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SCHEDULE 'A" SECURITY UST ; Branch Address Stamp ~
Describe turniture by colo~ a~d styie: ~ ; ~
Abbreviations - Mod.. Trad., Col., Medi., Fr.P. '
Desc~ibe appliance by si:e and brand. V 1 List? ~ ;
- Yes 1=1 No _ ~
~S e ~ T~ ~
Sofas ~
~ Size Brand
~ Lounge tyle TV "
~ Chairs ~ Color ~ _ Size Brend
O c. ~
Size Brand
~ Chairs •
End ~ Stereo
Tables # w T Brand
z Coffee w Room Air
- abies ! • ~St le U Condiiioners Size Brand ~
~ ~ Rugs z Range '
- Size Color Q Brand ~
- Reiriger or
Carpet
Size Color I ~ Brand
~ ~~S # a Dishwasher
~ -r Brand
• Dinette Set a Freezer
L Z` # Pieces St le Brznd
p w E
~ Washer
'C ~ i Tabies # Style Brand
a o!- Chairs # 51y1e i B and J 1
~ w ' Calor
~ F- Sofa Style Sewing Machine
~ z ! Color Brand
~ ui ; Desk Vacuum
~ z Z+ TY~ Brand
= _ ~ N Power TYP~ .
C p ~ i ' Lawn Mower Brand
' Suite ~ Piano
~ # Pieces St le T Brand '
W Organ
; Suite z Brand
~ C Pieces St le Q T
~ Suite J Major
~ s ~ Pieces Style ' ~ Power Tools
~ I Suite ~ w ~ ~ ~
~ * Pieces St le V
Q Rugs or Size N aT1EG tN~ „
Ca~ ts # Cotor - RKGr'.~+ = ~R~S [A. '
~ Chairs ~t ~ ~ C(rR
Color fs : ~xC` Rt
Lamps ~1
T
oc Piy ~
When and Where was furniture purchased ? Cost S
~ Customer's estimate of value ~9
With what c y is the furniture insured: Name
po~~~ ~ / ~ Address:
~chedule "A" o ~ cur' y Agreerne~t dated the day of 19
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