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SUMMARY
Kitchen
Family/Rec Room
Living Room
Dining Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bathroom 1
Bathroom 2
Veranda or Patio
Other room
Other room
Basement/Garage
Miscellaneous
Clothing & Linen
China, Crystal
Silver, Jewellery, etc.
Electronics
Others
GRAND TOTAL
$
Date of Inventory:
Revised:
Revised:
Insurance Brokers Association of Canada

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