Personal Property Inventory

Name: ______________________ Date: _______________________

BEDDING No. Original
Cost
Present
Value
Blankets, spreads      
Quilts      
Pillows      
Sheets      
Pillow cases      
Electric blankets      
Mattress pads      
       
TOTALS      
BATHROOMS No. Original
Cost
Present
Value
Towels      
Wash cloths      
Cloths hampers      
Bath accessories      
Bath mats      
Bath scales      
Carpets, rugs      
Draperies, curtains      
TOTALS      

Fulmont Mutual Insurance Company
Main Office: P.O. Box 487, Johnstown, NY 12095-0487

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