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Name: Pickup Address: Address: Level:              Telephone: Telephone (W): Contact Person: Telephone (H): Delivery Address: Fax: Level:              Telephone: Email Address: Contact Person: Proposed Removal Date: / /             Prepack Required: None Full Partial Breakables Only Cartons Required: (Please specify number) Standard Book Porta Robes             Storage Required: No     Yes All Risk Insurance Required: No    Yes Value: $ INVENTORY BEDROOMS ITEM BEDROOM 1 BEDROOM 2 BEDROOM 3 BEDROOM 4 Baby's Bath Bass'le & Stand Bedside Cab Book Shelves Bunks Chair Change Table Chest of Drawers Sml Chest of Drawers Lg Cheval Mirror Corner Hutch Cot Cupboard Desk Dressing Table Ensuite Bed Sgl Ensuite Bed Dbl Ensuite Bed Queen Ensuite Bed King Footboard Sgl Footboard Dbl Footboard Queen Footboard King Glory Box Chest Heater Headboard Sgl Headboard Dbl Headboard Queen Headboard King Lowboy Mattress Sgl Mattress Dbl Mattress Queen Mattress King Play Pen Stool Television Small Television Large Trundle Bed Valet Wardrobe Water Bed Sgl Water Bed Dbl Water Bed Queen Water Bed King LIVING ROOMS ITEM LOUNGE FAMILY STUDY Bar Bar Fridge Bean Bag Bookcase Bookshelves Bureau Chair China Cabinet Cocktail Cabinet Coffee Table Desk Electronic Organ Heater Lounge Armchair Lounge Suite Modular Mag Tidy / Rack Radio Gram Rocking Chair Speakers Standard Lamp Stereo Cabinet Settee 2 Seater Settee 3 Seater Television Television Cab Video Wall Unit Wine Rack OTHER ROOMS DINING KITCHEN HALL LAUNDRY Bookcase Buffet / Dresser Bookcase Airer Buffet / Side Board Chairs Chair Brooms & Mops Chair Carver Dishwasher Dropside Table Buckets Chair Dining Freezer Grandfather Clock Cupboard Crystal Cabinet Fridge Hall Stand Ironing Board Stool Highchair Pedestal Laundry Trolley Table Microwave Oven Phone Table Linen Basket Tray Mobile Pantry Cupboard Trunk / Chest Stool   Stool   Tumble Dryer   Table   Vacuum Cleaner   Tidy   Washing Machine   Vegetable Tidy     MISC. SUNDRIES OUTSIDE Air Cooler & Stand                                      Antenna                                      Billiard Table Small                                      Bicycle                                      Billiard Table Large                                      BBQ Small                                      Cartons Book P.B.O.                                      BBQ Large                                      Cartons Std P.B.O.                                      Camping Gear                                      Cartons Picture P.B.O.                                      Car Ramps                                      Cartons Porta Robes P.B.O.                                      Garden Table                                      Car Seat                                      Garden Chair                                      Computer                                      Garden Seat                                      Cupboard                                      Garden Stool                                      Dolls Cot                                      Garden Swing Seat                                      Dolls House                                      Ladder                                      Esky                                      Motor Mower                                      Exercise Bike                                      Outboard Motor                                      Fan                                      Roof Rack                                      Filing Cabinet                                      Rubbish Bin Small                                      Fish Tank & Stand                                      Rubbish Bin Large                                      Folding Bed                                      Saw Horse                                      Folding Card Table                                      Shelves                                      Folding Chair                                      Surfboard                                      Garden Seeder                                      Swing CKD                                      Golf Bug & Buggy                                      Tent                                      Guitar                                      Trampoline                                      Jerry Can                                      Trike                                      Metal Cabinet                                      Tool Chest                                      Piano                                      Wading Pool                                      Piano Stool                                      Welder                                      Pot Plant Small                                      Wheel Barrow                                      Pot Plant Large                                      Workbench                                      Pram                                      Incidentals                                       Rocking Horse                                                                               Sewing Cabinet                                                                               Sewing Machine Table                                                                               Skis                                                                               Spinning Wheel                                                                               Stackers                                                                               Stroller                                                                               Suitcase                                                                               Table Tennis Table                                                                               Troy Pram Pusher                                                                               Trunk Small                                                                               Trunk Large                                                                               Typewriter                                                                               Umbrella