OPERTY CLAIM U 90 DAYS NOT CLAIM U ITEM Si QUANTITY VALUE DESCRIPTION C'T--t- C- 4 2 LT) ii c MAZ.V-VD u AVVite-1)(f. ) • t Cot4iAlk6 eft-P1/4-12.Weity_. TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list roprosonls all property taken from me and that I KIM received a copy et t