HomeMy WebLinkAbout0442 , ,
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SCHE~ULE "A" SECURITY LIST Branch-Address Stamp
Describe furniture by wlor and style:
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. ~
Describe appliance by size and bra~d. Verbal Ust? ~ ;
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? Yes (_I No i
; Sotas # Style S }G~"~""~ TV ~y ,l,(',e.-~"'~ ~
' Color Size Brand f
~ ~ Lounge , Style TV i
O Chairs # Color Size Brand ~
O Occ. ~ i T~
x Chairs i Cotor ~ ~i Size Brand ~
End Stereo `
v Tables ~ St le ~n T Brand
z Coffee W Room Air
- Tables i St le U Conditioners # Size Brand
> R~gg z Range
~ Size Color Q Brand ~
~~t - Refrigerator '
Size ~ Color Brand ~ '
Lamps # j s• a Dishwasher _ ;
~ T ~ j • ~ a Brand . ~
~iiS2ZZC w.••S a Frno~ar
~ Z~ # Pieces S le Brand ,5~~~`-I, ~
Q Q ~ e
~ W End Washer #
Tables # St le Brand _
~ o Chairs # Style ~ Dryer ~ ~ ~ ~
w Color Brand s
! u o f- Sofa Style Sewing Machine . '
~
I R F Cotor Brand
~
' w pesk Vacuum '
~ ~ z T Brand ~
! ~ - Power Type
; A p
Lawn Mower Brand ~
~ - ~
a Suite ~ Piano ~ , ~ ~
~ ' # Pieces S le W T Brand :
' Sui te ~r9~ ~
~ # Pieces S le ' T Brand
~ ~ Suite ~ Major
~ # Pieces ~ St le ~ Power Tools
O . 0
~ #uP eces 5 te v ~ II.ED A~'~D ~E TY. f LA~ :
~ • ~ Rugs or Size ~n ~ ~ • ~ ~~1. ~ ~ :
1
'y Car ts # Colo _
m Chairs # , - ~ y
~ Color ~
~~S ~ '18 N~~
~ T
~ When and Where was furniture purchased? ~(~.~~Cvtt ~ Y,,,~ost $ ~ r!,
~ - - -
~ Customer's estimate of value ~~D~~U • UU CLt 4~t~ C~~` ~
With what company is the furniture insured: Name
s po~i~y Address:
~ Schedule of urity eement dated the day of , 19
; igi~al an o
3
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~ (Date) ~ eal) ~ ~
:
~ Seal) ~
~ (Witness) (Date1
~ -
~ itness a e ea
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~ L-48
; ~ a,~~ 298 ~ ~ 4~ ~
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