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Accounts are a list of transactions, think of them like entries in your checkbook or savings account. You can use accounts to track donations of money, in-kind items (baby items donated, books given) or even outcomes like patients visited or meals delivered.
Click on the Add account record link to add new values, right-click on existing ones to delete or edit them. You can right-click on any account record to send a letter to the person if you have any Letter templates set up which are based on account records. The Summary link gives you a lifetime overview of this person's accounts history.