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Back to Forms for 'Hotels and Motels'.




_____________________________________ (hotel or motel) hereby accepts this envelope and its contents for safekeeping assuming the following conditions are met:

We assume no liability for items valued over _____________ dollars ($________). Therefore any item exceeding this amount cannot be covered for any more than __________________________ dollars ($________).


The employee accepting this envelope has no authority to accept if the contents are valued at more than ______________________ dollars ($_______).


The net worth of the contents of this envelope is no more than _____ dollars ($______).



Signature of depositor:  _________________________



Deposit received by:  ___________________________


Date:  ______________________________________



Signature of depositor:  _________________________

Delivered by:  _______________________


Dated:  _______________________


Package will only be delivered to the party whose signature appears on the duplicate check, which is attached to the package.


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