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Date of Removal:
Collection Address:
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Delivery Address:
Delivery Access:
Is Storage Required?:
Storage Period:
Is Packing Required?:
What must be packed?:
Is Insurance Required?:
Value of insurance:
Is Transport of pets Required?:
Pets Description:
Is Transport of Vehicles Required?:
Vehicle's Description:
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Please supply the name and contact details of the responsible person if not supplied above:
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Number of Linen?:
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DESCRIPTION Q   T DESCRIPTION Q Q Q Q   T DESCRIPTION     T DESCRIPTION Q   T
                                     
ENTRANCE HALL       LOUNGE             KITCHEN/APPLIANCE     SERVANTS Q      
Chair 1 Seater Bar Fridge 1 Seater
Clock: Grand 2 Seater Cabinet S 2 Seater
Ent Hall Table 3 Seater Chair Bed (Double)
Half Moon Table 4 Seater Clothes Airer Bed (Single)
Hat Stand C.D. Stand Dishwasher Chairs
Tel Table Chair Fans Dres Table
Washstand DSTV Dish Freezer T.V.
        DSTV,DVD,VCR Fridge Table
DINING ROOM       Hi-Fi Heaters Wardrobe
Cabinet L Hi-Fi Speakers L Ironing Board        
Cabinet M Hi-Fi Speakers S Knitting Machine MISCELLANEOUS
D/Room Chair Hi-Fi Stand Microwave Oven Bean Bag
D/Table (10 seater) Lamp: Large Polisher Canoe
D/Table (4 seater) Lamp: Small Sewing Machine Children Chair
D/Table (6 seater) Organ Stove (L) Children Table
D/Table (8 seater) Ottoman Table Fish Tank
Hostess Piano: Grand Tumble Drier Jungle Gym
Server Piano: Upright V-Cleaner Motor Bike (cc)
Sideboard Show Case Veggie Rack Prams
Tea Trolley T.V. Washing Machine Safes / RIFFLE
Welshdresser T.V.: Big Screen         Sandpit
        T.V.: Plasma GARAGE/GARDEN       Snooker Table (1/2)
FAMILY ROOM       Table: Coffee Bicycle Snooker Table (1/4)
Bar Counter Table: Side Bin Snooker Table (FS)
Bar Stool TV Unit M Bird Cage Wendy House
Bar Unit L Wall Unit (1pc) Birdbath        
Bookcase L Wall Unit (2pc) Braai - Gas Carpets
Bookcase M Wall Unit (3pc) Braai - Webber G/TOPS
Bookcase S               Chair (Stack) Mirrors
Cabinet S BEDROOMS
1
2
3
4
    Concrete Bench Ornaments
Coffee Table Bed (Double) Cooler Box Paintings
Side Tables Bed (Queen) Fishing Rods Pictures
        Bed (Single) Garden Bench        
STUDY / OFFICE Bed (Sleeper Couch) Garden Ornaments Pot Plant Stands
Cabinet (2 Draw) Chaise Lounge Garden Statues Pot Plants (L)
Cabinet (4 Draw) Chest of Drawers Garden Table- concrete Pot Plants (M)
Carpets Cheval Mirror Garden Tools Pot Plants (S)
Computers Clothes Basket Golf Bag/Cart        
Credenza Cot / Compactum Hose Pipe Crockery Cartons
Desk L Dres Table (L) Kennel L Gen Cartons
Desk M Dres Table (M) Kennel M Linen Cartons
Desk S Dumb Valet Ladder W/Drobe Cartons
Drawing Board Exercise Bicycle Lathe / Saw Bench        
Office Chair Futon (Double) Lawn Mower        
Pillars Futon (Single) Lounger        
        Gym - ALL in One Steel Shelves        
        Headboard Suitcase TOTAL COL. 4    
CABINET STEEL 2 DOOR Health Walker Table (Plastic)        
TUBES/PIPES BUNDLE Kist Toolbox OFFICE USE ONLY:
DOORS Pedestals Trunks Column 1    
        T.V. Umbrella Column 2    
        Treadmill Welder/Compressor Column 3    
        Wardrobe (2 Door) Wheelbarrow Column 4    
        Wardrobe (3 Door) Workbench        
                                     
TOTAL COL. 1     TOTAL COL. 2           TOTAL COL. 3     TOTAL VOLUME