HomeMy WebLinkAbout0372 Y
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SCNEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color a~d style: ~
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ! .
Describe appliance by size and brand. I Verbat List? 1 I
j(_j Yes I_I No f
Sofas N Style ~ TV J
Color ' Size O ~Brand .S
~ Lounge Style N n TV
0 Chairs ~t 3 Color~ ~ s ~ Size Brand
O Occ. - TV
~ ' Chairs # • Color Size Brand
; End Stereo
V f Tables k Sl le v~ T Brand
Z Coffee Room Air i
- Tabies s Style U Conditioners # Size Brand
~ Rugs z Range
_ i
~ i Size ~ Color ~ Q Brand - u 1 e~ _
! Carpet ~ - Reirigerator
Size Color ~ Brand S ~ b~
Lamps t Dishwasher
T Brand
. Dinette Set ~ Q Freezer 1
~ Z~ # Pieces ~~tyle !~{~q~/3 M Brand d~
~ End Washer
Tables t St le Brand
a o, Chairs # Style ~ Dryer
W ~ Color ~ ~ Brand
u o F- Sofa Style Sewing Machine
z f- ; Color Brartd
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i : Desk f Vacuum
; ~ z ~ T ~ Brand
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C N Power Type
~ i Lawn Mower 8rand
~ ~ - Suite 0 Piano -
~ ' ~ Pieces St le , W T Brand ^
' Suite '~.d - Organ
a { i Pieces ~ St le ~ Z T Brand _
; ~ Suite Q Major
` ~ ' # Pieces St le ~ Power Tools _ . COPC~G.
~ ~ ~ Suite - : ` _ ~ _ .
~ ~ ~ A Pieces Style ~ W ~ • _ i:
~ , o ~ c~
~ Rugs or Size ~
w } Car ts Color ~
~ m ~ •
_ ~ Chairs f g r Q ~M 1~--
~ Color ~ ~74 ~ U
~ Lamps A ~ -
} T -
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When and Where was furniture purchased ? Cost Sr ~i'. ~ ~ • ~ ~
R a
9 Customer's estimate of value 3~Ud v
; With what company is the furniture insured: Name _ ?
Policy ~ Acidress: _
= Sched o ecur' Agreement dated the day of , 15
rigina a ~
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- ( ' (Date (Se )
~ - - - ~y n~ '
(Witness) (Date) (Seal)
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~ itness a e ea - - - - - -
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