CHAMBRE À COUCHER
| Quantité | Items | Date Achat | Prix à l'achat | Prix de remplacement |
| ____________ | Chaises | ____________ | ____________ | ____________ |
| ____________ | Livres | ____________ | ____________ | ____________ |
| ____________ | Tablettes | ____________ | ____________ | ____________ |
| ____________ | Carpettes/tapis | ____________ | ____________ | ____________ |
| ____________ | Horloge | ____________ | ____________ | ____________ |
| ____________ | Contenu de garde-robes | ____________ | ____________ | ____________ |
| ____________ | Étagères | ____________ | ____________ | ____________ |
| ____________ | Draperies/rideaux/stores | ____________ | ____________ | ____________ |
| ____________ | Bureau | ____________ | ____________ | ____________ |
| ____________ | Lampes | ____________ | ____________ | ____________ |
| ____________ | Porte manteaux | ____________ | ____________ | ____________ |
| ____________ | Miroirs | ____________ | ____________ | ____________ |
| ____________ | Tables | ____________ | ____________ | ____________ |
| ____________ | Instruments de musique | ____________ | ____________ | ____________ |
| ____________ | Toiles d'artistes, etc. | ____________ | ____________ | ____________ |
| ____________ | Divan | ____________ | ____________ | ____________ |
| ____________ | Radio | ____________ | ____________ | ____________ |
| ____________ | Télévision/vidéo | ____________ | ____________ | ____________ |
| ____________ | Divers | ____________ | ____________ | ____________ |
| ____________ | Lits | ____________ | ____________ | ____________ |
| TOTAL | ____________ |
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