HomeMy WebLinkAbout0748 1 .
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SCHEDUIE 'A" SECURIIY LIST ' Branch Address Stamp . I
Describe turniture by color and style: i
Nbbreviations - Mod. , Trad. , Col. , Medi Fr. P. i
Describe applia~ce by size and brand. Verbal List? ' '
~ Lj Yes No 1 ~ ~
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~ Sofas i Style ' - TV s'
' Color a~-yv Size v~ y-~-. C~dZ. Brand ~~Q~„~ {
i~ Lounge n Style ~ N r
0 Chairs i oC._ Color Size ~ .s;e,. Brand ~
~ O Occ. 1`V , - !
i ~ Chairs f Color ~C.c<-cs-~ Size /C -4-~- Brand
~
' End Stereo
~~7 Tables ! ~(i St le v~ T ~ - 8rand Jt¢-s~
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i z Coffee Room Air / o~ _ -~y,~ ~
Tables # St le C~ t~ V Conditioners~ ao~5ize Brand~ r~~
~ ~ Rugs z Range .
J Size Color ~ 8rand
; Carpet - Refrigerator ~
f Si:e L~ ~ Color ~ Brand ~ ;
Lamps # ~ { a Dishwasher ~
j T •~~-~t~ a Brand r~ E
~ Dinette Set a Freezer ~ ~
Z # Pieces St le . Brand
p ~ End Washer - ; -
Tables # 5 le Brand t
o Chairs ~ Style Dryer ~
~ W Color Brand {
a Sofa Style Sewing Machine ;
F- Color 8rand ~ ~ w~~ ~
W Desk Vacuum t
z ~ T ~ Brand
t
~ Po~wer Type
~ , - tawn Mower Brand ~
Suite ~ 79?~~ 0 Piano ~
# Pieces St le ~ W T Brand ~
Suite '~i ~ Organ
~ # Pieces ~ S(e Q T Brand ' -
Suite ~ Ma~or p _,n ~
~ ~ Pieces S le'~11~ J Power Tools - Jr' ~-~J~t~C ~ ~
~ Suite }
~ # Pieces St te W
. ~ Q v - ~~~r-+a.ss.w - ~..-~-~'rc~' - e. ~
Rugs o~ Size ~ N ~2~~+*~
W Ca~ ts • / ~ ~ ~ ~L Color _ _
°Q Chairs # ~
Color ~~9
Lamps • ' - • ' ; i _
7, •~l,.:T ?=L~:.
.,c ~pn ;
When and Where was furniture purchased ~ ~ Cost S 't/~+~)a7JLl '
Customer's estimate of value la ,r~ p ~ ~7,8 QC(, ~ 9• C2 ~
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With what company is the furniture insured: Name ;
Policy # Address: ~ ~
Sched f Sec rit t dated the day of 19 ' . ~
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