THIS PAGE HAS BEEN DESIGNED BY THE DEPARTMENT OF PUBLIC SAFETY AS A SERVICE TO THOSE WHO LIVE ON OR OFF CAMPUS. IT IS DESIGNED TO HELP IDENTIFY YOUR PROPERTY IN THE EVENT THAT IT IS STOLEN, LOST, OR DESTROYED.  PLEASE USE THIS FORM TO RECORD SERIAL NUMBERS AND GIVE COMPLETE DESCRIPTION OF YOUR PERSONAL PROPERTY THAT YOU HAVE IN YOUR ROOM.

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WHICH BUILDING DO YOU LIVE IN BUILDING NAME CHESTNUT HALL DEERING HALL HERR HOUSE SHEPARD APARTMENTS OFF CAMPUS

DO YOU HAVE A ROOMMATE CHOOSE ONE YES NO

         

           WHAT TYPE OF ITEMS DO YOU OWN (CHECK ALL THAT APPLY):

TV  VCR STEREO VIDEO GAME PLAYERPERSONAL COMPUTEROTHER

PLEASE ENTER YOUR INFORMATION BELOW :

ITEM# 1

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 2

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 3

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 4

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 5

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 6

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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ITEM# 7

TYPE OF ITEM YOU ARE RECORDING

NAME OF MANUFACTURER

SERIAL NUMBER MODEL NUMBER

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