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SCHEDULE 'A` SECURI7Y LJST ' Branch Address Stamp -
Oescr3be turnitwe b~? aolor and style:
Abbrevistions - Yod_. Trad.•, Col.. Yed.. Fr.P.
Describe apQlianoe try size and brand. ~ Vcrbal List3
. ~ ~ Y~ C1 No
~ Sofas •.Z Sh?k w1 - TV dZ-
. Size Brand ~ ~ ~ ,
i g . 5~yle T~
~ Q # ~ Size Brand
O Occ. ~ `
cc Chairs # C.olor ~ Size _ B~and '
Stereo ~
, ~ k-~(f~~ u? T ~ Brand
c~ Tables w Roan Air -
z Cofiee
- Tabks # le c~ Gonditianers Size Brand 9cs,t-Qr(,
> R,gs - Z R~
- sizc 9-/~ Cotor < Brand PQ Q 1 v a Q n
J [~a.,~t - Refrigerator ~ i -
~ Size Color ~ Brand ~l O ~ 't~a
~ Dishwasher fIlEO RM~ REC RFE~~ .
T "Y/1 ~ < Brand - R
Fr~zer ltOGf.R P0~ 8A `
~ Z• k g~d CLERK +.iRCUI? COURT
P ui ~ Washer '
p ~ Tables ! S le Brand
~ o Chairs • St~lk Dryer _ .
u~ Color Brand
~ N o F, Sofa Sty{~ Sewing Machine
; ~ F„ Brand
W pesk Vaunwn
~ Z T ~ Brand
f-' Power TYPe ~ -
p p ~ ~ Lawa Nower Brand
suite ' a Piano .
' # PGeoes 5 le T B~and
~ W
Z Brand
S le T
~ ~ Su~e~ J I~ajor -
i
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# Pfieoes k J. Povrer Toots ~
! ~ SUW~! W - ~ ~~_1
! °C # P'ieCes S k U -
; o R~ a Size N •cnlttEO
. 'L G # -
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' ~ Iroir 1 'i0 32
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wfllMl afld wI'1!R MiS ~Yf11~hlI'! pUrCI'faSC~ ~ S ~C `„1 COS~ S O V O
Gustome~'s estie~te d value 0 ~ V
Witfi what oon~arh? is the furniture insured: Na~oe
Polic~l # Address:
Sct~i{e 'A' of Security Agreemeret dated the ~ daY of C~~DzJ . 19 .
Original Lvan No.
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