOUS DONATION
Baby Gate/Fencing
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Broom/Mop
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Fan/Heater
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Radio/Stereo
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Television
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
Vacuum
Qty
0
1
2
3
4
5
6
7
8
9
10
Condition
Select
Low
Average
High
Total
TOTAL MISCELLANEOUS DONATION
GRAND TOTAL
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