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SUSENAS
SSN90-LP
RUPUBLIC OF INDONESIA
CENTAL BUREAU OF STATISTICS
1990 NATIONAL SOCIO-ECONOMIC SURVEY
CONSUMPTION OF PREPARED FOOD AND BEVERAGE
(Consumption of food and beverage not prepared by the household)
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I. LOCATION IDENTIFICATION
Province
District/Municipality *)
Sub-district
Village/village unit
Susenas Sample code number
Sample household serial number
Number of Household member
Name of household head
II. PREPARED FOOD/DRINK THAT WERE CONSUMED IN THE HOUSE
DURING PREVIOUS WEEK DATED………..TO ……………..
Day / date
Type of prepared
Quantity
Value
Food Origin
food/drink
(Rp)
(1)
(2)
(3)
(4)
(5)
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III. PREPARED FOOD/DRINK THAT WERE CONSUMED OUTSIDE THE HOUSE
DURING THE PREVIOUS WEEK OF DATED ………..TO ……………..
Name of
Day / date
Type of
Quantity
Value
Food Origin
household
prepared
(Rp)
member
food/drink
(1)
(2)
(3)
(4)
(5)
(6)
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