HomeMy WebLinkAbout0552 ; ~
~ SCHEDULE "A• SECURITY LIST ' Branch Address SWmp
r and s le: I ~
Describe furniture by colo ty ~
Abbreviations - Mod•. Trad., Col., Medi., Fr.P. - ,
Describe-appliance by size and brand. ~ Verbal Usl~ ~
`[j Yes ~=i No
; Sofas ~ I Style T~
; Color i ~ Si:e B~and
~ ~ Lounge Style ~
' O Chairs ~ Co~or Si:e Brand
' O Occ N
; ~ Chairs # Coior 1/'~ Size Brand
' End ~ Stereo
c~ Tables Ik St le Y~~L. ~ T •Brand
' z Coffee 1 W Room Air
~ - Tables # ` St le 1 1!. V Conditioners ~ Size Brand
; ~ Rugs z Range ~
- Size Color < Brand
-i ' - Reirigerator
, Carpet ~
~ Size Color Brand ~ ~ n
! ~~S ~ a Dishwasher •
T Brand
Dinette Set Q Freezer
~ Z ; Pieces 5 le ~ PiJr1'~ Brand
p W End , Washer
lo ~ Tables # 5 le Brand ~1 u
w= o Chairs # Style Dryer
` W ~~o~ Brand
~ o H Sota Style Sewing Machine
' f: Color Brand
j ~ ui Desk Vacuum ~
Z T Brand
I _ N Power TYPe
~ p = Lawn Mower - Brand
f Suite %~O / /rn O Tano
I # Pieces ~ S le d~ W Brand
Suite Organ
i'~ ~ Pieces S le~ Z T ~ Brand
I~ Suite ~ 1 ~ Major F;LED At~D~ RECORDED=
~ # Pieces S le ///'K~ J Power Toots ~
~
~ 0 Suite W . • .'"e•;~ 4i_•:~
~ °C # Pieces St le V
~ ~ Rugs or Size N ~
i Ca ts # Color _ ~ .
i m Chairs • ~
j Color
~ G~I
E ~~s# T
..{1-.~'J' ~ .i'.~`.-«)
When and Where was furniture purchased ? Cost S
Custort~er's estimate of value ~U~~ Vd •
~
With what company is the furniture insured: Name
~ po~~~y ~ ddress:
~ Schedule ° -of Se rity ted the day of , 19 -
~ Or' ~nal ~ ,
: - / .
(Date) Sea l ) ,
a , (Witness - (Date) (Seaq
- ~ ess a e ea
~ L-48
~~x 3t~3 p~ 551
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