Questionnaire Text

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d) IN THE PAST 12 MONTHS, what was the cost of oil, coal, kerosene, wood, etc., for this house, apartment, or mobile home? If you have lived here less than 12 months, estimate the cost
Past 12 month's cost - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge or these fuels not used