BEDROOM
You can print this form and store for your
records.
| Quantity | Item | Date Purchased | Purchase Cost | Replacement Cost |
| ______ | Armchairs / Chairs | ____________ | ____________ | ____________ |
| ______ | Books | ____________ | ____________ | ____________ |
| ______ | Bookshelves | ____________ | ____________ | ____________ |
| ______ | Carpets/Rugs | ____________ | ____________ | ____________ |
| ______ | Clocks | ____________ | ____________ | ____________ |
| ______ | Closed Contents | ____________ | ____________ | ____________ |
| ______ | Compac Discs | ____________ | ____________ | ____________ |
| ______ | Curtains/Drapes/Blinds | ____________ | ____________ | ____________ |
| ______ | Desk | ____________ | ____________ | ____________ |
| ______ | Lamps | ____________ | ____________ | ____________ |
| ______ | Mantlepiece | ____________ | ____________ | ____________ |
| ______ | Mirrors | ____________ | ____________ | ____________ |
| ______ | Musical Instruments | ____________ | ____________ | ____________ |
| ______ | Paintings, etc. | ____________ | ____________ | ____________ |
| ______ | Radio | ____________ | ____________ | ____________ |
| ______ | Shelves | ____________ | ____________ | ____________ |
| ______ | Sofas | ____________ | ____________ | ____________ |
| ______ | Stereo | ____________ | ____________ | ____________ |
| ______ | Sundry Items | ____________ | ____________ | ____________ |
| ______ | Tables | ____________ | ____________ | ____________ |
| ______ | Television | ____________ | ____________ | ____________ |
| ______ | Videotapes | ____________ | ____________ | ____________ |
| ______ | Beds | ____________ | ____________ | ____________ |
| TOTAL | ____________ | |||
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