Information
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Customer Name
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Date of Move
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Sales Order Number
Form
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Upon packing/loading your items, we found the following item(s) to have previous damage. TWO MEN AND A TRUCK is not responsible for previously damaged items.
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Item #1
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Room
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Description of Damge
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Item #2
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Room
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Description of Damge
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Item #3
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Room
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Description of Damge
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Item #4
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Room
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Description of Damge
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Item #5
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Room
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Description of Damge
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Item #6
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Room
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Description of Damge
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Item #7
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Room
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Description of Damge
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Item #8
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Room
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Description of Damge
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Item #9
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Room
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Description of Damge
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Item #10
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Room
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Description of Damge
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By signing below you acknowledge that you were notified that the above listed items were damaged prior to the move.
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Customer Signature
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Two Men And A Truck Representative Sign
