HomeMy WebLinkAbout1299 J:
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SCHEDULE "A" SECURITY UST Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. -
Describe appliance by size and brand. erbal Ust?
' ? Yes r~ No
Sofas # Style TV w
Color Size Brand Gli
TV
S le
O Chairs # / Color . Size Brand
O Occ. TV
of Chairs # ~ Color Size Brand
End - Stereo
V Tables # S le - to T Brand
W Room Ai r
z Coffee
Tables # St le U Conditioners # Size Brand
~ > Rugs z Range
- Size Color < Rrand
~ - Refrigerator ~
Carpet
Size Color Brand
! Lamps # Dishwasher
T a Brand
Dinette Set Q Freezer
z # Pieces / 5 le Brand .
W End Washer
p p Tables # S le Brand
o Chairs # Style Dryer
w (P Color Brand
o F Sota Style Sewing Machine
i F. Color Brand
W Desk Vacuum
' z T yr,a"(~, Brand
_ a Power TYPe~
w p > Lawn Mower Brand
Suite O Piano
# pig S le T Brand
P W Or9a^
N Suite S le z T Brand
j # Pieces ~ _
II ~ Suite power Tools ~ }i D REC RQEC
O # Pieces S le J _
Suite W. _ .'C.... - _;;~r:Gl: '
O ' C
oC # Pieces S le V ' . .
p Rugs or - _.t ~ Size q,t~~.~. u.+d- N 4~~~'1 .
u' Ca is # ~A/~' for I _ cc Dp AA
Chairs # ~ ~ ~ i 9 F C t) ~ s WM 9 ~ 2
Color
Lamps # .
T - -
When and Where was furniture pu~ased?~~~~~~ Cps1~,~ _ .
• Customer's estimate of .value 00 y d
With what company is the furniture insured: Name - ~ ~
Policy # Address: .
Schedule "A" o u Agreement dated the day of i9
Or' nal o ~
(Wi s) to (Seal)
(Witness) (Date) -(Seal ~
i ss a e
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3U3 E1298
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