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Fee Replace Furniture Other UTILITIES Electricity Water Gas Phone Trash Cable FOOD Grocery Restaurants TRANSPORTATION Car Payment Car Payment Gas and Oil Repairs and Tires Car Insurance License and Taxes Car Replacement Actually Spent of Take Home Pay PAGE 1 TOTAL Monthly Cash Flow Plan (Form 5 – continued) Budgeted Item CLOTHING Children Adults Cleaning/Laundry MEDICAL/HEALTH Disability Insurance Health Insurance Doctor Bills Dentist Optometrist Medications PERSONAL Life Insurance Child Care Baby Sitter Toiletries Cosmetics Hair Care Education/Adult School Tuition School Supplies Child Support Alimony Subscriptions Organization Dues Gifts (incl..