HomeMy WebLinkAbout1371 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?
~L~ Yes 1=1 No
Sofas # Style • TV .f
Color •i~ Size Brand .i
•C P1.t
~ Lounge Style TV
O Chairs # ~ Color Size Brand
O. 1 Occ. TV
~ { Ghairs # Color Size Brand
End Stereo
U Tables # St le ~ T Brand
z Coffee w Room Air
Tables # St le ~ V Conditioners # Size Brand
~ Rugs z Range
Size Color Q Brand
J _
i Carpet Refrigerator
Size Color J Brand
Lamps # a Dishwasher
' T a Brand
Dinette Set _ Q Freezer '
~ z ` # Pieces ~ St le C _ Brand
~ o w f End Washer L
~ ~ ' Tables # St le Brand -gin, ly u,C..
~ o ~ Chairs # Style Dryer ,
w ~ Color Brand
u o F- Sofa Style Sewing Machine
z F- ~ Color Brand
Wi Desk Vacuum /
z z j T Brand
Power TYPe
D i ~ Lawn Mower Brand
' ~ ~ Suite l Piano _
# Pieces / S le Qc~ • W T Brand
Suite z Organ Brand
' # Pieces ~ f~ s'w5 St le Q
~ Suite J Major
3 O i # Pieces ~ St le Power Tools .~tlO RECORDED'
O 1 Suite ~ w
°C ( # Pieces St le U - ~ ~i - Fi i r. C
0 Rugs or Size w
Car is # Color u q
°D Chairs # ~ ~~9 2 ~ PM ~2 ~ 2
Color
Lamps #
~y T
Cos~~t~~ 521~~~' C+JURT
When and Where was furniture purchased. l~Y1QL~t- ~~~~~w
Customer's estimate of value
N With what company is the furniture insured: Name
policy # _ Address:
~
Sched A" cur' ~ ~ ree dated the day of 19
riginal
_ ;z
the s (Dapte) (Seal)
(Witness (Date) (Seal)
a e ea
~tness
~ ~1
L-48 qq ~~QQ
x' WV :a;~r1~l.JV