HomeMy WebLinkAbout0382 ,
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SCHEDULE "A° SECURITY LIST ~ Branch Address Stamp i
Describe furniture by color and style: I '
Abbreviations - Mod. , Trad. , Col Medi Fr. P. 4
Uescribe appliance by size and brand. Verbal l.ist? ! a
~ - [j Yes (=1 No ~
~ Sofas ~ Style a''-P ' TV ' `
Color + ~ ~ Size Brand
~ Lounge Style n~ TV ' '
~ Chairs # Color w1-~ Size Brand r~ ,1. t~s~
O Occ. p TV n >
a Chairs # Color ~l~ . Size ^ - Brand
End Stereo
v Tabies t " St le /j't.G-~'tJ.en'~- v~ T Brand ~ 6-/L ~
~ z Goffee ' Room Ai r ~
- Tabies ~ ( St te ~'~~tn-~. U Canditioners ~ Size Bra~d ~
' ~ Rugs 2 Range
J Size Color Q Brand C '
~~t 1 - Refrigerator N n .
Size , r Color ~ Brand l~~ ki
; ~~S ~ a Dishwasher , .
_,nL T ~?C~- ~V1 a Brand '
~ Dinette Set a Freezer ~ _ ;
~ Z # Pieces ~ St le cL Brand ~ L ?
'o W End Washer j - '
~ ~ Tables ~ S le Brand '
a o Chairs # Styte n~=W'~~j^ ~ Dryer
w ~ ( Cotor Brand
~ o~" Sofa Style Sewing Machine i =
~ F- Color Brand ~'~'~rv(`~-/
t
z W Oesk Vawum ~
Z T B rand dNu~
' ~ Q ~ Power TYPe
~ ` > lawn Mower • Brand
~ ; Suite ~ Piano
~ ; ~ Pieces St le i.Z~1ir`~ W T Brand
~ Suite Z Organ
~ ~ # Pieces ~ St le C'-Z~%''~ Q T Brand
~ Suite 1 ~ J Major ~
~ ~ # Pieces ~ St le ~C
Lw~i?'` ~ Power Tools ~
~ Suite ~
~ W ~cur~T~. F~:..
~ ~ ~ Pieces St le t , ~ J _ ~
~ ~ Ru s or Size ~ ~ " ~
v -~~3 ~
~ , LL' Ca9 ts # ~ Color :~k,tc.. a-~'l1` ~ 4 ~
~ °D Chairs # ~
~ Color ~ ~ 7 ~ ~ ~ : 3 9 . ~
~ LamPs ~ ~
. ~ ~ , : r^-: ' • i
~ T - ~
i When and Where was furniture urchased? ~~~F! r~~~' •~J~ u i
¢ Customer's estimate of value `7 G C) U. C'O f ~
~rhat cnrr~any is the furniture i~sured: Name
' policy # Address: ~ - ~
Schedule "A" uri greement dated the day of , 19 ~ ~ '
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