HomeMy WebLinkAbout0368 .S
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SCHEDULE "A• SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P.
Describe appliance by size and brand. Verbal List?
I ~ Yes (=1 No i
Sofas # Styl TV A
~ Color ' Size O Brand tT~
~ Lounge ~ Style i ~ TV
O Chairs # Color n i Size Brand
O Occ. TV
o: Chairs # Color Size Brand
' End Stereo
V Tables # St le vi T Brand
~ z Coffee w Room Ai r
~ - Tables # St le U Conditioners # Size Brand
j > Rugs z Range
- Size Color ~ Brand
J - Rafrie~ora~nr ~ ~ ~
j ~ei~s2t
i Size Color Brand ~~k h~S~'"
j Lamps # o. Dishwasher
T o. Brand
i Dinette Set ~ Freezer
z # Pieces S le Brand '
w End Washer ' - `
b O Tables # S le Brand f?V ~1 ~C
`o Chairs # Style Dryer
iu Color Brand
I o I" Sofa Style Sewing Machine
E t- Color Brand ~ n ~
w Desk Vacuum
z T Brand
~ Pawer TYPe
O ~ Lawn Mower Brand
Suite O Piano
# Pieces St le T Brand
w Or an -
Suite z 9
~ # Pieces i M T Brand
~ Suite J Major
O # Pieces S le Power Tools -
~ Suite J
oC # Pieces St le '
D U
i Rugs or Size ~ N ~
w Car is # Color
°D Chairs # - ~
~ Color
~ Lamps # -
T
When and Where was furniture pur ased ? COSt ~ ~ ' " ~ tr.i - ~ ~4'
Customer's estimate of value ~~t7•~
With what company is the furniture insured: Name
policy Address:
Sch drfa'' of Se ri gr ement dated the day of 19
Origi
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