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HomeMy WebLinkAbout0167 . ; . . - ~ $ _ 's . . - ~ _ - ~ r - - ~ i ~ - - ~ • - - - ~ 1 ~ r-= _ : ~ - SCHEDULE "A" 5ECllRITY LIST i Branch Ad~ress Stamp f Describe furniture by color and style: ~ Abbreviations - h1o~. , ' Y~•ad. , Col . , A1edi . , Fr. P. - ~ k - Describe aR~•liance by size and brand. Verbal t.isi? . . ; S • I ~es yo ~ . ~ ~ _ v _ ~ i Sofas # / Style~ TV / ~ ~ ~ _ ' Culor ~4•B~~ Size ei-and ^-~.~n~- ~ t ~ Lounge Style TV _ _ - ~ 0 Chairs # Color _ Size 8rand - - _ ~ ~ ` O Occ. .~y tf ~ TV • ' i oC Chairs #.L~ Color _ Size Brand " - ~ End c~ Stareo , ~ ~ Tables St le`}..\ = u~ Type Rrand ~ ~ Cofiee ~ J - Koom Air - _ ~ " Tables # ~ Style - U Conditioners ~ Size Branc! ~ ~ ~ ~ Rugs - z Range ~ x ~ J Size - Color ` ~ h~ d Brand , • - ~ Carpet - Refrigerator ~ ~ . Size Cc~lor J Brand L.amps # ~ ~ a Dishwasher _ { Type Srand ~ _ a Dinette Set Freezer - ` ~ ( ' ' Z # Pieces Style ~ Brand ~ V~-~ - f : ~ ~ End - Washer r ~ ~ Tables # Style 8rand~ _ _ _ ~ £ ~r o ~ Chairs # Style Dryer - - ~ W i Coior 8rand ~ ; o?- Sofa - Style Sewing Machine ~ ~ t- ( - Color ~ ' Brand ; W ~ L~esk Vacuum ~ t _ Z Type • Brand ' - - ~ ~ f - - ~ Power TYPe _ ' ' ~ Lawn Mower - Brand . - ' ~ Suite - ~ ~ ' Piand - j f~ ~ Pieces - St le ~ W T e~ Brand - ~ _ ~ Suite . • . - /I Organ - 'i'~ ~ ~ Pieces ~ ~ t_ St le ~ l~ Z Type Br~nd ; ~s' ~ Suite ¢ Atajor `s, F ~ ~ Pieces St le ~ J Power 'i'ools - I. ~ ~ 5uite - ! ~ . cC ( ` ~ ~i ece s _ S t I e ,/T/l ~o" _ U ' " ~'~h, - ~ ~ Rugs or Si~e i-, ~ # _t;;:~ W Car ets ~ Color ~ 57 r ~f~ ~ °D Chairs ~ ~ r.; . _ _ ~T"*t~- ~ ' ~ , • ; ra~ ~ { - COI01' n-- -';li ':!~io ` ' ~ _ Lamps ~ _ ~ - _ ; ~ T e . _ ~ _ ~ = When and Where was furniture pur~tiased? Cost $ _ ~ _ Customer's estimate of value _ ! _ With what cosnpany is the furniture i~cured: Name ~ - ~ = Policy ~ Addres~: - ~ Schedule "A" of Security Agr~emznt dated the day of 14 7_~; ' . ~ , Ori inal Loa ~ ~ - % Z~ ~ ~ ~ ~ - - ~ ; (Wit~ess) (Date). (Seal) _ ~ ; . - ~ s (Witness) . (Date) - (Seal) ~ . - ~ ~ - - ~tness a e - - ea _ ~ _ - - ~ ; L-48 r~{~ ~+~q ~ _ . - ~ 600K ~Js`7 P~;Gf ~!1 t . ~ ~ _ F _ i = ~ _ ~ ~ • ' F - - , 4