SALLE FAMILIALE
| Quantité | Items | Date Achat | Prix à l'achat | Prix de remplacement |
| ____________ | Fauteuils/chaises | ____________ | ____________ | ____________ |
| ____________ | Livres | ____________ | ____________ | ____________ |
| ____________ | Étagères | ____________ | ____________ | ____________ |
| ____________ | Carpettes/tapis | ____________ | ____________ | ____________ |
| ____________ | Horloges | ____________ | ____________ | ____________ |
| ____________ | Contenu des armoires | ____________ | ____________ | ____________ |
| ____________ | Disques compacts | ____________ | ____________ | ____________ |
| ____________ | Draperies/rideaux/stores | ____________ | ____________ | ____________ |
| ____________ | Bureau | ____________ | ____________ | ____________ |
| ____________ | Lampes | ____________ | ____________ | ____________ |
| ____________ | Porte manteaux | ____________ | ____________ | ____________ |
| ____________ | Miroirs | ____________ | ____________ | ____________ |
| ____________ | Instruments de musique | ____________ | ____________ | ____________ |
| ____________ | Toiles d'artistes, etc. | ____________ | ____________ | ____________ |
| ____________ | Radio | ____________ | ____________ | ____________ |
| ____________ | Sofas | ____________ | ____________ | ____________ |
| TOTAL | ____________ |
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