B. Inggris Bisnis 1, Pertemuan 3

Name of insured…………..Thompson Trucks……….
Address ……………………… 18 The Mint Yard…………
…………………………………… St Stephen’s Gate………..
…………………………………… Westhampton……………..
Tel. No. ……………………….24246………………………….
Consignors…………………..Hotel Interiora PLC………
Address……………………….108 Hickstead Road……..
……………………………………Brampton…………………….
If theft or loss, which Police Station wa advised and when?
………………………………………………………………………….
If damaged, where are the damaged goods now?……………………………………………………………………………………………………………………………….
Are there other policies covering the consignment in question?
YES/NO
Gross amount of claim £…560…………………………..
Salvage value if any £………………………………………..
Net amount of claim £………………………………………
i/We declare the foregoing particulars to be true in every respect.
Signature……….Joe Clauck…………………………………
Position…….Transport Manager……………………….
Please complete the statement of claim overleaf. Please turn over.
Number of vehicle……….HJ 660Y……………………….
Make of vehicle…………..Leyland………………………..
Date of occurrence………Jan 14/15…………………….
Name of driver…………….Peter Ross…………………..
Age…………………………….25………………………………..
Length of service………….2 Years………………………..
Name of whitness……………………………………………..
Address………………………………………………………….……………………………………………………………………………
Date on which goods collected
…………………………………..14th January………………….
Date on which goods delivered
…………………………………..15th January………………….
Signature given on ccollection?
YES/NO
Name of signatory……….Peter Ross…………………..
Was receipt clear/claused?
Signature obtained on delivery
YES/NO
Name of signatory……….M Banks………………………
Clear/claused………………4 chairs short………………
Nature of load……………..Furniture…………………….
No. of items in load……..30……………………………….
Weight………………………………………………………………
Nature of goods lost/damage
……………………………………4 chairs………………………..
Amount of loss/damage £…560…………………………
Date……………….20th January………………………………
a. Hotel interiors PLC
b. Brampton Hospital
c. Damaged
d. 140
e. 560
f. 14th January
g. Yes, it was
h. About the missing 4 chairs was loss/damaged