ee Ue faeces Ayia JAldbebia AeA 9p Complete as pa example provided and fll as apical Gigs ashiLveghe ectiaost Coe Sloane tyaatda | Other ientitation merks | Value ofthe Bag Dead | plac. Radlactc + Eminntes Tag) St 150 Description of contents eilagiaall gly Success ecovry of your rroverty depends on bin sapien eu biaee, ss acouret a poseieincesorong tof contents of your Dap “Aufl dlelatcleinal ion Pees atcha separate or each ba. Augousitinsietahoein sos cae ia cos) aac | asa | aata | wcrtaa | L tom Beene Colour | Quanity | Date ofPurchace | Purchase vaue | Present vale | Dpess Crea fembroid ped 1 Fron 34 Tul 1) Te shirt furdased | Cvareng) si {i ilk chow! ard mide in [wo 3) ml B ito to | Saunviners Coo et Dubai | 41590 | 1 Ferd Spuvent y ‘ction % ilk foere 3 | an | Sparvenics._ Cet "ereby cary That the foregoing is accurate, complete and true: Auton GltSg QlussoleldorigtOlogient iuaaat Signature: _ ‘euoout Date: ean ‘SIAoploub oso Yo ebato U Jonu ad espodlina lier vlnaa Note: This frm does not constitute any acceptance of labilty cn the part of Eirtes.