Jewelry
Item/Location: _____________________________________
__________________________________________________
Notes:
__________________________________________________
__________________________________________________
Insurance:
Yes
No
Other
Item/Location: _____________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Insurance:
Yes
No
Evidence of ownership for these items is located: ________
__________________________________________________
__________________________________________________
Insurance policies for the above items are located: _______
__________________________________________________
Company: _________________________________________
Policy Number: ____________________________________
Company: _________________________________________
Policy Number: ____________________________________
Agent's Name: _____________________________________
Address: ___________________________________________
__________________________________________________
Telephone: ________________________________________
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