HomeMy WebLinkAbout0364 ! - - - ----------1
SCHEDULE "A" SECURITY LIST Branch Address Stamp . i
Describe turniture by color and style: ;
Abbreviations - Mod. , Trad. , Col. , Medi . , Fr.P. ' ~
Describe appliance by size and brand. j Verbal List? ~ ,
{ [j Yes I ( No I ~
Sofas ~ Styl TV :
Color `~l Size ~ Brand '
~ Lounge Style ~ TV
o Chairs 11 ~ Color W+~ Size' Brand
O Occ. N
~ Chairs A~ Color VJOpOB'1~ ' Size Brand -
End Stereo
V Tables ~ St le tn T Brand
Z Coffee W Room Air
- Tables ~ St le U Conditioners ~ Size Brand
~ Rugs z Range
J Size Color Q Brand
Carpet - Retrigerator
~ Size Color Brand
Lamps # a Dishwasher
I T a Brand
Dinette Set o j~~j~ Q Freezer
Z~ M Pieces St le Brand
G W ~ End Washer
~ ~ I Tables i St le Brand
~ o~ Chairs ik Style Dryer
W ' • Color Brand
o f- I Sofa Style • Sewing Machine
z F- ' Color Brand
' ~ W i Desk Vacuum
z z; T B rand
- ; Power Type
G ~ ~ ~ Lawn Mower Brand
~ i Suite - AV>> 0 Piano
~ # Pieces+uN~.S~kKd- St le QA W T Brand
, ,L
Suite ~,v ~ Organ
' i'T# Piece St C Z T Brand
` ~ Suite J Major RGC~
f
~ ~ ; Pieces St le ~ Power Tools +LEQ r,~• •ST~, ~t"' -
5 ~ i Suite W ~ ~ ,
~ Pieces St le ~
~ ~ ~ Rugs or Size ~ ~ " ~ 0
~ ~ ~ Car ts ~1 Color . 3
3 m -
~ Chairs N ~ f~~ S~t' ~
± Color '
c
Lamps 1k . .
i T , z
When and Where was furniture purchased ? Co~~:,~, J:' J
~ Customer's estimate of value 3 ~Q~•pV
~ -
' With what company is the furniture insured: Name
Policy Ik Address: ~
Sch ule "A" ot uri e dated the day of , 19 •
Original n ~ ~
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: ' ne i~ ~ete~ (j ( eal)
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~ ( ithes (Date) ` (Seal)
~ - itness a e ea
e
L-48
ao~K 301 ~,,~~E 364
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