HomeMy WebLinkAbout0750 '
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SCHEDULE •A" SECURITY LIST Branch Address Stamp 1
Describe furniture by color and style: ~
Abbreviations - Mod. , Trad. , Cot . , Medi . , Fr. P. , +
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Describe appliance by size and b~and. Verbal List? :
I [j Yes ~_J No ' i
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Sofas # Style ' TV ' ~
~ Color Size Lp,O ~ Brand
~ Lounge Style N ~
0 Chairs • Color Size D~~' Brand r
o Occ. TV s
~ Chairs / Golor Size erand ;
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End Stereo
v Tabtes t St le ~ v~ ~ T ~,6'YVa Brand
z Coffee ` w Room A1 r S~N.p ~ c
- Tables t / St le c~ Conditioners # Size ;,ti rand t
Rugs z Range ~
~ Size Color Q Brand t
Carpet - Refrlgerator f
Size ~ Color ~ Brand ~
Lamps # q a Dishwasher f
i~- T a' Brand 3
^ ~inette Set ~ Free:er ~
~ z ~
• Pieces ,.s . 5 le Brand ;
p W End Washer ~
~ ~ Tabies # S le ~ Brand ~ ~ ~
~ o I Chairs / 5ty~e Drye~ ~
W Color Brand i
v o f- Sota q Style Sewing Machine ~
~ I- .~i, Color 8rand i
~ Desk ' Vacuum ~ ~
z z T Brand
p - N PO:Yef Type +
~ i.awn Alower Brand `
~ Suite ~ Piano ~
; ~ # Pieces ~ . 5 le ~ T Brand ~
' Suite Organ ~
# Pieces S le Z T ' Brand
~ Suite ~ Major ~
Q ~ F~t_EO ~.-CORDED
# Pieces 5 le J Power Toois ~TV
~ Suite W . - - , .:~~~.:~1
~ ~ Pieces St te V ' ~ ~
Q Rugs or Size . N ~ ~
W Ca ts # Color _ . ~
0° Chai~s # ~ ' ~
Color
; Lamps # ~
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When and Where was furniture purchased ? Cost S J
Customer's estimate of value i
With what company is ihe furniture insured: Name +
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Policy # Address: " '
Sch ecurit~r r dated the day of , 19 i
Original N ~ ~
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s (Oete) (Seal)
tness t~ate) (Seal)
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~ aocK 299 ~ ?50 ~
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