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Personal Property List

NAME OF HOUSE: ____________________________________________

HOUSE MEMBER: ____________________________________________

List all personal property you are bringing into the House. Have each item initialed by a House
Officer when the item is brought into the House. NO CLAIMS FOR MISSING PERSONAL
PROPERTY WILL BE ENTERTAINED BY THE HOUSE UNLESS THE ITEM IS LISTED ON THIS FORM.

MEMBER’S
DATE PERSONAL PROPERTY DESCRIPTION INITIALS
H.O.INITIALS

PERSONAL PROPERTY FORM January 19, 2010 Page |1

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