ENVELOPE
USED FOR DEPOSIT OF VALUABLES
_____________________________________
(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.