NAME_____________________________________________________ ADDRESS__________________________________________________ CITY__________________________STATE________ZIP___________ TELEPHONE________________________________________________ EMAIL ADDRESS____________________________________________
Stove for assessment -Name Brand_______________________________________________________
Model & Serial Number _______________________________________________________________
Description-Width -Special Features etc.___________________________________________________
Condition of Stove____________________________________________________________________
How many ovens?____________________________________________________________________
How many broilers?___________________________________________________________________
How many burners?___________________________________________________________________
Does the stove have a griddle?___________________________________________________________
Does the stove have glass windows/doors?_________________________________________________
What is broken ? _____________________________________________________________________
What is missing?_____________________________________________________________________
What is rusted?_______________________________________________________________________
What is the color of stove _______________________________________________________________
Approximate Era of stove________________________________________________________________
Other Details_________________________________________________________________________