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HomeMy WebLinkAbout0040 t e • _ _ _ SCHEDULE "A" SECURITY LIS7 , Branch Address Stamp ~ Describe (urniture by color and siyle: Abbreviations - Mod., Trad., Col., Medi., Fr.P. Describe appliance by size and brand. ~ Verbal List? ~ ~ ~ Yes ; ~ No ~ ( , Sofas ~~k,~L.7'.I ~Style TV CU~o~? , Colu~ Size Brand ~ Lounge ,~1 Sty(e ~ ^ TV _~L VS~~ ~ Chairs # CJ~/~~/~ Color ~Size z(o ~Q(.C~I~ Brand ~ y Otc. TN ~ Chairs ~k Color ~ ~ Size Brand End ,2v~ ~uN ~ Stereo Tabies ~ Style ~ ~n ~ Type Brand z i Coftee , w~-- Room Air ^ _ 4 : Tables * Style , ~ U ~ Conditioners # Size Brand ~ ` Rugs ~ z ~ Range ! Size Color Q ~ Brand J ~ Carpet /,Z ~ Z L r ~ _ ! - Refr:gerator ~ ~~-G ~J - Si:e Color ~G+„C~-~ I ~ j Brand h{GT~A:n,'j {~jL ~E"J.~ -/'~'Ee~ Lamps ~.H~ rE ~ a i Dishwasher _ Type Brand Dinetle Set i Q Freezer c # Pieces ,~j[ Ac_(C- Style ~ j Brand i End ! i Kasher ~1~, p~ja~'`r" C Tables #i Style ~ Brand ~ 1~ ~ o Chairs ~ Style ~ D~ ryer flPOvL w ' l~Lf~C'lC- Color 4 . ~ i Brand o?- : Sota Style + Sewing Machine f Z F- ; Coior ! ~ Brand f~ GI~('.~~ 1 -~/~-'~t /e - W Desk i Vacuum ? Z ' Type l Brand ~ - _ ' ~ ~ Power Type ~ ~ ~ ~ ~ Lawn Mower Brand Suite ! ~ ' ~ j Piano M Pieces ~~p«, ,~j St I~e__ ' W ~ Type Brand ` Suite ~ ; Organ ) ~ #r Pieces ~~vc~r.: Style Z ' Type • Brand 1 Suite ; Q ~ Major ~ ~ ~ Pieces T~~ Style ~ J Power Tools F --i F---- ~ Suite ' " ~ W ~ - t+JCtc ' LJi{p~ , a ! ~t Pieces ~F :~lU~ Styte ci 6~:~~' ' + ~ TY FL~ ~ Rugs or ~ i~ Size j ~ AF~~~ • ; ~~r'*~ ~ Carpets it ~ 2 Color ~ ~ ~ ~ - ~~~Rt ~ ; Chairs ~ ~ ~ VV~ C ~ I Coior ' i ~U ) n AL ; Lamps t~ ~ L u L' r----- Type ~ When, and 'JVhere was furniture ~ ~ ~ purchased . Cost 5 SLtilomer's estimate of value h _/~CT ~ ; - ~ , . . - ~ - - ~-•With whet cotu~any is the turniture insured: Name _ _ Policy. Address: - Schedule; of;SeFflrity Agreemenl dated the day of , i9 ~ ~r~g~ ~ - - - ~t~~/ ~"''`3- '7 C~lv' " /~~t F~~s6j~r~. (Date) ~al) - ~ • ~ - - - ~ " (Witne55 ~ • ~ _ -~k~ (Date) (Seal) ~ - ~tness a e ~ ea - ~ ~ us F C 1 255 PAUE `tU ~ ~ . . . - ~ s:r.,