HomeMy WebLinkAbout0228 ;
l
~ .
~ r
- 1
f
~
_ - - ~
c
. , - t
• >
- ~
- ~
~ ~ i
_ SCHEDULE "A• SECURITY UST ' Branch Address Stamp ~
Describe furnituro by color a~d style: ~
/lbbreviations - 1?Aod. , Trad. , Col . , Medi . , Fr. P. . ~
Describe appliance by size snd brand. Verbal List~ ' ?
~ Yes No ~ i
!
~ Sofas t " Style TV ~
i ~ Color G~ d2/~ _ Size ~ C o I D? Brand i
~ 1~ounge Style N ~
i O Chain i Color Size /U ~d !l~ ' Brand d0 A ~
i O Occ. TV -
~ oc Chalrs # ~ Color r~,Q Size Brand -
End Stereo
~ v Tables i " S le u~ T - 3'l Brand
z Coffee - r Room Ai r
T~les i ~ S le /j rb /o ~ Conditioners # Size Srand
~ > R~5 ~ Calor W h . ~-C ~ ~ ~ ~~d .
~ J Size
; Carpet - Refrigerator , _
I Size Color ~ Brand ~ C O -
; Lamps # ' T ~ a Dishwasher ' -
~ Brand
t'~ ~'Pieces t 5{e ~o~b I•Q..,Cl+~:~ ~ Freezer -
Z t' Brancl
o ~ End Washer h; r ~ 1 t
T~les # S {e- Brand ~
P~ o Chairs # Style ~ Dryer i
~ w !'olor Brand p~e 0. r S
~I o E- Sofa Styte Sewirig Machine
~ ~ F- Ccslor Br~d J~/1 F~
~ ~ W Desk _ Vacu~m
~ Z ~ 1' ra ? r Brand o O d Q
~ - ~ F'ovrer Ty~ie _ -
~ ~ Lawn Mowe~ Brand ~
Suite • - ' P~a~
~ f Pieces ^J- • tc e 5 le W T Brand
~;~te Z Organ
~ `n # Pieces ~ • - ~ t ~ St le ~ Type 8ranci ! ~
~ g Suite ~ ~ Major
1~ t Pier..es : tC S le J Pawer Tools ~
! ~ Suite .
~ Fr~fO • Z
~ Pieces St le V
Rugs or Si:e N qprtf LVUMTI' pE~ ~
I`"~ Ca ts i Color _ C °ER F01 ~
~ , ~ Chairs # ~ - ~~C? yF"~{~E~r COUAT ~
Color
~ ~ l.amps ±1 ~ f
~ -r _ SI PW
g When and Where was furniture ~rchased ? Cost S ~
i Customer's estimate of valsie C7 ~y
With what company is the furniture insured: Name • ~`~-Li~2
~ licy # Address:
~ S 'A' ot Security Agr nt ted the _ day flf , 19 ~
~
~ rtai Iroan No. - g
~ ~ ~ /
~ 'N tness) Date) (S° -
~ D
1 itness) [Date) [~~j
~
- ~ s - ~t6'aTe7--
L-4d
- : 251 ~ ~~1
_ ~
~ - ~=v~• a