HomeMy WebLinkAbout0478 3
Branch Add?ess Stamp ~
SCHEOULE "4" SECURITY LIST
Uescribe furniture by color and style: . t
Abbreviations - Mod.. Trad.. Col., Medi.. Fr- P• ~
Desc~ibe appliance by size and brand e~ List? ~
es No
~ ~ Style v " /~6rand ~
i Sofas~.~~ Color TV S~ze • ~
Style ~ ~
Color • TV Size 6~and ~
L Loun Chairs . ~
~ 3 A TV Site 6?and ~
V Occ. Chairs . Color V lt ~ i
i P ~97j ~6rand i ~
N End Tables . 01. St le ~ P Ste~eo T e T
~ Ronm ig7y ~ ~~.~eo ~ >
~ { Airconditioners . Size,~l o j ~rand
Coffee Tables . 1 St ~e /9)
R A ' #
u Ru s Size Color N Ra e_ Brand
0 is X ~ ~ ~ ~ ~
f,1 Car t Size ~o x!~ Color ~ ' Refri rato~: 6rand ~-w ~
S ;
~ T Oishwasher: Brand ~
Lam s . ~
,
p °f /~,~2L. Freeze~: Brand '
~ (3inette Set . Pieces 5 St le ~
I ~
~ Washe~: Brand r~o/ -
~ N End Tables . Si le _
~ Style ~
7 Chai~s . Co1o~ Dr er. B: a~d -a ~
G T - ~ ~
E Sofa St ie Color ~ Sewin Machine: Brand ' ~
P, ~
f O ~ G~",,~.~ M Vacuum: Brand ~
0 Q Desk T e. ~ TyPe /y73 '
E ~
$ Power lavvn Mower. Brandl.C~~~+%~-
h ~
C TYPe
1~~`~' E Piano: Brand
Suite . Piec°s '~1 ~~~St le ~ TYpe ~
' L ~
B Suite . Pcs. St le L Or 8rand
F A
Q Suite . Pcs. St te N Ma~or Power Tools pqpEO ~
57. WCIE C)UATY fl~. ,
R ~ ROCE? r ~ ~
n Su~te . Pcs. Stv~e i~:~Jl= COURT
S~ze S ~ z' U RECORD i+EF,~FIEQ`~ ~
O S -
• ' Ru or Car ~ets . Color ~
~ ,lu~ ! 12 os PN ' 1~I Y
S :
~hairs . Co1or ~ ,
:
Lam s . T ~ne '
~ Cost S
~ When and Y~'h~re was furniture purchas°ci
~
~ Customer's estimate of Vaiue ~
,
1h'ith what company is the furniture insured: Name F
9
~
Policy . Address
d~y of , 1 . Oric~nal Luar• ~
Scheclule A uf Se unty Agreement dated the _~.-f -
No. - - ' \ z
i ~ ~ ~
_ .Z 7 ~
te . ( Sea • ~
Wi,ness 1 fv,~/ ) ~t ~ '
~ ( Sral 1 '
( ~tness 1 ( Date 1
( W~tness ) f Date 1 ~ ( ~
~
L-48
~.:,;f,~..s ~ < ~ - - - - ,.~~~-.r ~
_ _ -
_ _ . - _