Valuation for Insurance Purposes

On goods, the property of:

Mr and Mrs Sample                                     Date: 20^th May 2004

123 Acacia Avenue                                              Ref:200504099         

Anytown

Somerset

AB1 2YZ

RING

Single stone diamond set ring on an 18ct yellow gold mount in 18ct white gold, coronet peg settings.

Gross weight: 3.20 grams.

The ring is set with one (1) old style round brilliant cut diamond, measuring 6.37mm x 6.36mm x 3.90mm and calculated as weighing approx. 1.03cts.

Clarity and colour assessed, set and face up, as approx. VS and L/M.

The ring has a plain polished, high domed D section shank, 1.68mm x 2.44mm, rising and tapering to vertically split, semi Chenier decorated shoulders.

Hallmarked, Birmingham Town Mark and Standard mark.

Sponsors mark, DOM.

HMRV £4250.00

I have examined the above scheduled item and in my opinion

The value shown represents the value of such items on the

Basis noted, for the purpose declared on the date examined.

E&OE 

Signed:_____________________________________

Appraiser: Ian Dunbar FNAG, RJDip, RJGemDip, PJValDip.