Other (see instructions)
Can you add a detailed description of your purchases? And where you bought them?
This is the minimum info needed:
  1. Name of vendor (person or company you paid) 
  2. Transaction date (when you paid) 
  3. Detailed description of goods or services purchased (what you bought) 
  4. Amount paid 
  5. Form of payment (cash, check, or last four digits of credit card)