HomeMy WebLinkAbout0402 - - -
{
SCHEDULE "A" SECURITY LIST Branch Address Stamp I
Describe furniture by color a~d style:
Abbreviations - Mod. , Trad. , Col. , Medi. , Fr. P.
Describe appliance by size and brand. I Verbal List? ~
~ Lj Yes No ~ -
Sofas i ' Style TV .
Color Q ~ Si:e Brand
~ Lounge Styte J TV
0 Chairs il Color Brand
O Occ. TV
~ Chairs N Color ,t ~ Brand
~
' End ereo
v ! Tables M ~ St le T Brand
Z ~ Coffee Room Air
- Tables il St le U Condilioners ~ Size Brand
~ ~ Rugs z Range
~ t
Si~_ Color ~ Q Brand . _
i Carpet - Refrigerator
~ Size Color Brand
Lamps ~ ~ ; ~ Dishwasher
T e ()1 Q i~ Brand
, Dinette Set ~ a Freezer
~ Z' ~k Pieces St le Brand
~ Q j End li y n l / C Washer
Tables ~ St le Brand
~ o: Chairs t Style ~ Dryer
; Color Brand
l v o~'' Sofa Style I Sewing Machine
~ z 1- ~ Color Brartd
E ` Vacuum
W ~ Desk
F z z~ Type ! Brand
i o - r ~ Power Type `
' lawn Mower Brand
~ - ~ ~
~ ~ Suite 0 Piano
~ ~ Pieces St le W T Brand
s ~ ; Suite Organ
E ~ ` # Pieces St le Z T Brand _
~ ~ Suite ~ Major ~
~ ~ ~ 1~ Pieces St le J Power Tools ~ RDEO
~ ~ ; Suite ~ W t'~:_.: ^'ZUC~SY• .
' ~ ~k Pieces " St fe t _ ~
~ Rugs or Size U
~ W ~ Car ts ~ Color N
~ Chairs # ~ ~ • Q` -
~ Color h `s a A - -
~ ~ ~~S ~
~ T -
e Z-
~ When and Where was furniture pur ased ? r LCe~r'S • k~T~ .
~ Customer's estimate of value
~
~ With what company is th furnit re insured: Name
Policy Address; ~ _
Sch ule "A" Sec t A nt dated the day ot , 19
; Original ~ 1 ~
, . %
=3 (Date) (Se ) ~
~ Wit ss} (Date) (Seal) ~
?i
~ ~ ness a e -~SeafT-- ~ '
~
~
:3 .
48
~ BGGK 301 PACE ~~2
~
~ - - - - - - -
~s:,,~~~;~~ ; ' -~r ;y~
~ ~ ;
_ ; ~ ~
w.y ~ . .