Mark Sharpless - Owner/Auctioneer
(319) 351-8888
Date________________
Seller's Name__________________________________________ Lot Number___________
Address_____________________________ City______________ State______ Zip_______
Phone #_____________________
Mail Check
Pickup Check
Appliances?
Yes
No
30% Commission
$10 Nonrefundable Appliance Fee on ALL Appliances
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X________________________________________Seller's Signature
Received by______________________________