HomeMy WebLinkAbout0366 • . -
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SCHEDULE "A" SECURITY UST Branch Address Stamp
Describe furniture by color and style: ` ~
Abbreviations. - Mod. , Trad. , Col Medi Fr. P. ~
Describe appliance by size and brand. i Verbal List? ~
1[j Yes I_I No
Sofas f Style L TV ~ '
Color.~ ~ Size ~ Brand ~ ~
~ Lounc,~e Style TV
0 Chairs N Color ~f ~ 1~ ~ Size Brand
O Occ. N
a Chairs Cotor Size Brand
End ~J Stereo $ ~''P~Ic - O L-
v I Tables !i St le ~`7 v~ T /{~f1 F - 1y - Brand ~ ~ S
z Coffee W Room Air
- Tables ~E St le c) Conditioners Size l•~`~ Brand G.i(~
~ Rugs z Range
- Si Color Q Brand L=~i~ l/ 0
J
Carpet - Refrigerator
Size / ~ Color J Brand
~~5 # a Dishwasher
; T a Brand
' Dinette Set ~ Q Freezer
"l Z' N Pieces St le Brand ~tifCS~`~
~ W End Washer •
~ ~ I Tables # 51 le , Brand _
' ~ o~ Chairs i Style Dryer
I! w ` Color Brarid % ~
f v o F- I Sofa Style Sewing achi •
z F- ~ Color ~ Brand / -
~ W Desk ~ Vac~um p
i z Z ~ T e Brand
~ Qi . ~ Power Type ~ , ~
; ~ = Lawn Mower ~ Brand
3 ~ - : Suite Piano _
~ ~ ~1 Pieces St le W T e Brand
~ Suite Z Organ
~ ~ ' N Pieces Sl le Q T e Brand
~ Suite J Major
~ ~ ~ # Pieces , Style ~~f ~ J Power Tools
~ ~ i Suite ~-j W
~ ~ ( ~1 Pieces St le ~ ~'LI S D
O U
Rugs or Size N y
~ ~ Car ts 1~ Color _ ~ :~~G i~~CORD^~
~ Chai rs M ~ " ` _ • ' i . i ~ . -
~ ~ - .
~ Color _
~ ~ ~~S ~ ~ ~~933
~ T
? 7n e~ ~ .
~ When and Where was furnitu purchased? CotDS
~ Customer's estimate of value~ ~i~t . ~
f With what company is the furniture insured: Name ~ '
Policy • Address: r~ ~ ~ ~
; Sch of 5 ur' e nt dated the _ day of . 19
- Origi al '
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; Wit / ~te)~~ / IS I) .
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~i itness (Date) (5 a )
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~ itness a e ea
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