CUISINE
| Quantité | Items | Date Achat | Prix à l'achat | Prix de remplacement |
| ____________ | Contenu de cabinets | ____________ | ____________ | ____________ |
| ____________ | Chaises | ____________ | ____________ | ____________ |
| ____________ | Appareils de nettoyage | ____________ | ____________ | ____________ |
| ____________ | Carpettes/tapis | ____________ | ____________ | ____________ |
| ____________ | Horloge | ____________ | ____________ | ____________ |
| ____________ | Contenu des armoires | ____________ | ____________ | ____________ |
| ____________ | Vaisselle | ____________ | ____________ | ____________ |
| ____________ | Draperies/rideaux/stores | ____________ | ____________ | ____________ |
| ____________ | Lave vaisselle | ____________ | ____________ | ____________ |
| ____________ | Recouvrement de plancher | ____________ | ____________ | ____________ |
| ____________ | Nourriture | ____________ | ____________ | ____________ |
| ____________ | Congélateur | ____________ | ____________ | ____________ |
| ____________ | Tables | ____________ | ____________ | ____________ |
| ____________ | Réfrigérateur | ____________ | ____________ | ____________ |
| ____________ | Toiles, etc. | ____________ | ____________ | ____________ |
| ____________ | Chaudrons | ____________ | ____________ | ____________ |
| ____________ | Radio | ____________ | ____________ | ____________ |
| ____________ | Petits appareils ménager | ____________ | ____________ | ____________ |
| ____________ | Divers | ____________ | ____________ | ____________ |
| TOTAL | ____________ |
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