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HOUSEHOLD GOODS DESCRIPTIVE INVENTORY

MILBURN PRINTING 800-999-6690 CONTRACTOR OR CARRIER HOUSEHOLD GOODS DESCRIPTIVE INVENTORY PAGE NO. NO. OF PAGES. AGENT. CARRIER'S REFERENCE NO. OWNER'S GRADE OR RATING AND NAME CONTRACT OR GBL. NO. ORIGIN LOADING ADDRESS CITY STATE GOVT. SERVICE ORDER NO. DESTINATION VAN NUMBER. DESCRIPTIVE SYMBOLS EXCEPTION SYMBOLS LOCATION SYMBOLS. B/W - BLACK & WHITE TV DBO - DISASSEMBLED BY OWNER BE - BENT D - DENTED MO - MOTHEATEN SO - SOILED 1. ARM 8. RIGHT 15. SEAT. C - COLOR TV PB - PROFESSIONAL BOOKS BR - BROKEN F - FADED P- PEELING ST - STAINED 2. BOTTOM 9. SIDE 16. DRAWER. CP - CARRIER PACKED PE - PROFESSIONAL EQUIPMENT BU - BURNED G - GOUGED R- RUBBED S- STRETCHED 3. CORNER 10. TOP 17. DOOR. PBO - PACKED BY OWNER PP - PROFESSIONAL PAPERS CH - CHIPPED L - LOOSE RU - RUSTED T- TORN 4. FRONT 11. VENEER 18. SHELF. CD - CARRIER DISASSEMBLED MCU - MECHANICAL CONDITION CU - CONTENTS M - MARRED SC - SCRATCHED W- BADLY WORN 5.

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Transcription of HOUSEHOLD GOODS DESCRIPTIVE INVENTORY

1 MILBURN PRINTING 800-999-6690 CONTRACTOR OR CARRIER HOUSEHOLD GOODS DESCRIPTIVE INVENTORY PAGE NO. NO. OF PAGES. AGENT. CARRIER'S REFERENCE NO. OWNER'S GRADE OR RATING AND NAME CONTRACT OR GBL. NO. ORIGIN LOADING ADDRESS CITY STATE GOVT. SERVICE ORDER NO. DESTINATION VAN NUMBER. DESCRIPTIVE SYMBOLS EXCEPTION SYMBOLS LOCATION SYMBOLS. B/W - BLACK & WHITE TV DBO - DISASSEMBLED BY OWNER BE - BENT D - DENTED MO - MOTHEATEN SO - SOILED 1. ARM 8. RIGHT 15. SEAT. C - COLOR TV PB - PROFESSIONAL BOOKS BR - BROKEN F - FADED P- PEELING ST - STAINED 2. BOTTOM 9. SIDE 16. DRAWER. CP - CARRIER PACKED PE - PROFESSIONAL EQUIPMENT BU - BURNED G - GOUGED R- RUBBED S- STRETCHED 3. CORNER 10. TOP 17. DOOR. PBO - PACKED BY OWNER PP - PROFESSIONAL PAPERS CH - CHIPPED L - LOOSE RU - RUSTED T- TORN 4. FRONT 11. VENEER 18. SHELF. CD - CARRIER DISASSEMBLED MCU - MECHANICAL CONDITION CU - CONTENTS M - MARRED SC - SCRATCHED W- BADLY WORN 5.

2 LEFT 12. EDGE 19. HARDWARE. SW - STRETCH WRAPPED UNKNOWN & CONDITION UNKNOWN MI - MILDEW SH - SHORT Z- CRACKED 6. LEGS 13. CENTER. 7. REAR 14. INSIDE. NOTE: THE OMISSION OF THESE SYMBOLS INDICATES GOOD CONDITION EXCEPT FOR NORMAL WEAR. CONDITION EXCEPTIONS CONDITION EXCEPTIONS. ITEM CR. (IF ANY) ITEM CR. (IF ANY). ARTICLES AT AT DESTINA- NO. REF. ARTICLES AT AT DESTINA- NO. REF. ORIGIN ORIGIN. TION TION. 1 6. 2 7. 3 8. 4 9. 5 0. 6 1. 7 2. 8 3. 9 4. 0 5. 1 6. 2 7. 3 8. 4 9. 5 0. 6 1. 7 2. 8 3. 9 4. 0 5. 1 6. 2 7. 3 8. 4 9. 5 0. ITEM REMARKS/EXCEPTIONS. NO. "WE HAVE CHECKED ALL THE ITEMS LISTED AND NUMBERED 1 TO INCLUSIVE AND ACKNOWLEDGE TAPE. THAT THIS IS A TRUE AND COMPLETE LIST OF THE GOODS TENDERED AND OF THE STATE OF THE GOODS RECEIVED". TAPE LOT NO. COLOR.. BEFORE SIGNING CHECK SHIPMENT, COUNT ITEMS AND DESCRIBE. WARNING LOSS OR DAMAGE IN SPACE ON THE RIGHT ABOVE.

3 NOS. FROM THRU. CONTRACTOR, CARRIER OR AUTHORIZED AGENT (DRIVER) DATE CONTRACTOR, CARRIER OR AUTHORIZED AGENT (DRIVER) DATE. AT. AT (SIGNATURE) (SIGNATURE). DESTINA- ORIGIN OWNER OR AUTHORIZED AGENT DATE OWNER OR AUTHORIZED AGENT DATE. TION. (SIGNATURE) (SIGNATURE). MILBURN PRINTING 800-999-6690 FORM #1180-S REV. '98.


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