HomeMy WebLinkAbout0807 ,
~ _
SCHEDULE "A" SECURITY LIST ' Branch Address Stamp (
Describe furniture by color and style: !
Abbreviations - Mod., Trad., Col., Medi., Fr.P. i '
Describe appliance by size and brand, i
Verbai List? ~ j
~ 1 Li Yes No , '
~ Sotas t ~ Style TV l r,
Color ~ ' ~ ~ Size 1 5 ~ Brand
: ~ Lounge Style . TV~
0 Chairs N Color Size Bra~d
O Oct. TV
~ Chairs # ~ Color ` ~ ~ ~ L Size Brand
End ~ Stereo
V Tables # St le ; t_ v~ T Brand
Z Coffee w p~m Air
- Tab(es # ' St le i~, U Conditioners t Size Brand -
~ Rugs ~ ~ z Range
J Size 1 i Color Q Brand
Carpet - Refrigerator
Size Color J Brand i" =
Lamps i a Dishwasher ,
T Brand
^ Dinette Set } Q Freezer
~ z • i Pieces : St le ~ ; ~ ; Brand
~ W ~ End Washer
~ ~ Tables ; St le Brand ~ 'J~: . ~ ~h. r +a_4,~,
~ o f Chairs i Style ~ Dryer
W ~ Color Brand
~ o?- ~ Sota Style Sewing Machine
f'~ F- Color Brand
~
z Desk Vacuum ~ .
~ Z T Brand ~ Y r~r -
A - ~ Power Type .
~ Lawn Mower Brand
Suite 0 Piano
~ # Pieces St le ~ T Brand
~ ~ Suite Z Organ
: # Pieces St le T Brand
; O ' Suite ? J Major
# Pieces St le i i J~~t's :"l, J Power Tools
~ ~ I Suite
, ~ , ~u H - LUCiE COUNTY FU
i ~ Pieces St le V R n
' ~ Rugs or Size ~ l_P,K CIRCUIT CQ RT ~
~ W Gar ts ~ Color - ' ~ ~P•r ~EO
' ~ Chairs t ~
Color ~
~~„~5 ~ -~1~
T
E
~ When and Where was furniture purchased ? Cost S
Customer's estimate of value ~ r
~
With what company is the furniture insured: Name
Pol' t Address:
Sched e"A" 5ec it ted the day of , 19
rigin n
~ i~ ~e 'r'
(Witness (Date) (Seal) i:~
~i ,
~ (Witness) (Date) (Seal)
~
~tness a e r ea _
~r.u~+
L-48
B04Kzsz P~~ so
~ _ - - - -
~ -
~ "z~. ; ~ ,
~~r~. ~ ~=~.a.~^~-~~~,_~~ ~.s,~ ~