| Damage / Theft Inventory Report | ||||
| 2004 Bigfoot Class C motorhome (Model 30MH29RQ). Ford E450 Super Duty chassis. | ||||
| Incident Date: | 11/15/2006 | |||
| Incident Location: | Boat/Trailer Storage Lot, Mt. Isle Harbor Dr, Charlotte, NC 28214 | |||
| Owner: | Steven J. Thompson | |||
| 15127 NE 24th St #13, Redmond, WA 98052 | ||||
| 425-830-0860 | ||||
| Police Complaint #: | 20061115-174300. Officer - JM Selph | |||
| Progressive Insurance Claim #: | 060329100. Agent - Dan Mulinix, 704-239-1862, dan_mullinix@progressive.com | |||
| Item | Status | Description | Value | Notes |
| Dashboard - cab | Damage | Radio theft damage | $50.00 | Value is a guess. No power to instruments. |
| Door - coach | Damage | House door | $50.00 | Value is a guess. Attempted entry damage. |
| Drawer - coach hallway | Damage | Drawer under closet | $40.00 | Value is a guess. Bottom of drawer broken during the ransacking. |
| Picture Frame | Damage | Black frame with glass | $20.00 | Contained Hiromi's "Mt Rainer" painting. Ripped from wall and smashed. |
| Pipe - stem | Damage | Eric Nording - Freehand | $10.00 | Stem broken near mouth piece. Carved bowl not damaged, just the stem. |
| Safe - Brinks | Damage | Molded fire safe | $70.00 | Model 5035. Lock pried loose with a tire tool and rendered useless. |
| Window - cab | Damage | Front driver's side | $500.00 | Value is a guess. Window tenting matching passenger side. |
| Adult Beverage | Theft | Jack Daniels | $25.00 | 1 "fifth" bottle, black label, taken from the beverage box. |
| Ammunition | Theft | Shotgun & pistol ammo | $200.00 | 5 boxes of 2 3/4 shotgun shells. 5 boxes .44 Mag bullets. |
| Arrow - American Indian | Theft | Hand-made, ceremonial | $30.00 | Rabbit fur trim. Made by Indians east of Grand Canyon at Painted Desert. |
| Audio Video Cable | Theft | S-Video to RCA plugs | $40.00 | Inside stolen JanSport backpack. |
| Back Pack | Theft | JanSport | $21.00 | Green. Contained audio video cables, a survival kit, and bath shoes. |
| Battery - Power Booster | Theft | Dynamite AutoPower | $75.00 | Black. Jumper cables attached. Jump-starts dead chassis batteries. |
| Billy Stick | Theft | Ugly Billy | $25.00 | Nylon "fish knocker" from West Marine. |
| CD/DVD/Retractable Video Screen | Theft | Pioneer AVH-P6500DVD | $1,350.00 | With installation labor. Slide-out monitor. Front AV input modification. |
| Cigars | Theft | Carolina Cubanos | $35.00 | $70.00 box was half full prior to theft. |
| Coins | Theft | Keepsakes/souvenirs | $25.00 | Silver dollars. Canadian & Japanese coins. Several commemoratives. |
| Coins | Theft | Lewis & Clark | $25.00 | Commemoratives. In blue felt case with documentation. |
| Coins | Theft | Loose change | $75.00 | Loose in copper pot and front console. Coins taken, not the copper pot. |
| Cowboy Hat - Austin Straw Ivory | Theft | Milano "Larry Mahan" | $80.00 | 10X quality. Renton Western Wear, Renton, WA, on inside sweat band. |
| Drinking Horn | Theft | Medieval style | $25.00 | Texas Longhorn. Black/white/tan. Thin leather strap attached w/screws. |
| Flashlight | Theft | Mini MagLite LED | $20.00 | 2 AA cell. Black. |
| Flashlight | Theft | MagLite LED | $30.00 | 2 D cell. Black. |
| Knife - Ka-Bar | Theft | Full size 7" black blade | $75.00 | USMC. Leather sheath. Tan handle. |
| Lighter - Torch/Cigar | Theft | Colibri | $29.00 | Black. Mini flask design. |
| MiniDisk Recorder - Portable | Theft | Sony - silver | $400.00 | Model MZ-R55. Beach Boys disk was in unit. Audio cable to radio head. |
| Shotgun with soft case | Theft | Remington | $337.00 | Model 870 Express Super Magnum. Serial # D961176M. 12 gauge pump. |
| Shotgun with soft case | Theft | Stevens - double barrel | $300.00 | ID # engraved - may be associated with Charles Thompson (grandfather). |
| Shoulder Bag | Theft | "Lewis & Clark" brand | $20.00 | Green canvas. Black mesh. Yellow vinyl inside. |
| Solar Panel | Theft | Sunforce | $25.00 | Battery maintainer. About the size of a shoe box lid. Lighter plug. |
| Survival Kit | Theft | Butt-pack in backpack | $70.00 | Inside stolen backpack. Knife, saw, first-aid, bandana, Mini MagLite… |
| Walkie-Talkies (2) | Theft | Cobra Micro Talk | $80.00 | Model PR4700WX. Including charging stand. 12 mile range. |
| Yahtzee - Game | Theft | Travel version | $20.00 | In a black zippered case. |
| Total = | $4,197.00 | |||
