HomeMy WebLinkAbout1369 SCHEDULE "A" SECURITY LIST Branch Address Stamp I
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col. , Medi . , Fr. P.
Describe appliance by size and brand. Verbal List?
I LJ Yes No
Sofas # Style TV
Color Size Brand
~ Lounge Style TV ~
O Chairs # Color Size r-~' ~ Brand • ~
O Occ. TV
tY Chairs # Color Size Brand
End Stereo ~ ~ / ~ ~ .
U Tables # St le ~ T - Brand ~ Sri '
z Coffee Room Air
Tables # St e U Conditioners # Size Brand
~ ~ Rugs _s z Range
~ Size Color Q Brand
Carpet Refrigerator
Size Color Brand
Lamps # a Dishwasher
T n' Brand
- Dinette Set Q Freezer
~ z ? # Pieces St le Brand
O w End Washer .
~ ~ 1 Tables # St le Brand
o: o ! Chairs # Styte Dryer
w , Color Brand
i U c F- Sofa Style Sewing Machine
e ~ t- • Color Brand
i Vacuum r - _
w i Desk ~ ,,.yi
€ z Z T Brand ~ ~ - ./~F~v ~
p Power TYPe
D . j Lawn Mower Brand
`s ~ Suite ~ Piano
~ # Pieces St I ~ < ~~r,~-' / I e W T Brand
~ Suite Z Organ
# Pieces J S le T Brand
Q Major
O ~ #uPieces St le ~ Power Tools
..1 ~ _ ,
O Suite if w "'J`;TV. F~,.:.
~ # Pieces St le U
O Rugs or Size ~ 4.384Oy r,
w Car is # Color V
m Chairs # ~ f'
Color l9 r.., , Z I pM ~ i
~ Lamps #
T
_
When and Where was furniture purchased ? Cost St? ! n { ~
, - r. '
Customer's estimate of value ~ J. ~
With what company is the fur re insured: Name
Po ' Address:
Sche a "A" of Sgt:urit ~ eem fit ated the day of 19 ~ ji /
~ Original )~.oad No - ' ~
_ ~ ~ ~ 'h
y Date (Seal)//~
i
~ ( Hess (Date) (Seal)
i Hess a e ea
L-48
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