HomeMy WebLinkAbout0095 .
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SCHEDULE "A" SECURiTY LIST ~ Brench Address Stamp ;
Describe furniture by color and style: ; '
Abbreviat~ons - Mod., Trad., Col., Medi., Fr.P. ' _
Describe appliance by size and brand. i Verbal List? i
~ [j Yes No ~
Sofas ~ Style N p i
Color Size ~ V Brand
~ ~ounge Style N
O Chairs t Colo~ Size Brand
O Occ. TV
~ Chair~ i Color Size Brand
t End Stereo r
c~ 1 Tables ~ 1 S ~e ~ T / Brand
Z Coffee f, w Room Ai r
- Tables # St le ~ Conditioners i Size Brand `
~ ~ #
- Size Color y~ < Brand
~ CarpetQ - Refrigerator 1 ~
Size "1 Color -i Brand
~~S # a Dishwasher
T a Brand
Dinette t a Freezer p . -
~ Z~ ~ Pieces St le ~ Brand v
p W i End Washer
i ~ ~ ~ Tables ~ ~ St le Br~nd
a o i Chairs ~ Style Dryer
j w Color Brand
~ U o F- Sofa Style Sewing Machine p/
~ ~ Color Brand ~ _
~ Desk Vacuum i
~ Brand
~ ? z T ~
p Power TYPe
G , ~ Lawn Mawer Brand
'
Suite ~ Piano °
~ Pieces St e T Brand
W
Suite ~ ~ Z Organ ~
# Pieces 1 T Brand
~
~ Suite J Major
~ ~ ! Pieces St le Power Tools
~ J ,
i Suite ~y
~ ~ ; Pieces St le- -
; Q U
, R:igs or Size . C«Rlc C"tii11T C~11A
Car ts Color _
0° Chairs ~ ~
Color - -
' Lamps #
I T
_ When and Where was furnitur~purcha Cost S
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Customer's estimate of value~
With wMat company is the furnit e insured: Name
p ~y # Address: ~
Schedule of Security re nt dated the day of . 19 x ~ ~
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O i 1 l.oan No. '
a
G k ~ ~
(Wit~ess ( ate) ~ ~ ~
(Witness) (Date) (Sea )
~ ness a e ea r
d t
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