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Name Steve RichardsonAddressPhone 409-779-1134Insurance policy number 18A308457Insurance agentInsurance agent phoneInsurance company Srate FarmInsurance company phone 225-237-2508Total estimated value on all items $25,418.00Room/area Item/description Make/model Date purchased Where purchased Notes Photoitchen !a"#e $ %hairs Ash#e& 'ver 2 &ears $1,800.00 $1,800.00 Store o(t o) "(siness no*ivin+ room So)a Ash#e& 'ver 2 &ears $1,400.00 $1,400.00 Store o(t o) "(siness no*ivin+ room ,% -.S /0 accrssories Ash#e& 'ver 2 &ears Ash#e& $1,100.00 $1,100.00 no-innin+ Room!a"#e $ %hairs Ash#e& 'ver 2 &ears $2,500.00 $2,500.00 Store o(t o) "(siness no-innin+ Room2(tch / %hina %a" Ash#e& 'ver 2 &ears $1,000.00 $1,000.00 Store o(t o) "(siness no*ondr& Room 3asher $ -r&er *4 Sears $2,800.00 $2,800.00 no%#oset 2ar#ee /-ress 3emans %armen 5arc 6a#vo 7eman 5arcos $575.00 $575.00 no%#oset 2ar#ee /-ress 8%845A9A:R;A 5A%


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