HOUSEHOLD ASSET DOCUMENTATION

SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
DOWNSTAIRS KITCHEN
QUANTITY
1
3
1
1
1
1
1
1
1
1
1
1
1
1
22
12
14
15
40
2
2
2
10
2
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Center Island 96x48x36
Frigidaire commercial refrigerators on wheels
DCS 6-burner gas range w/ grill
92” vent hood
Garland grill
92” vent hood
Panasonic inverter microwave
DCS dishwasher
Kitchen Aid compactor
Ninja mixer
T-Fal portable deep fryer
Euro-pro toaster oven
Insignia 24” TV
Direct TV box
Every day glassware
Margarita glasses
White everyday bowls
Everyday coffee cups
Ramekins
Floral rice bowls
Silver milk pitchers
Ivory water pitchers
Small Japanese-style cups
Cabinets, plastic storage containers
Insured’s Signature Job Title 1
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
4
1
2
4
10
3
10
1
12
12
2
14
5
2
7
3
1
Sample
Sample
DATE OF INVENTORY:
Cabinet, 6 baking bowls
Cabinet, 13 glass mixing bowls
Cabinet, 5 salad bowls
Knife block with 19 knives
Drawers of cooking utensils
Cuisinart blender
Drawers additional utensil
Drawers additional utensils
Webb Crystal, 5 ½”H
Webb Crystal, 6 ¼”H
Webb Crystal, 6”H
Webb Crystal, 4 ½”H
Blue Baccarat crystal glasses, 8”
Webb dessert crystal glasses, 4 ½”
Boxes of 6 burgundy goblets
Pans, All Clad and others
Sauce pans
Roasting pans
Mixing bowls
Steamers
Extra-large steamer
Insured’s Signature Job Title 2
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
DOWNSTAIRS KITCHEN DINING ROOM
1
Table, 6’x36”x30
6
Chairs
1
Cutting board on wheels
125
Hard-cover books
1
Antique Breville
1
Vase, 12”x9”
1
Wall cabinet including oyster servers and coffee grinders
2
Nesco dehydrators
DOWNSTAIRS KITCHEN TOTALS
Insured’s Signature Job Title 3
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
CHEF‘S PANTRY
QUANTITY
1
15
11
16
9
11
12
15
1
12
1
11
38
8
24
13
3
3
1
5
1
2
5
10
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Set of 13 blue trim Spoke China
Anglo China plates and six serving bowls
Limoges 8” China plates
Spoke China, Sea design, 8 ½”
Ramiro Nassos 11” plates
Ramiro Nassos 7” plates
Stanford by Lenox salad plates, 8 ½”
Stanford by Lenox cups and saucers
Set of 17 Crate & Barrel plates
Crate & Barrel corn holders
Set of 29 everyday plates and glassware
Gold-trimmed plates, 8 ¼”
Assorted glass cups
Glass creamers, 4”x3”
Glass plates, 9”
Blue plates, 10”
Cake stands
Sterling silver serving platters, 22”, 32”, 16”
Silver champagne bucket
Silver coffee pictures
Silver and glass water pitcher
Silver creamers
Silver salt and pepper shakers
Creamers
Insured’s Signature Job Title 4
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
3
6
8
6
1
1
6
32
18
32
28
3
11
8
1
1
Sample
Sample
DATE OF INVENTORY:
White water pitchers
Bottles Laurent Perrier / Brut
Wood salt-and-pepper shakers
Glass wine decanters
Glass water pitcher
Set of 14 Reed and Barton stainless flatware
Blue Harbor serving platters
Wine goblets
White wine glasses
Champagne flutes
Highball glasses
Water tall glasses
Brandy glasses
Martini glasses
Blue glass
Set of 12 “The Botanic Garden” China
CHEF’S PANTRY TOTALS
Insured’s Signature Job Title 5
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
MAID‘S QUARTERS
QUANTITY
1
1
1
1
1
1
1
1
1
1
1
1
1
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Antique leather chair on wheels
Daybed and bedding
Recliner
Round coffee table
Antique desk
Table lamp
HP All-In-One D135
Black leather chair
Framed print
Upholstered screen
Health-O-Meter scale
Filing cabinet
Closet
Additional leaf for dining table
MAID’S QUARTERS TOTALS
Insured’s Signature Job Title 6
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
DINING ROOM
QUANTITY
1
2
4
2
2
1
1
1
1
4
4
2
1
1
2
2
1
1
1
1
1
1
1
3
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Sterling silver gift box from “Grace” 5 ½” x 3 ½”
Dual silver candle stands 11” x 7”
Silver candle stands 12”H
Silver candle holders 5”H
Silver decorative cup and lid 3 ½” x 4”
Silver trivet 6” x 2”
Silver-plated 17” hotplate (tennis racket)
Antique credenza 75” x 22” x 35”
Antique dining table 97” x 60” x30” (one additional leaf in closet)
Antique side chairs 44” x 21”
Antique end chairs 44” x 21”
Antique leather and wood chairs 21” x 37”
Antique bench 38” x 18” x 34”
Antique round table 30” x 29”
Wood custom statues 62”H
Glass candle stands 18”H
Orange vase 22” x 13”
Antique mirror 71” x 48”
Custom 16-light chandelier 48” x 44”
100% wool area rug by Golden Rugs 13’ x 6’ 6”
Framed Kitaj nude painting image number 82
Framed Lor Jon floral painting image number 81
Framed Boncompain woman image number 83
Sets of custom drapes 102”H
Insured’s Signature Job Title 7
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
Sample
Sample
DATE OF INVENTORY:
Linen closet—9 shelves of linen
DINING ROOM TOTALS
Insured’s Signature Job Title 8
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
DINING ROOM PATIO
QUANTITY
16
1
1
1
2
25
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
White iron & green cushioned chairs
Glass-top table, 67”
Glass-top table, 47”
Glass-top table, 36”
White framed, glass-top serving tables, 43” x 21” x 45”
Potted plants
DINING ROOM PATIO TOTALS
Insured’s Signature Job Title 9
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
FOYER
QUANTITY
1
2
2
1
1
1
1
1
2
2
1
1
1
1
1
1
1
6
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Set of custom drapes, 112”H
Wool area rugs, 155” x 53”
Antique side tables, 91” x 16” x 32”
Custom signed silver bowl, 15” x 11” x 2.6”
Antique octagon Asian wood vase with lid
Custom wood statue, 47”H
Antique pedestal table, 49” x 31”
Glass vase with lid, 13” x14”
Small custom statues (wood, 12”H; plaster, 11”H)
Framed photographs
Original framed Picasso, image #99
Original framed black and white, image #98
Original framed cycle rider “Furlow”, image #97
Original framed green house, image #96
Original framed group of women, image #100
Bathroom
Framed black and white art, W. Sleif
Framed water-color paintings by Joan Larkin
FOYER TOTALS
Insured’s Signature Job Title 10
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LIVING ROOM
QUANTITY
1
1
1
2
1
1
1
1
3
2
2
1
2
1
1
1
2
26
2
1
1
1
1
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Wool area rug, 270” x 175”
Sofa with 5 pillows, 106” x 40”
Sofa with four pillows, 87” x 33”
Wing-back arm chairs, 32” x 38”
Upholstered side chair, 38” x 30”
Glass-top coffee table, 53” x 36” x 20”
Upholstered bench, 71”x 32” x23”
Wood coffee table, 42” x 24” x 20”
Round wood side tables, 24” x 24”
Matching table lamps, 36” x 18” x 28”
Matching table lamps, 30”H
Gold vase, 15” x 14”
Wood and upholstered arm chairs, 23” x 38”
Side table/bookshelf unit, 69” x 16” x 32”
Four-legged round side table, 26”x29”
Wm. Knabe & Co. grand piano and bench
Sets of custom drapes
Framed personal photographs
Glass candle stands, 12”x8.6”
Wood painted statue, 17”H
Decorative wood box, 9”x6”x5”
54” fireplace screen
Set of custom silver coasters
Silver box, 10.6”x7”x4”
Insured’s Signature Job Title 11
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
2
2
Sample
Sample
DATE OF INVENTORY:
Framed Matisse, 46
Gold-colored lamps, 30”H
Planted trees in pots, 88”H
LIVING ROOM TOTALS
Insured’s Signature Job Title 12
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
CHESS ROOM
QUANTITY
1
1
2
2
18
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Antique chess table, 44”x31”x30”
Wool area rug, 121”x98”
Matching arm chairs, 24”x44”
Framed paintings
Framed prints
CHESS ROOM TOTALS
Insured’s Signature Job Title 13
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LIBRARY ENTRANCE
QUANTITY
1
1
3
6
2
2
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Wool area rug, 106”x55”
Side table, 60”x20”x29”
Framed photographs
Framed prints
Framed, numbered art works, 357/500 & 253/500
Wood statues, 12”H
Walk-in wet bar with 2 mini refrigerators
LIBRARY ENTRANCE TOTALS
Insured’s Signature Job Title 14
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LIBRARY
QUANTITY
1
4
1
1
1
1
1
2
2
4
1
1
1
1
4
1
1
17
1
5
900
1
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Wood coffee table, 85”x60”x16”
Matching arm chairs, 37”x36”
Sofa with 2 pillows and throw, 94”x40”
Sofa, 94”x39” (below prints)
Wood and iron floor lamp, 60”H
Table lamp, 21”x58
Round display table, 36”x25”
Matching end tables with drawers, 23”x24”x26”
Matching table lamps, 34”H
Framed personal photographs
60” Panasonic Vieja TV with stand
Samsung World Wide video player
Direct HD TV box
Bose master control with speaker system
Indian statues, 21”, 23”, 13”, 18”
Collection of 6 wooden boxes
Framed “Baskin” print
Framed Indian prints
Antique wood chair
Altec box speakers
Hard-cover books
Wood painted statue, 13”H
9” plate “Mon Regiment”
Insured’s Signature Job Title 15
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LIBRARY TOTALS
Insured’s Signature Job Title 16
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LIBRARY PATIO
QUANTITY
10
3
2
1
1
4
4
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Patio chairs
3-seat patio sofas, 73”L
Round glass-top tables, 30”x19”
Round glass-top tables, 35”x29”
Round glass-top tables, 36”x18”
Large potted trees
Entrance foot rugs
LIBRARY PATIO TOTALS
Insured’s Signature Job Title 17
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
GUEST ROOM #1
QUANTITY
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Sofa, 83”L
Coffee table, 40”x25”x16”
Desk, 50”L
Desk chair, 18”x32”
27” Sony TV
Wicker chair, 30”x33”
Floor lamp, 60”H
Specialized bicycle w/ Toupé seat
Antique chair 16”x35”
Area rug, 71’X47”
Signed, numbered print, 37/88
Poster “The New Yorker”
Wood framed print
“Nara” print, “D” 60/100, 1963
Book shelves
GUEST ROOM #1 TOTALS
Insured’s Signature Job Title 18
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
GUEST BEDROOM
QUANTITY
1
2
1
1
1
1
1
1
2
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
King-sized bed
End tables
Antique high-boy dresser
Rain Cann Arbor Michigan print, 24/75, 1956
Green arm chair
E. Sandoval TA08-97
Print
Wall art piece
Table lamps
GUEST BEDROOM TOTALS
Insured’s Signature Job Title 19
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
FOYER STAIRWELL
QUANTITY
7
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Framed art pieces
Brass 12-light chandelier
FOYER STAIRWELL TOTALS
Insured’s Signature Job Title 20
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS BREAKFAST ROOM
QUANTITY
1
1
1
1
3
1
170
100
1
1
1
1
1
1
1
1
4
1
1
2
1
1
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Arts Guild framed photograph
Framed art piece, woman’s face
Framed art piece, 15 figures, green background
Area rug, 143”x108”
Wood and leather table chairs
Built-in book shelf unit, 144”L
Books
DVD’s
32” Samsung TV
Direct HD TV box
Framed print
Framed painted portrait
Framed 1976 Academy Awards nominees
Framed “Sons” photograph
Framed black and white portrait
Framed “Holiday” movie poster
Framed personal photographs
Baskerville wall clock
Wicker basket, 19”x18”
Sets of custom drapes, 94”x80”L
Built-in 9-drawer cabinet, 52”x19”36”
Built-in book shelf unit, 24”x16”x36”
Closet with assorted luggage and clothes
Insured’s Signature Job Title 21
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS BREAKFAST ROOM TOTALS
Insured’s Signature Job Title 22
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
MASTER SUITE
QUANTITY
1
1
1
1
1
2
2
2
6
6
22
2
1
150
75
1
6
1
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Padded Cal King Tempurpedic bed
Extra large chaise lounge, 44”x67”
Arm chair, 36”x36”
60” wall mounted Samsung TV
Elephant wood carved bench, 56”x21”x18”
End tables, 33”x20”x29”
Sets of custom drapes, 96”x250”
Table lamps 36”H
Small framed paintings, 10”x13”
Framed wall art pieces
Wool blankets
Decorative blue glass dolphins
Borg fan
Hard-cover books
Paperback books
Brass fireplace screen, 51”
Framed artworks in closet
Custom autographed poster
(Academy of Motion Pictures Arts & Sciences)
Closet with men’s clothes and assorted luggage
MASTER SUITE TOTALS
Insured’s Signature Job Title 23
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
HALLWAY TO MASTER SUITE
QUANTITY
90
1
2
2
1
9
1
881
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Framed photographs on walls
Antique side table, 72”x19”x28”
Academy Awards
Recognition brass awards
Academy of Motion Pictures brass photo
Small awards/statues on windowsill
Built-in bookshelf unit
Hard-cover books
Bust (head statue)
HALLWAY TO MASTER SUITE TOTALS
Insured’s Signature Job Title 24
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS OFFICE
QUANTITY
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
1
1
Assorted
1
131
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Area rug, 190”x144”
Custom 2-sided desk, 60”x42”x31”
Recliners with center console, 33”x42”
Desk side table, 97”L
TV bookcase, 65”x22”x31”
46” Mitsubishi TV
Poster “The Swan”
Artist’s proof, signed “Niagara”
5-drawer cabinet
Antique 4-drawer corner unit, 41”x20”x40”
22” Apple monitor
Apple keyboard
Epson printer WF-3540
Swingline Dual shredder
Leather desk chair, 28”x44”
Antique rocking chair, 26”x40”
“Will Barnet” framed painting
Framed “Mieo” #1371150
Framed wall art pieces
Sprint phone box
Arris
CD’s
Built-in bookcase, 59”x89”
Hard-cover books
Insured’s Signature Job Title 25
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
12
1
2
1
1
1
1
1
2
1
1
1
1
1
1
25
1
1
1
Sample
Sample
DATE OF INVENTORY:
Framed personal photographs
Custom wood carving above mantle
Statues above mantle
White statue “Man with Cane”
Clear paper weight label 1980 (Chateau La Fite Rothchild)
Antique serving tray, 30”x20”x2.6”
World globe and stand, 18”x34”
Fireplace screen
Sets of custom drapes, 90”x70”
Asian-style red lock box, 13.6”x7”x3”
Large DVD/VCR/CD player
Bose Wave IV box
Sony Blue-Ray player
Samsung World Wide video SV-5000W
Direct HD TV box
DVD collections
Velodyne speaker system
TV “Ears”
Wall clock
UPSTAIRS OFFICE TOTALS
Insured’s Signature Job Title 26
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS GYM
QUANTITY
1
1
1
1
1
2
1
1
1
1
1
2
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Precor EFX 5.21i
Octane Fitness XR6
Varoopa Yoga print
60th Annual Academy Awards poster
Framed multi-colored painting
Johns Hopkins Human Anatomy Series posters
HP All-In-One #6310
Signed Richard Lindner print
Framed blue painting
Bionaire with remote
Wood and leather chair
Sets of custom drapes
La Crosse wall clock
UPSTAIRS GYM TOTALS
Insured’s Signature Job Title 27
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS KITCHEN
QUANTITY
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Assorted
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
George Foreman grill
Moccamaster coffee maker
Sub-Zero refrigerator
Amana 4-burner cook top
GE microwave
Kitchen Aid toaster
Set of 4 knives in block
Keurig
DeLonghi espresso
Nespresso
Capresso
Wall clock, Inter Design
Asko dishwasher
Rolling workstation, 53”x20”x37”
Kenmore trash compactor
Kenmore kitchen fan
Pots, pans, flatware, dishware
UPSTAIRS KITCHEN TOTALS
Insured’s Signature Job Title 28
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
LAUNDRY ROOM
QUANTITY
1
1
1
1
1
1
Assorted
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Centennial washer
Centennial dryer
Tobi steamer
Commercial ironing board
Folding cabinet
Linen closet
Cleaning supplies
LAUNDRY ROOM TOTALS
Insured’s Signature Job Title 29
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
#2 HALLWAY & STAIRWELL
QUANTITY
1
6
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Sotheby’s poster
Framed fine art pieces
Half-moon table
#2 HALLWAY & STAIRWELL TOTALS
Insured’s Signature Job Title 30
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
UPSTAIRS GUEST BEDROOM
QUANTITY
2
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Single beds
Sharp snooze/light alarm clock
Center end table, 22”x27”
Ottoman, 37”x23”x15”
6-drawer dresser, 60”x20”x35”
Poster “The Young Lovers”
Will Barnet poster
Ed Baynard framed print
Upholstered chair, 32”x36”x30”
Floor lamp, 53”H
Table lamp
Framed photograph
Closet
Wool blanket
Framed art pieces in closet, see images
Stand-alone full bath
UPSTAIRS GUEST BEDROOM TOTALS
Insured’s Signature Job Title 31
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
POOL HOUSE
QUANTITY
1
1
1
1
1
4
1
6
2
1
1
21
3
1
3
1
1
1
Assorted
Assorted
1
1
1
1
ITEM DESCRIPTION
FAIR MARKET
VALUE
REPLACEMENT
COST
Sofa, 90”L
Kenmore refrigerator, 30”
Kitchen Aid microwave
Area rug, 107”x44”
Wood dining table, 38”x30”
Dining chairs, 17”x42”
32” Panasonic TV
Ceramic vases
Glass colored vases
Ceramic centerpiece bowl
Multi-colored plate
Books
Decorative square plates
JBL speaker
Framed flower prints
Direct TV box
Cinea DVD player #SV-300
Kenmore dishwasher
Everyday plates, cups, glasses, flatware
Pots, pans
End table, 19”x15”x25”
Floor lamp, 65”H
Motorola wireless box
Gauguin print
Insured’s Signature Job Title 32
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
1
1
1
1
1
1
5
1
1
Sample
Sample
DATE OF INVENTORY:
Extra large wicker basket
Silver 3-tier dessert tray
Clear waste basket
Wall clock
Wood framed mirror, 24”x24”
Bedroom
King-sized bed
Area rug, 122”x33”
Oak 12-drawer dresser, 67”x20”x44”
K. Parker “Flowers” framed painting
End table, 21”x20”x26”
Framed photographs
Bathroom
Framed black and white photograph
POOL HOUSE TOTALS
Insured’s Signature Job Title 33
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
POOL AREA
QUANTITY
6
12
4
4
4
2
2
4
2
1
Assorted
Assorted
1
1
1
1
1
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Lounge chairs with cushions
White chairs with blue cushions
Basket-weave chairs
Striped chairs
Umbrellas, 8’
Glass-top tables, 48”
Square wood tables, 5’
Wire mesh side tables, 15”
Small glass-top table
Weber grill
Floating devices
Pool cleaning supplies
Ceramic wall clock with temperature, 14”
Kenmore washer
Kenmore dryer
Viking sauna
Jacuzzi
POOL AREA TOTALS
Insured’s Signature Job Title 34
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
TENNIS COURT
QUANTITY
1
6
1
2
2
4
FAIR MARKET
VALUE
ITEM DESCRIPTION
REPLACEMENT
COST
Round glass-top table, 36”x18”
Green patio chairs
Halsey Taylor water fountain
Storage rooms
Water hoses
Sets of Dual Professional tennis lights
TENNIS COURT TOTALS
Insured’s Signature Job Title 35
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
Sample
Sample
DATE OF INVENTORY:
FINE ART COLLECTION RECAP
QUANTITY
ITEM DESCRIPTION
FAIR
MARKET
VALUE
REPLACEMENT
COST
GOLDWYN, SAMUEL
Fine Arts Schedule
Forming part of and attaching to Certificate # WA900710g
ADDAMS, CHARLES
1
It's going to be tough to top that", signed lower left Charles Addams" and titled lower center. pen,
brush and grey wash on paper. 14 1/4" x 14 l/4; Provenance: Nicholls Gallery NYC (UHRS54C1)
ADDAMS, CHARLES
1
Mmm...smells good, dear, who is it?" signed lower left Charles Addams and titled lower center. 13
1/2"x 13 1/2", pen brush and black ink on paper. Provenance: Nicholls Gallery, NYC (UHRS58C2)
ASOMA, TADASHI
1
ln the Shadow of the Umbrella, signed and dated 1967, contemporary American school, 64" x 50",
framed. Provenance; David Findlay Gallery, NYC (PHRS49)
ASOMA, TADASHI
Red Sky," oil on canvas. signed and dated 1974. 23" x 28". framed. Provenance: Mally Findlay
1
Gallery, NYC (DHRS44)
ASOMA, TADASHI
1
Early Summer," oil on canvas; signed, 1987, 60"x 48": framed. Provenance: David Findlay Gallery.NYC
1/6/88 (BRS8SJSGH1)
AVERY, MILTON
Reclining Female," oil on canvas. signed and dated lower right Milton Avery 1963. 30" x 60". framed.
Provenance; The Alpha Gallery, Boston, Property from the Estate of the late Barbara
1
Westcott, Rosemont, New Jersey; Ex: Little Rock, Arkansas, Arkansas Art Center: Sheldon Memorial Art
Gallery, University of Nebraska, 1966; Boston, The Alpha Gallery, October 1973 (illus.): Provenance:
The Alpha Gallery, Boston, December 1979:The Estate of Barbara Westcott, Rosemont, New Jersey.
Insured’s Signature Job Title 36
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
Sample
Sample
DATE OF INVENTORY:
purchased 12/20/79 (DRRS45C53S3)
AVERY, MILTON
Mexican Washerwomen"; oil on canvas; signed and dated lower right Milton Avery 1986. 1893-1965
American school 28" x 36". framed; Provenance; Waddington Gallery, London; purchased 12/1/77
(DRRS42C4JS2)
BACON, FRANCIS
Study of the Human Body from a Drawing by Ingres, original colored lithograph. Abstract torso study.
signed lower right Francis Bacon. No 111 of 180; 24 1/2" x 18 1/4" framed, matted and glazed.
Published by Maeght Lelong 1984. Provenance: Marlborough Gallery, NYC purchased 5/16/84
(SSRS70CRJS5)
BACON, FRANCIS
Triptych March 1974" (center panel) original
colored lithograph. Publication date 1978. Abstract torso
study. signed lower right Francis Bacon. No. 85 of 150;
24 1/2" x 18 1/4"; framed, matted and glazed, published by
Fondacion Juan March, Madrid; purchased 5/16/84 from
Marlborough Gallery, NYC (SSRS70C8JS6)
BACON, FRANCIS
'Triptypue Auto Portrait," original colored .triptych lithograph,
1980. signed Francis Bacon; 1909 - 199? British school,
No. 101 of 150, 12 1/2" x 36 1/2"; framed, matted and glazed.
Provenance; Gallarie Maeght, Paris; purchased 6/15/83
(SSRS53C6JS4)
BARNET WILL
Atlanta," original colored lithograph. signed; No. 187 of 200,
30" x 23"; framed and glazed. Published by Styria Studio,
New York, 1974. Provenance: Hirschl & Adler Galleries,
NYC, purchased 1/30/84 (UHRS57JS5)
Insured’s Signature Job Title 37
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
2
1
1
1
Sample
Sample
DATE OF INVENTORY:
BARNET WILL
Woman and the Sea," colored lithograph, artist's proof: signed
in pencil. 29" x 23" matted, framed and glazed. (BJSBH2)
BARNET, WILL
Study for "Early Morning," crayon sketch, 1972, signed.
13 3/4" x 13 3/4"; framed, matted and glazed, Provenance:
Hirschl & Adler Galleries, NYC; purchased 12/19/1975
(SSRS74C3JS8)
BARNET, WILL
Poster: swimmer - done for Olympics (PH) Woman Reading
with Cat (SGCO)
BASKIN, LEONARD
Indian," watercolor, portrait study of figure wearing head
feathers. signed and dated 1974; contemporary American
school, 31" x 23" framed and glazed. Provenancc; Kennedy
Galleries NYC; purchased 1976. (DHRS36C11JS11)
BAYNARD, ED
2 posters: flowers in vases (B) poster, flowers: in vase (DH)
BEMELMANS, LUDWIG
Watercolor and ink, hotel lobby; mat opening 13 3/4" x 21 1/2"
(SJS12)
BENDER, WHITNEY
oil on board; "JH CHOC" framed. (SGCO)
BENTON, THOMAS HART
I Got a Gal on Sourwood Mountain", black and white
lithograph of fiddler player for dancing figures. (Path. No. 19) signed in
the plate and in pencil; from an edition of 250; 1889-1975 American
school, 12 1/2" x 9 1/4"; framed, matted and glazed. Provenance;
Insured’s Signature Job Title 38
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
1
1
3
1
Sample
Sample
DATE OF INVENTORY:
Sotheby's (SSRS68JS13)
BENTON, THOMAS HART
ink and sepia wash study. "Dancing Couple". signed.
1889-1975 American school. 20" x 12 1//.2" in Lucite frame, matted.
Provenance: Graham Gallery, NYC; purchased 3/16/1976 (SSRS9JS14)
BERLIN, IRVING
Red Flowers in Pot," signed, 16" x 11 3/4". Gift from artist.
(SRS51)
BONCOMPAIN, PIERRE
La Canape Jaune," pastel and pencil on paper. study of girl
in repose. signed. Contemporary French. 29" x 36". framed and glazed.
Purchased in Paris, 6/1/83 (UHRS26C12)
BOTERO, FERNANDO
Dancing Couple," brush, wash and pencil sketch. signed
and dated 1980. 17 3/4" x 13 3/4"; framed, matted and glazed.
Provenance: Sotheby's; purchased 6/8/83 (DHRS50C13JS15)
BOTERO, FERNANDO
poster; couple dancing with people in background (B)
BOWDEN, PRISCILLA
Sagaponack Field," oil on canvas, 10" x 10", 1990; framed.
Gift (B)
BRICE
portrait of girl, 3 1/2" x 3;" ink and watercolor, 1944 (PO)
BRODY, IRIS
3 watercolor and ink drawings on rice paper, each depicting women;
signed, 21" x 29" matted, framed and glazed (S)
BYWATERS, JERRY
Poster: The Texas Landscape (PO)
Insured’s Signature Job Title 39
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
7
1
1
1
1
1
15
1
Sample
Sample
DATE OF INVENTORY:
CATLIN, GEORGE
group of 7 original hand-colored lithographs depicting scenes from
early American Indian life, including two copies of "Dual Life of Indian"
16" x 20"; executed circa 1840, probably from series, North
America~Indian Portfolio: Provenance; Kennedy Gallery, NYC
(LRS35JS1B)
CHAST, ROZ
Cat Who Swallowed the Canary," Editorial Work from Proof of Life on
Earth, 1990; ink and wash. Purchased from Every Picture Tells a Story,
4/13/95 (PO)
CHAST, ROZ
Carmen Miranda's Mom," Editorial Work, 1989, unpublished; ink and
wash. Purchased from Every Picture Tells a Story, 4/13/95 (PO)
CINELLO
La Villa D'Orata, encaustic on panel; 700 gold m.j. all over; 24 1/4" x
25 1/4"; framed. restored 1994. (DH)
CINELLO
Man on a Tightrope", encaustic on panel; (PH)
CISNEROS, J.
Paso del Norte Traveler - Early 19th Century" etching, colored,
framed, matted and glazed (PO)
CLAVE, ANTONIO
series of 15 different watercolor over pencil on paper studies;
single figures, men, women, groups; commissioned for Hans Christian
Anderson film by Samuel Goldwyn. 15" x 11" (SRS33Cl6JS20)
CLAWSON, REX
Welfare Hotel," acrylic on panel. signed and dated 1971; 25" x
29"; framed. (BRS88)
Insured’s Signature Job Title 40
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
2
1
1
1
2
1
Sample
Sample
DATE OF INVENTORY:
COLEMAN, JENNIFER HOWARD
mixed media abstract (R)
CONAL, ROBBIE
poster: Freedom from Choice (PO)
CONRAD, PAUL
State Gov't Property," Cartoon. #6/25; signed; framed, matted and
glazed: 14 3/8" x 13" (PO)
DOOLITTLE
Revolutionary war Callotypes - group of 3 (S)
EPP, PHIL
30 x 34 reproduction of "Elevator at Night"
FEMME DE NAVARRE and HOMME DE NAVARRE
2 small hand colored lithographs of figures, matted, framed
and glazed (S)
FOUJITA
portrait of girl 10" x 8;" Gift from Artist to Frances Goldwyn (PO)
FURLOW, MALCOLM
Ten Speed Indian," acrylic on canvas. Signed. framed 46" x
58" Provenance: Contemporary Southwest Gallery, Santa Fe, 8/20/89;
(DHRS13C18JS22)
FURLOW, MALCOLM
American Warrior", Serigraph #119/130; Provenance:
Contemporary Southwest Gallery, Santa Fe 5/22/92 (B)
FURLOW, MALCOLM
Posters; Indian by car with dog, Seated Indian with Rifle
(LO)
GIACOMETTI
Insured’s Signature Job Title 41
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
8
6
20
1
1
6
Sample
Sample
DATE OF INVENTORY:
Standing Figure" Poster. Identified by RS as litho. from Galerie
Maeght. No. 253 of 500. 30" x 22". framed and glazed. (DHRS18)
GIACOMETTI
Standing Figure" Poster. Identified by RS as litho. from Galerie
Maeght. No. 357 of 500. 30" x 22". framed and glazed. (DHRS18)
GOLDWYN, SAMUEL
matted framed and glazed early lobby cards; (1) The Slim
Princess (2) It's a Great Life (3) Strictly Confidential (4) His Own Law
(5) Look Your Best (6) Upstairs (7) The Paliser Case (8) The North
Winds Malice (SGCO)
GOLDWYN, SAMUEL
matted, framed and glazed one sheets from Goldwyn
productions: "Cotton Comes to Harlem," "Come Back Charleston Blue,"
Enchantment," "My Foolish Heart," "Porgy and Bess," "I Want You,
Guys and Dolls" (SGCO)
GOLDWYN, SAMUEL
series of 20 production stills, framed and located in hallway
near publicity Department (SGCO)
GUISEWITE, CATHY
original "Cathy" cartoon strip; ink on paper; 6" x 16" (PO)
GWATHNEY, ROBERT
Man with a Hoe," Watercolor and pen and black ink on
paper laid down an board. Purchased from American Watercolors and
Drawings of the 19th and 20th C. sale from Christie's East 1/24/90
(SSJS24)
HARTE, RAY
series of 6 colored photographs of weathered doors and walls, purchased
in Santa Fe. Framed. (B)
Insured’s Signature Job Title 42
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
12
1
12
Sample
Sample
DATE OF INVENTORY:
HARVEY, ROBERT
French Opera Barbershop", oil on canvas, signed and dated 1966,
contemporary American school. 48" x 48", framed. (UHRS55)
HOCKNEY, DAVID
Fruits in a Chinese Bowl", Oil on canvas; Painted in 1988.
Provenance: LA Louver Gallery, Venice; purchased 7/3/91
(DRRS47C21JS26)
HOCKNEY, DAVID
oil on canvas, "Malibu House", 1988. DH97 49 P. 24" x 36".
Framed 29" x 41".
HOCKNEY, DAVID
posters: A Walk Around the Hotel Country Ataclan, Vase of
flowers against mountain, swimming pool with brick ledge and shoes, (B)
Man in blue with blue necktie (UH) Beach Umbrella, Clown Doing
Handstand, Mulholland Drive, the Road to the Studio, Tristan and Isolde
(LO) Piscines de Papier, Vase of Blue Irises, Black and White Chair and
Window (SGCO)
HOPKINSON, JOHN
Tattooed Man in Gaudy Pool Hall," or "Scenes from working
class life:" oil on chipboard. contemporary, 35 3/4" x 23 3/4";
framed with skyline in oil on back. purchased 10/31/79 (UHRS95C22)
INDIAN CHIEF PORTRAITS
12 hand colored lithos published by Rice and Hart of
Philadelphia, all 10 1/4" x 6 7/8" (L) Kai-pol-E-Qua, a Saukie
Brave; Le Soldat du Chene, an Osage Chief; Naw-Kaw, a
Winnebago Chief; Peak-mus-ka, a Musquaken Chief; Red Jacket,
a Seneca War Chief; Tai-O-Mah, a Musguakee Brave;
No-Way-Ke-Sug-ga, Otoe; Moa-na-Hon-ga, an Ioway Chief
Insured’s Signature Job Title 43
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
6
1
1
1
Sample
Sample
DATE OF INVENTORY:
Payta-Kootha, a Shawanoe Warrior; Ap-Pa-Noo-Se, a Saukie
Chief; O-Hya-Wa-Mince-Kee, A Chippewa Chief;
Pes-ke-le-cha-co, a Pawnee Chief
JULIAN, PAUL
mixed media. Semi-abstract study of two horses in mountain
landscape. signed and dated 1953. contemporary. 21" x 30";
framed and glazed. (FRS84)
KACHINIS :
Snakeye," by Milton Takula; signed, 13" high (LRS34a)
Giver," 13" high (LRS34b)
Sundancer," by Helm Laman; signed, 13" high (LRS34c)
Dancer," by Murray Hantey; signed, with black & green yam
(LRS34d)
Dancer" with red and green yam holding a staff (unsigned)
16 1/2" high (LRS34e)
Small figure in white coat holding stomach (unsigned) 4" high
(LRS34f).
KELLY, WALT
(We have met the enemy...) colored litho framed, matted and
glazed (PO)
KELLY, WALT
The Picnic," original watercolor cartoon done for Jack and Jill
magazine, but never used. Only drawing of this type colored
by KeLly himself. signed and dated 1969, 10" x 7"; framed
and glazed. Purchased from Graham Gallery, 1976 (PORS77)
KEOGH, THOMAS
pen, ink and watercolor sketch of Fred Astaire. Signed. 12" x
9 1/2"; framed and glazed. Gift to Frances Goldwyn from the
Insured’s Signature Job Title 44
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
1
3
1
Sample
Sample
DATE OF INVENTORY:
artist. (PORS80)
KITAJ, RONALD B.
GERALDINE," Charcoal on paper Signed. 1932- American
school. 22" x 15 1/2"; framed, matted and glazed. Provenance:
Marlborough Gallery, London; 7/13/84 (SRS52JS28)
KITAJ, RONALD B.
Miranda," pastel and charcoal study on paper. semi-nude female
figure, signed. contemporary.. 30" x 22". framed, matted
and glazed. Provenance: Marlborough Gallery, London
(LRRS25C24JS29)
KUMME, WALTER
crayon drawing of Robert Mitchum 17 x 11 1/4 (R)
LARANTURE
litho-chine-colle; seated woman with long stockings (MB)
LINDNER, ROBERT
Front and Profile," original colored lithograph. signed, 19011978, No. 8 of 250; 24" x 20"; framed, matted and glazed.
Provenance: Galerie Maeght, Paris; purchased 6/15/83
(SSRS69C26JS30)
LINDNER, Richard
Portrait II" original colored lithograph signed; No. 8 of 250;
framed, matted and glazed. Provenance: Galerie Maeght,
Paris; purchased 6/15/83 (SSJS30)
LINDNER, Richard
posters: "The Resistible Rise of Arturo UI", "3 Biennale
Internationale de L'Estampe" (B) Man and Woman (UH)
LORJOU, BERNARD
Oil On canvas. Floral bouquet still life study. 1908-1986
Insured’s Signature Job Title 45
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
2
1
4
1
Sample
Sample
DATE OF INVENTORY:
French school, 30" x 22"; in Barbizon frame. Purchased
11/20/56 from Wildenstein & Co. (SRS82C25JS31)
LOW, DAVID
poster: Paintings by Sir Winston Churchill (UH)
MARSH, REGINALD
poster, "High Yellow" (PO)
MATISSE, HENRI
Still Life - Anernones and Pomegranates on Red Table," oil on
canvas. signed and dated 1946. 1869-1964 French School.
25 1/2" x 31 1/2". Framed. Purchased via contact: with Albert
Lasker through Mr. Alfred M. Frankfurter, editor and president
of Art News, NYC. 3/4/48 (LRRS19C28JS32)
MATISSE, HENRI
poster: Matisse in Italy (LO)
MIRO, JOAN
2 lithos, signed and described on reverse: (1) 3/1/1940 L'echelle de l'evasion and (2) 5/III/1940 - Femme a la blan de
aisselle coiffant sa chevelure a la lueur des etoiles; framed,
matted and glazed; 14" x 19" (SS)
MIRO, JOAN
Woman at the Mirror"; colored lithograph, (Mourlot No. 242)
signed in pencil: No. 137 of 150; 22" x 15"; framed and glazed.
Published by Maeght (SSRS66C29JS33)
MODIGLIANI, AMADEO
posters: Purchased at Venice exhibit; woman in riding habit;
head of woman (PH) Kneeling Woman (SGCO ) Kneeling
Woman with red Background (L0)
MOORE, HENRY
Insured’s Signature Job Title 46
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
9
1
1
1
Sample
Sample
DATE OF INVENTORY:
Figures No. 14," original lithograph. (Cramer No. 37) signed
in pencil lower right; numbered 14/200; 20 1/2" x 14 1/4";
framed, matted and glazed. (UHRS56C30JS34)
MOSES, FORREST
Poster: Irises (F)
MOUNT SAINT MICHEL
hand-colored ink drawing framed to 23" x 26" (S)
O'KEEFE, GEORGIA
posters; Large Orange Poppies, Skull in sky with flowers. Ladder
in sky (B) Red Poppy, Skull, Barn, Clouds, Sunflower, Bird in Sky (LO)
PETERS, R
oil on canvas, three women, signed R. Peters `74 (F)
PICASSO, PABLO
Women at the Races," (C identifies as Women Seated on the
Terrace of a Cafe) signed and dated 1901, 19 1/4" x 24"
original frame, glazed. Ex: Petrides Galleries, exhibited UCLA
1Bonne Fete - Monsieur Picasso" Cat. No, 50. Zervos Vol. VI
#391 Purchased Paul Petrides Gallary, Paris, 6/9/50 (DHRS2C34JS36)
PICASSO, PABLO
identified as "Francoise Gilot in a Polish Coat by Francoise Gilot
and reproduced for publication as such in Picasso: Creator and
Destroyer, by Ariana Stassinopoulis, Simon & Schuster, 1988;
AKA "Femme au Chignon darts un Fauteuil." signed upper right
corner. Painted January 11, 1948. (C says painted November 1)
1881-1973, French School. 36 1/4" x 28 3/4" original frame. Ex:
Huguette Beres, Purchased 6/62, exhibited: Picasso Ausstellung,
Hamburg, Germany, 1956; Picasso Ausstellung, Munich, Germany,
1955 Cat. No, 104. Zervos Vol. 15, #III. Purchased 7/31/56 from
Insured’s Signature Job Title 47
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
7
1
1
1
Sample
Sample
DATE OF INVENTORY:
Hugette Beres, Paris (DHRS4C31JS37)
PUNCH
7 full length caricatures of series, "Heroes of of our Time;" Laurence
Olivier and Vivien Leigh, T.S. Eliot, Princess Margaret, Aneurin
Bevan, Sir Malcolm Sargant, Gilbert Harding and the Dean of
Canterbury, 1956-57. (B)
PUTMAN, MARY TOBIAS
A View of Smyrna Saints and Sinners;" oil on canvas.
purchased from Helio Galleries, Inc., NYC 2/9/90 (SS)
RIVERA, DIEGO
El Balcon," encaustic on canvas. figures at window and balcony,
signed. 1886-1957 Mexican school. 32" x 25 5/8" on stretcher
frame. Provenance: Roberto Montenegro, Mexico City, 1931;
F. Orozco Munoz, Mexico City, 1948; Mrs John D. Rockefeller;
Nelson Rockefeller, 1969: Sotheby Parke-Bernet sale, 1980;
Ex: San Francisco, 1930, no. 23; New York 1931, no, 19;
Mexico City, 1949, no. 255; Houston 1951. no 7; Diego Rivera:
A Retrospective, Founders Society Detroit Institute of Arts, 1986,
no. 41 (and on tour following to Philadelphia, Madrid, Paris and
Mexico City); Mexico: Splendors of: Thirty Centuries,
Metropolitan Museum of Art, 1991 and on tour, No, 618;
References: Rodriguez 1948 (1); Taracena et al. 1979, 49(1);
Reyero 1983 174 (1) Provenance; Sotheby's (DHRS43C35JS39)
RIVERA, DIEGO
Modesta", watercolor and oil on rice paper. (seated nude),
signed and dated 1939 lower right. 15 1/2"x 10 7/8" framed
and glazed. Provenance; acquired from Diego Rivera in 1939 by
Regina Rubinoff Tomars, purchased from Sotheby's 5/9/80
Insured’s Signature Job Title 48
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
2
1
1
1
SCULPTURES:
1
1
1
1
1
1
1
2
2
2
Sample
Sample
DATE OF INVENTORY:
(DHRS11C37JS40)
ROSENFELD, ALEXANDER
Portrait of Samuel Goldwyn as a Child," oil on
fabric, 1930. Restored 1995. (MB)
ROWLANDSON
Battle of Amazons", colored engraving, 12" x 8 1/2" cut, with
Sepia engraving, 14" x 11 1/2" uncut; framed and glazed. Note:
2 versions (SSRS72)
SAITO, KIYOSHI
Nara (D)", #60/100, woodblock print; 22 1/2" x 27 1/2" framed.
Plate sire 15" x 20 1/2" (PO)
SAITO, KIYOSHI
Rain (Ann Arbor) Michigan", 23 3/4" x 17 3/4" woodblock print
#24 of 75 (R)
SAXON, JOHN
original pastel and ink on grey paper. Cartoon of men with rabbit
heads, matted, framed and glazed (PO)
African carved and lightly painted wooden bird, 12" high (DHRS15)
Bambara antelope head gear with baby antelope on back, 36" high (DHRS16)
Antique carved wooden primitive figure of bird. Oceanic culture. 21" high (LRRS27)
African tribal carved wooden sculpture. Funerary figure. French Equatorial Africa, 16" high: (LRRS28)
African tribal carved wooden weaving pulley, Baule, Ivory Coast, 81/2" tall; (LRRS29)
African carved wood Dogan figure of an old man bending over, Ivory Coast, 24 3/4" high. (LRS30)
African carved and painted Bambara antelope with applied copper plates, 50 1/2" high (LRRS32)
2 African carved wood standing figures, 58 1/2" high and 59 1/2" high (DRRS46)
2 African carved wood sculptures; standard fertility figures, 10" and 10 1/2" (SSRS67)
Pair of African carved wood figures. Ashati king and queen seated on chieftain's stools, 19" high
Insured’s Signature Job Title 49
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
2
4
1
1
1
1
1
1
1
1
Sample
Sample
DATE OF INVENTORY:
(LORS71)
Pair of kneeling figures, painted in blue and green, holding bowls on their heads; African (B)
Four clay figures, painted black (LO)
SEARLE, RONALD
Lady and Baboon (World's Fair Series) 24 1/2" x 19 1/2", ink on
illustration board (R)
SEARLE, RONALD
Those Magnificent Men..." colored litho 19 5/8" x 25 1/2" in
20 5/8" x 26 1/2" frame (UH)
SEARLE, RONALD
Mickey Day," colored litho, #50/99, signed (R)
SEARLE, RONALD
Colored litho; Man leaving Sauna as lobster. (PH)
SEARLE, RONALD
mixed media on paper. American Indian contemplating African
native beating drum, signed. 18" x 15"; framed, matted and glazed
(SRS85)
SEARLE, RONALD
mixed media on paper. Heavily laden donkey carrying figure
holding transistor radio, followed by veiled woman. Signed and
dated Casablanca, 1965. 18" x 14". framed, matted and glazed.
(LRS41)
SEARLE, RONALD
Le Nettoyage," original black and white lithograph. Man with
broom sweeping cats, signed in pencil and dated 1966; artist's
proof, 20" x 26"; framed and glazed. (MBRS61)
SEARLE, RONALD
Whatever Happened to the Romanoffs", original colored
Insured’s Signature Job Title 50
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
1
1
1
Sample
Sample
DATE OF INVENTORY:
lithograph, No. 15 of 99, 19 1/2" x 25 1/2"; framed and glazed.
(BRS89)
SEARLE, RONALD
`Everybody Loves Him..." original colored lithograph. signed in
pencil, No. 5 of 99, 19 1/2" x 25"; framed and glazed. (PORS78)
SEARLE, RONALD
pen and ink cartoon sketch. Cat and ball of yam, signed, 13" x 16";
framed and glazed. (PORS79)
SEARLE, RONALD
Field, Saskatchewan; " pen and watercolor sketch, signed in pen
#6/63; framed with glass (B)
SEARLE, RONALD
pen, ink and watercolor satirical portrait study of English gentleman
with cane, signed with initials, 18" x 9"; framed, matted and glazed.
(SSRS75)
SEARLE, RONALD
Poster: letter from sign falling on man's head (R) pig painting
(UH)
SHAHN, BEN
Poster: "Hot Piano (F)
STEELE, B.
oil on canvas; young black couple with African art objects;
purchased in NYC at exhibit of student art (B)
STEIG, W.
pen and ink sketch; satirical cartoon study of lion playing violin for
weeping donkey. signed. 20th Century American artist. 8" x 10"
framed, matted and glazed. Provenance: Nicholls Gallery, NYC
(LRRS8)
Insured’s Signature Job Title 51
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
1
1
1
1
1
1
1
Sample
Sample
DATE OF INVENTORY:
STEIG, W.
pen and ink sketch; satirical cartoon study of tramp kissing hand
of woman. signed. 8" x 10" framed, matted and glazed. Provenance
Nicholls Gallery, NYC (LRRS8)
STEIG, W.
pen and ink sketch. Satirical cartoon study of rooster and duck
at pond. Signed 4 3/4" x 9 1/4"; framed. Provenance; Nicholls
Gallery, NYC (LRS37)
STEIG, W.
pen and ink sketch. Satirical cartoon study of three animals dining.
signed. 5 1/2" x 9 3/4". framed. matted and glazed. Provenance:
Nicholls Gallery, NYC (DHRS23C38)
STEIG, W.
pen and ink sketch. Satirical cartoon study of two masked figures
dining, signed. 6 1/4" x 10". framed, matted and glazed. Provenance:
Nicholls Gallery. NYC (DHRS24C39)
STEIG, W,
pen, ink and watercolor. Artist in sunlit landscape contemplating
blank Canvas. signed. 12" x 9 1/2". framed, matted and glazed.
Provenance: Nicholls Gallery, NYC (UHRS38)
STEINBERG, SAUL
dancers -12" x 9" Print (PO)
STEINBERG, SAUL
posters: car (UH) US as seen from NYC (L)
STEWART, JAMES
Harvey" ink sketch, signed Jimmy Stewart, matted, framed and
glazed. Donated by artist to charity auction in Oklahoma. (SGCO)
SWAN, THE
Insured’s Signature Job Title 52
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
2
1
1
1
1
1
Sample
Sample
DATE OF INVENTORY:
original movie poster of Paramount Production starring Frances
Howard; matted, framed and glazed (SGCO)
SZIMHART, JOSEPH
'Woman with Raven #4", lithograph, 1988, matted, framed
and glazed (B)
TENNIS
2 framed, matted and glazed colored lithographs of 19th Century
tennis (B)
THOMSON, WILLIAM
Apres Bain", 1986, oil on canvas 48" x 48"; acquired
3/4/89 from Yaneff Gallery, Toronto (BJSBH3)
THOMSON, WILLIAM
painting, on grey background. Purchased 12/14/89 from
Charlotte Lampard, London (LOJSL7)
TOSA, ROBERT
Figures in the Rain, " oil on canvas signed and dated 1957.
30" x 40". framed (DH RS3)
TOULOUSE-LAUTREC,
Two Women," (Femme au lit, profil-au petit lever)
HENRI DE
original colored lithograph. From the portfolio of 10 color lithographs
entitled Elles, published in 1896 in an edition of 100 (Wittrock
No. 163) signed in the plate with logo. (C says signed lower left
in ink) 15" x 20"; framed and glazed. (MBRS59C43JS45)
TOULOUSE-LAUTREC,
poster: "Aristide Bryant" reproduction, 23" x 17"; framed
HENRI DE
and glazed. (PORS86)
Insured’s Signature Job Title 53
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
7
1
3
3
2
1
3
Sample
Sample
DATE OF INVENTORY:
UNIDENTIFIED ARTISTS:
(1) Man playing piano (MB) (3) oil on canvas - abstract in
blues (PH) (4) abstract with red, yellow and flowers, indicated
as 129/15O - 13. P. 13, 1979 (PO) (5) mixed media collage on
burlap - Greek: man on donkey going up mountain (PH)
(6) silhouette of "Mr. Liston, Actor" (F) (7) "Drum Dancing,"
6/50; 1975; colored litho by Eskimo artist, matted, framed and
glazed (SGCO)
VALADON, A.
Woman pulling on stockings 9 1/4" x 5 1/2" watercolor card.
Identified by RS as Suzanne Valadon and medium described
as being crayon and pencil sketch, Matted, framed and glazed.
(MBRS60)
VAN GOGH, VINCENT
posters: LACMA show; cottage with red roof; field
of irises (F)
VANITY FAIR
3 full length caricatures: George Bernard Shaw, Winston Churchill
and Mark Twain; early 20th Century. Matted, framed and glazed (B)
VENETIAN POSTERS
2 Posters of Masked Carnival Figures (LO)
VERTES, MARCEL
ink wash sketch. Seated female nude study. signed. 8 1/2" x 7".
framed and glazed. RS describes medium as watercolor and
pencil on paper. (MBRS40C44)
VOLTI
3 red and black ink sketches on parchment. Depicting reclining
and seated female nude studies. Signed, each 24" x 21". In
Insured’s Signature Job Title 54
SECURE CONTENTS
HOUSEHOLD ASSET DOCUMENTATION
INSURED:
LOCATION:
1
1
5
1
1
Sample
Sample
DATE OF INVENTORY:
Lucite frames. (SRS76)
WALDRUM,
HAROLD JOE
Poster of New Mexican Church (LO)
WARHOL, ANDY
Posters: Batman; Paint By Numbers (LO)
WINTERS. AUGUST
5 12" x 9" watercolor cards: (MB) Bay Cardinal;
Antique de Francaise; Odalisque; Artist's wife; Drying Hair.
WRAGG, JOHN
Man in Sunlight," acrylic on paper. 1984, 31" x 40"; framed and
glazed; purchased 5/31/1985 from Quinton Green, London
(SRS96)
WRAGG, JOHN
Portrait of Anita," acrylic on paper. 1984, 26" x 36"; framed and
glazed; purchased 5/31/1985 from Quinton Green, London (SRS97)
FINE ART TOTALS
Insured’s Signature Job Title 55