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N O T N E G O TIA B LE Received for storage anid safe k e ep in g^ ^ i STORAGE AND SAFE KEEPING RECEIPT and for Account and risk o f____ _______<J M 83640 Articles specified in p a r a g r a p h . . ____below, namely: (a ) sealed envelope, contents unknown to the bank; (b ) securities as.follows: ' m ____________|________________ (c) trunk/suitcase/parcel/said to contain but not examined Jay the bank: f Total value stated by depositor to be $___________________________ Undersigned b.*-k consents to receive the above described property upon condition that bank w ill give to said property left for storage and safe keeping the same care that it gives to its own property, but beyond that does not assume any responsibility. I n all events, the liability, o f undersigned bank is limited to value above stated by depositor, and in no event shall the bank be responsible for damage to, or depreciation in the value of, any of above articles b y moth, vermin, heat, leakage, ageing, er any other sim ilar cause. I t is understood that the vaults of the Depository Bank are fire-proof, but no guarantee is given that the contents of same cannot be destroyed by fire. Depositor agrees to notify the bank o f the death o f any person having right o f access to said articles. Storage and safe keeping o f above is $_____ * " - ~_______per___________________________ and is payable in advance. U P O N D E L IV E R Y O F AB O V E ARTIC LES; T H IS RECEIPT M U S T BE RE TU R N E D B Y D EPO SITO R. / S I G N A T U R E O F D E P O S I T O R 1 19- Above conditions are hereby agreed to.... —..... .^.i........... ... ...... Received jf_______________ __________ ...for charges to___ ____________ .....______ F U L L N A M E C*F B A N K O R B R A N C H R E TU R N RECEIPT—-Received o f above named bank articles described herein, and said bank is hereby released from all responsibility therefor. A S S I S T A N T C A S H IE R Q rM A N fS & e C R D A T E S I G N A T U R E O F D E P O S I T O R