HomeMy WebLinkAbout0266 • . .
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SCHEDULE •A' SECURITY LIST Branch Address Stamp ~
Describe furniture by color a~d style: ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Uescribe appliance by size and brand. Verbal List? ~
, L j Yes ~-I No ~
' Sotas ~ Styie ~~A~ ~~rp N ,V~j,i~.Bra~d t Q ~TP /iC..~
Color Size . ~ ~
; ~ Lounge Style , 'iv
0 Chairs i Color 1 ~ Size B~and ~
O Occ. TV
a Chairs • Color Size Brand
End Stereo
V Tables St le v~ T Brand
z Coffee W Room Air
- Tables 0~ S le V Conditioners i Size Brand
> Rugs z Range
J Size Color eJ~ry a Brand
- Ref~igerator
Size Color W/l/ Brand U'P'e A~
~ a Dishwasher
T ~ Cq Brand
~~s , a 1.
Z Dinette Set ~ P~ Q Freezer f~~ED AND RECORDED
~ # ~ieces ~ St te ~r Brand
p W End Washer kOCER P~11RAS
p ~ Tables t St le Brand r ,~r ~
a o Chairs t Style ~ Dryer • =i
w Color j- Brand
j ~ o~ Sofa Style ~ Sewing Machine I 1 o PM p •
~ 2 F-. Color Brand
E€ w pesk Vacuum
¢ ~ Z T Brand ~ a W~~
p Power . TYPe
k 0 > Lawn Mower Brand
Piano
; Suite . ~
; ~ Pieces n c ~ St le T Brand
W Or an
~ Suite Z 9 -
# pieces St le Q T Brand
~ Suite ~ Major - ~
~ ~ Pieces S St le ru J Power Tools
' ~ Suite W
~ ~ # Pieces ~ ~ St le ~ ~r~
U
W Rugs or Si ze -~~~h, N
Car ts # ~ (~t Color
m Ghairs # ~
Color
Lamps #
T
~ ~~~a
When and Where was furniture purchased ? 1 S
~
% Customer's estimate of value
= With what company is the furniture insured: Name
~s
~ po~~~y ~ Address:
~ Schedul Securi dated the day of . 19
~ iginal n `
~ ? / / /
S ~A.(i['i
(Witness ~ (Date) (Seal)
y (Witness) (Date~ (Seal)
~ ess a e ea
L-48 ~Q~~4 ~V~ ~Q4[ ~VV
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