HomeMy WebLinkAbout0964 - ~
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SCHEDULE "A` SECURITY LIST Branch Address Stamp
Describe turniture by color and style:
Abbrcviations - Mod. , Trad. , Gol Medi Fr. P, i
Describe appliance by si:e and brand, Verbal List? ' ~
~ ~j Yes No j
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• Sotas ~ f Slyle '7 O" z r~- ~ TV - ~
~ Color ~ Size ~ ' Brand ~
; ~ Lounge ~ Style~l ~ , 71/
( O Chain t Golo Size Brand ~
~ O Occ. ~ . TV
oc Chairs # Color Size Brand
~ End Stereo
~ v Tables # S le` v~ T Brand . - i
Z Coffee ~ W Room Ai r ~
- Tables # St le , V Conditioners t Size Brand
~ Rugs z Range I - ~
~ Size Color < Brand
; Carpet - Refrigerator _
Size Color ~ Brand ~
Lamps # a Disfiwasher
; T a Brand '
Dinette Set ` Free:er
t~ z ~ Pieces 5 le r~ Brand
p W End Washer
~ ~ Tabies t S le Brand .Z,~/
o _Chairs t Style ~ Dryer
4+ Color Brand ~ ~
~ o f- Sofa Style ~ Sewing Machine
F- Color Brand y
R ~esk Vacuum ~
~ z T Brand i Z=
~p ~ ~ Power Type i
F ~ Lswn Mower Brand
~ Suite Piano
• Pieces S le ' ~ T Brand
i Suite W Organ
~ / Pieces ~ S le ~ Z 7 Brand -
~ ~ Sufie ~ Major ~
# Pieces S le y ~ i- J Power Tools - s
~ ~ Suite . 4
# Pteces St fe V s~~+~Np +
Rugs or Si ze _ ROC fp Y Ft~ :
~ W Ca ts ~ Color ~ f~ Po~t
~ °D Chairs i ~ • ~:"~r£~ ~
Color
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~ Lamps i '
T Z1SP t
Whe~ ~d VYhere was furniture purchased ? . Cost $ ~
Customer's estimate of value ,~G1L~• L' ~ ~ •
With what ny is the fumiture insured: Name
ibli ~ ress: ~ ' ~
Schedule "A f Security A ted the day of , 19 . ~
Ori Losn No.
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~ • (Witness), ( atel ~(Seal)
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