HomeMy WebLinkAbout0167 ~
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SGHEDULE °A° SECURITY LIST Branch Address Stamp I
Describe furniture by color and style: R
Abbreviations - Mod., Trad., Col., Medi., Fr.P. +
Describe appliance by size and brand. Verbal List? '
~ i ~es I-I No ~ ~
- ~
Sofas • Style n TV
/ Color~.G1a~'~ Size Brand '
~ Lounge Style TV _ p
0 Chairs ~ Color Size Brand ~
O Occ. ~j TV
~ Chairs ~ .L Color 'i Size Brand
End Stereo . ~
V Tables ~ 2- St le~ ~ ~n T • Brand
z Coffee ) w Room Ai r ~
" Tables # ~ St le U Conditioners # Size _ Brand ~
~ Rugs h. z Range ;
~ Size Color ~ Q Brand ' ~ 3
Carpet ~ Refrigerator
Size Color J Brand
Lamps # ~ a Dishwasher
T Brand
~ Dinette Set Q Freezer • ~ i
~ Z~ ; Pieces St le ~ Brand ~
~ ~ End Washer
c ~ Tables # St le Brand ~
~ o ~ Chairs ~ Style Dryer - ~
s++ ~ Color 8ra~d i
~ o f- Sofa Style Sewing Machine
2 Color Brend -
' W ~ Desk Vacuum
z Z ~ T ` Brand '
I
p - ~ Power Type
~ Lawn Mower Brand
' ~ i Suite ~ ~ Piano
f ~ Pieces St le ~ W T Brand
;r ~ Suite Organ
i ~ ~ Pieces ~ c St le 2 T Brand
i ~ Suite J Major =
~ ~ i # Pieces St le ~ Power Toois • ~
E ~ 4 Suite / W t ' :
'L f Pieces _ St le ./~do^ _ t„d~
~ ~ U
~ Rugs or Size ~ ! , ~ ~
~ u' Car ts ~I Color ST `~~';:`t- '=~~'`:'f9
~ Chairs f g ' . : . . r -
rR5 C~
~ Color - - ` ;i [ ' ~;ro
s lamps # ~ ' ' . ~
~ T
1
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~ When and Where was furniture purchased ? Cast S
Customer's estimate of vatue QD ~
4 With what company is the furniture insured: Name ~
€ Policy M Address:
Schedule "A" of Securify Agreement dated the day of , 19 7~;
a Or' inal Loa
~ , 7 ~ i
Y (Witness) (Date) (Seal) ~
= (Witness) (Date) (Seal) ~
~ ~
~ ~ ness a e ea '
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` L 48
p BOOK PAGf ~~7 ~
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