Page 19 - AIJV Shirley sample

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Document: 89
Page 1 of 2
Insurer‟s Summary & Notification
The Insured:
Mrs. Ann Sample
123 Anywhere Street
This is to notify you that a detailed appraisal has been performed on 5 items in the possession of the above
named person on 17/10/2010 . These brief notes are provided for your guidance and to obtain interim cover.
They do not, by themselves, constitute a full appraisal and valuation. A copy of the full appraisal these notes are
drawn from, which is very much more detailed, can be obtained from your client. Alternatively we can forward a
copy on application, either by email or FAX immediately following authentication of your request but only with
the approval of the person named above.
Document number: 89 , as follows:
Item 1 - Ring
A marquise brilliant cut diamond centre, pear shape emerald sides, three stone ring, yellow and white gold
mount to a plain 18 carat yellow gold D-section shank with tapered shoulders
Marquise brilliant cut diamond, weight: 1.60 carat (estimated)
Colour: E-F, Clarity: SI/Piqué (assessed mounted)
2 Pear shaped faceted emeralds, total weight: 0.46 carat (estimated)
Gross weight: 4.5 grams
Item 2 - Ring
A single princess cut diamond double-claw set in a white mount to a flat shank with grain set diamond
Princess cut diamond, weight: 1.06 carat (actual)
Colour: D, Clarity: VS1
Report/Certificate: GIA 15758208, dated 29/03/2007
10 Round brilliant cut diamonds, total weight: 0.26 carat (estimated)
Gross weight: 3.6 grams
Item 3 - Pendant
An early twentieth century continental amethyst pendeloque pendant, yellow and white lattice design cap set
with rose cut diamonds to articulating loop
Pear shaped faceted pendeloque Amethyst, weight: 40.00 carats (estimated)
19 Rose cut diamonds, total weight: 0.20 carat (estimated)
Gross weight: 10.9 grams