HomeMy WebLinkAbout0374 ~
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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by cotor and style: ;
Abbreviations - Mod. , T~ad. , Col. , Medi Fr. P.
Describe appliance by size and brand, j Verbal List?
- ~ Lj Yes No
~ Sofas It Style . 7V ~
Color. . Size ~ ~ Brand
~ Lounge Style TV •
~ Chairs It Color Si:e Brand
O Occ. TV
~ Chairs ~ Color Size Brand
i End ~ Stereo .
u ~ Tables ~ 7i St le ~n T Brand
z ( Coffee Room Ai r .
~ Tables # St te ~'~r~~ u Conditioners ~ Size Brand
~ i Rugs z Ra~ge
~ Size Color Q Brand _
Carpet - Refrigerator
Size Color Brand
, Lamps # ~ , Dishwasher
; T a Brand ;
Dinette Set a Freezer
~ Z' ; Pieces ~ St le ~ Brand
'G W ~ End Washer
~ ~ ~ Tables ~ St le Brand ~
~ o ? Chairs # Style ~ Dryer ~
~ W t • Color Brand
~ o h- ~ Sofa _ Style Sewing Machine
2 F- ~ Color Brand
~ W i Desk ~ Vacuum ~J~~ ~ J
z Z T e i Brand /f
p - ~ ~ Power Type -z
~ ' Lawn Mower Brand ~
~ - ~ Suite ~ Piano - -
i
~ i Pieces St le W T Brand
~ ~ . Suite ~ _ Z Organ
~ ~ Pieces St I T Brand
; ~ suite J Major ~ HND pF_CORDED
~ # Pieces St le J Power Tools FI~~D : ~
€ ~ Suite ~ W _ ~ ~ns~; '~i,
~ ~ # Pieces St le V "
~ W ' Rugs or Size " ?
a
a , Car ts M Color _ ?
; m Chairs 11 I ~ f79 ~
~a:~
x cotor ~ _
~ LamPs # I C+~-
i T L«' ~ ft~'+~ ~ v~~
When an d W
here was furniture pur c hase d ? Cos t SC~~ i?~ -
% ~ T-----
s Customer's estimate of value
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With what company is the furniture insured: Name ~----L-L__
Polic ~ ress:
Sch e"A" o ec rity gr d the Zday ot , 19 .
~Original n
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(Oate) (Seal)
- W' n (Date) (Seal) ~
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~ ~tness - a e -(~aTT- -
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' L-48
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~ BooK 301 f~~~~ 3?4
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