| CHINA, LINENS | No. | Original Cost |
Present Value |
| China, dinnerware | |||
| Luncheon sets | |||
| Breakfast sets | |||
| Table cloths | |||
| Napkins | |||
| Place mats | |||
| TOTALS | |||
| CRYSTAL | No. | Original Cost |
Present Value |
| Goblets | |||
| Glasses, tumblers | |||
| Sherbet, parfait | |||
| Punch bowl sets | |||
| Cocktail glasses | |||
| Liqueur glasses | |||
| Pitchers | |||
| Decanters | |||
| Bowls, vases | |||
| Dishes | |||
| TOTALS | |||
| SILVER | No. | Original Cost |
Present Value |
| Place settings | |||
| Serving pieces | |||
| Platters, trays | |||
| Dishes, bowls | |||
| Chafing dishes | |||
| Tea service | |||
| Pitchers | |||
| Candle holders | |||
| Other pieces | |||
| TOTALS |
Fulmont Mutual Insurance
Company
Main Office: P.O. Box 487, Johnstown, NY 12095-0487
Page: __________ of __________