DINING ROOM
You can print this form and store for your
records.
| Quantity | Item | Date Purchased | Purchase Cost | Replacement Cost |
| ______ | Carpets / Rugs | ____________ | ____________ | ____________ |
| ______ | Chairs | ____________ | ____________ | ____________ |
| ______ | Chinaware | ____________ | ____________ | ____________ |
| ______ | Crystal | ____________ | ____________ | ____________ |
| ______ | Curtains/Drapes/Blinds | ____________ | ____________ | ____________ |
| ______ | Dresser Contents | ____________ | ____________ | ____________ |
| ______ | Compac Discs | ____________ | ____________ | ____________ |
| ______ | Knife sets | ____________ | ____________ | ____________ |
| ______ | Lamps | ____________ | ____________ | ____________ |
| ______ | Mirrors | ____________ | ____________ | ____________ |
| ______ | Paintings, etc. | ____________ | ____________ | ____________ |
| ______ | Shelves | ____________ | ____________ | ____________ |
| ______ | Sideboard | ____________ | ____________ | ____________ |
| ______ | Silverware | ____________ | ____________ | ____________ |
| ______ | Tables | ____________ | ____________ | ____________ |
| ______ | Table-linen | ____________ | ____________ | ____________ |
| TOTAL | ____________ | |||
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