Georgia Farm Bureau Insurance Services

**LAUNDRY ROOM** Sheet_______ of _______
Detailed Description	Purchased from:	How Many	Purchase Date	Purchase Price	Room Located
Cabinets & Contents
Closet & Contents
Clothes Dryer
Electrical Appliance
Electrical Appliance
Freezer
Iron/Ironing Board
Lighting Fixtures
Vacuum Cleaner
Washer
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Print this form, fill it out and save in a safe place	TOTAL VALUE		$