Public Safety

RECORD OF PERSONAL PROPERTY

 

NAME:______________________________ DATE: ____________________

ADDRESS: _____________________________PHONE:___________________________

                     ___________________________OWNER ENGRAVED #_____________

 

AUTOMOBILE-MOTORCYCLE-BOAT-CAMPER-BICYCLES

Make Model Color Plate No. Vin No. Original Cost
           
           
           
           

CREDIT CARDS

Name on Card Bank Name Account Number
     
     
   

 

     

TELEVISION, RADIO, STEREO, HOUSEHOLD APPLIANCES, SPORTING GOODS, JEWELRY, CAMERA, POWER TOOLS, AND SUCH OTHER VALUABLE PROPERTY . . . . (If an item does not have a serial number use an identifying number you engraved or applied on that item).

ITEM MAKE MODEL COLOR SERIAL NO. ORIGINAL COST
           
           
           
           
           
           
           
           
           

RETURN THIS FORM TO CAMPUS POLICE