tp101929714_template1

3
Name Steve Richardson Address Phone 409-779-1134 Insurance policy number 18A308457 Insurance agent Insurance agent phone Insurance company Srate Farm Insurance company phone 225-237-2508 Total estimated value on all items $25,418.00 Room/area Item/description Make/model Date purchased Where purchased Notes Photo? Kitchen Table & Chairs Ashley Over 2 years $1,800.00 $1,800.00 Store out of business no Living room Sofa Ashley Over 2 years $1,400.00 $1,400.00 Store out of business no Living room PC DESK /w accrssories Ashley Over 2 years Ashley $1,600.00 $1,600.00 no Dinning Room Table & Chairs Ashley Over 2 years $2,500.00 $2,500.00 Store out of business no Dinning Room Hutch / China Cab Ashley Over 2 years $1,000.00 $1,000.00 Store out of business no Londry Room Washer & Dryer LG Sears $2,800.00 $2,800.00 no Closet Harlee /Dress Wemans Carmen Marc Valvo Neman Marcos $575.00 $575.00 no Closet Harlee /Dress BCBGMAXAZRIA MACYS $308.00 $308.00 no Closet Harlee /Dress $476.00 $476.00 no Closet Harlee /Dress $450.00 $450.00 no Closet Ashton/ Dress Wemans Carmen Marc Valvo Neman Marcos $575.00 $575.00 no Closet Ashton/ Dress BCBGMAXAZRIA MACYS $308.00 $308.00 no Closet Ashton/ Dress $476.00 $476.00 no Closet Ashton/ Dress $450.00 $450.00 no Bed Room #2 Bed Room Suit Ashley Over 2 Years Old $1,800.00 $1,800.00 Store out of business no Bed Room #3 Bed Room Suit Ashley Over 2 Years Old $3,000.00 $3,000.00 Store out of business no Bed Room #2 Matress / Box Spring Serta Over 2 Years Old $350.00 $350.00 Store out of business no Bed Room #3 Matress / Box Spring Serta Over 2 Years Old $350.00 $350.00 Store out of business no Bed Room # 1 Eletric Guitier AN American Standerd 8 Years Old $850.00 $850.00 no Bed Room # 1 Eletric Guitier AN American Standerd 9 Years Old $1,150.00 $1,150.00 no Bed Room # 1 Eletric Guitier Ibanez 9 Years Old $250.00 $250.00 no Bed Room # 1 Effects Pedal Boss 6 Years Old $450.00 $450.00 no Bed Room # 1 63 Twin revirb Amp Finder Tub Amp over 40 years old $2,500.00 no Home Contents Inventory List 4694 howard Rd. Starks La 70661` Serial number/ ID number Purchase price Estimated current value Replacement Caust Lorenz Fine FURN. Lorenz Fine FURN. Lorenz Fine FURN. Lorenz Fine FURN. Strapless Bubble Hem Rosette Applique Asymmetrical Draped Gown With Waist Wrap by Mon Cheri Montage New Yark Dresses. Com Strapless Ball Gown by Alyce Designs New Yark Dresses. Com Strapless Bubble Hem Rosette Applique Asymmetrical Draped Gown With Waist Wrap by Mon Cheri Montage New Yark Dresses. Com Strapless Ball Gown by Alyce Designs New Yark Dresses. Com lorenz Fine FURN. lorenz Fine FURN. lorenz Fine FURN. lorenz Fine FURN. Finder Straticaster Finder Telercaster Tip: It's a good idea to save a paper copy of this list in a fireproof safe, in a safe deposit box, or somewhere outside of your home.

Upload: msreeram-sanjay

Post on 17-Aug-2015

212 views

Category:

Documents


0 download

DESCRIPTION

Template1

TRANSCRIPT

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%