Apple Blossom Cologne Company D-1

Prepaid Insurance and Insurance Expense 1-23-04
12-31-03 TG

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Amount Begin Premium Ending
Policy of Term of coverage Balance Paid Insurance Balance
Insurer Number Type of Coverage Coverage From To 12/31/02 2003 Expense 12/31/03
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Southwestern Fire 4628-41-8001 Fire and extended 1,500,000 7/1/2001 7/1/2003 74876 R 17562 49917 R 142355 R
and Casualty 4628-41-8002 coverage - plant, 1,000,000 7/1/2003 7/1/2005 76337 R -0- 50891 R 127228 R
building, and contents.

Old Line Insurance AB6048R3 CE Truck Liability 500,000 3/31/2002 3/31/2003 75057 R 4918 CY 3689 R 83664 R
Group AB6048R4 CE 500,000 3/31/2003 3/31/2005 76153 R -0- 0R 76153 R

Illinois State Mutual 60-218049 Insurance on automobile
fleet:
Liability CE 50K-100K-10K 10/1/2001 10/1/2004 75426 R 17103 27428 R 119957 R
Collision CE $100 DED. 10/1/2001 10/1/2004 75426 R 13067 27428 R 115921 R
298

Comprehensive CE $100 DED. 10/1/2001 10/1/2004 75426 R 7587 27428 R 110441 R

American Fidelity and KH6034 C Fidelity bonds on 200,000 6/30/2002 6/30/2005 75970 -0- 75970 R 151940 R
Casualty KH8034 CE employees 200,000 6/30/2002 6/30/2005 75970 R 8810 CY 1468 R 86248 R

0 69047 264219 333266 R
N Agreed to prior year audit working papers. Audit adjustments: (TB-IS) (TB-BS)
E Examined insurance policy noting coverage, term, and premium. None -0- -0-
All policies were in company safe. Balance per audit 264219 333266
C Details confirmed by insurance agency. Reference working paper (D-2).
Y Examined approved cash voucher and vendor invoice.
R Recalculated.