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HomeMy WebLinkAbout1113 y . • . SCHEDULE "A" SECURITY LIST Branch Address Stamp Describe furniture by color and style: Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. Describe appliance by size and brand. ~ Verbal List? ! y [j Yes I''~No ~ Sofas # Style Ty ~ ~ Color ~ - Size p brand ~ Lounge Style ~ -ry _ O Chairs # Color .Size Brand O Occ. ~ ~ Chairs # Color Size Brand End Stereo u Tables # ~ St le ~T a T l Brand z Coffee Room Air - Tables # St le U Conditioners # Size Brand ~ Rugs 7 z Range - ~ Size olor Q Brand ~ftik~ Carpet - Refrigerator Size Color Brand f Lamps # c~~~ / ~ a Dishwasher T ;~G~- a Brand l/'/•G~7~ Dinette Set Q Freezer ~ w # Pieces - St le Brand End Washer ~ ~ Tables # S le Brand ~.G ~ u Chairs # Style Dryer Color Brand U a f- ! Sofa Style Sewing Machine , z Color ~ Brand Z Z I Desk Vacuum , T Brand i - A ~ ~ Power Type G~ ~ Lawn Mower 2 Brand Suite piano t ~''2~l~1~ ~ , ( # Pieces St le T Brand Suite w ~ z Organ ~ ~ # Pieces St le T Brand Suite Q Major O ~ # Pieces St le I J Power Tools t I ~ Suite s Q' W # Pieces St le ~ Rugs or Size V t m Car is # Color ~ ~ e Chairs # s ~ 11LEQ ANA; kEC ~ Color SLLU~tE CCUYfY.FLA. Lamps # ) ~ T CLERK C!RCUi7 COUR q When and Where was furniture pyirc ased ? Cost S Customer's estimate of value . p~lJ 7 With what company is the furniture insured: Name Polic # Address: Sc uie " ' of c Agr ment dated the day of t9 - Origi i e s ~ e ~ 9 (S I) (Witness) ~ Date (Sea ) fitness a e ea ~ ~ ' s 1-48 31~ ~avr 113