HomeMy WebLinkAbout1293 i
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SCHEDULE "M SECURITY LIST ~ Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Coi . , Medi . , Fr. P.
Describe appliance by size and brand. Verbal ListT
[J Yes n No
t
• Sofas # Style TV N ,f ~ I
Coior Size
~ Lounge - Style TV I
O .Chairs # Color Ne Brand
O Occ. ~ Brand
oC Chairs # Color ~ Size
End ' Stereo =
~ T Brand °
V Tables # S le
z Coffee _ W Room Air _ i
Tables # ~ 5 le ~ Conditioners # Sire Brands
Rugs ~ 2 Range
Size Color a Brand
~ Carpet - Refrigerator' \ _ u
Size Color _ J Brand w
o. Dishwasher
Lamps # 1~ T ~ ~ d Brand _ ]]e
Dinette Set d11A i' ~ Freezer l
~ z # Pieces ~ 5 le l- k% Brand ~
p w .End Washer I
Brand
p ~ Tables # S le
~ o Chairs # Style Dryer
W Color Brand z
~ 'N ` F- Sofa Style Sewing Machine E
~ 4z c t- Color Brand
W Oesk• Vacuum
Brand
~ z T Power TYPe «
p p ~ Lawn Mower Brand
Suite j QiR`- T ano Brand
I # Pieces le W Organ
± Suite ~ z r _
# Pieces S le T
~ Suite ' J Major ~ L'uGIE ~.OUMTY, FLA.
O # Pieces St le ~ ~ Power Tools _ J •
~ O Suite W '
~ ~ # Pieces St le ~ U ~
o Rugs_ or Size uj t
j w Ca is # Color
Chairs # ~
Color •
i Lamps # T ~ •
When and Where was furniture purch sed ? - Cost S
Customer's estimate of value L7 -
With what company is the furn re insured: Name
Polity # Address:
Sch A" o cur nt dated the day of t9 %
Original ~
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(Dat ~ •
(Witness) (Date) al)
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