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FURNITURE BILL OF SALE

This agreement has been made on the ____ day of _______________, 20___ for the

purchase and sale of furniture described as:

Type ____________________ Brand ____________________

Dealer ____________________ Serial Number ____________________

It is understood that a payment of $_______________ (US Dollars) shall be made by

the Buyer to the Seller to transfer the ownership of the bicycle. The Seller makes no

warranties about the furniture and is transferring to the Buyer “as is”.