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SGHEpU1.E •A" SECURI7Y LIST ~ Branch Address Stamp
Qescribe turnituro l.+y color and style: ~ _
/lbbreviatior~s - ~Ilod. , Trad. , Col. , Medi Fr. P.
Oescribe appliance by size and br~d. _ ~ Ve~~ List? ~
[j Yes (-I No
# Style TV G ~
~D Color Size ~ 7~~ Brand I~~
; ~ c,~,y~ Z sa~~ Tv
~ O Chairs # Cotor Size Brand
' O Occ. N
i ~ ~i~ # Color Stereo Brand .
~ 3 in T'~~ Brand _ /""t k~
; o Tables i S le ~ -
Z ~ w Room Ai r T ~ ~
# S ~e v Canditioners ~ ~ Size /ON,Brand
> R~ _ Z Range ~ ~
' Brand
- Size Color <
~ ~ - - - - Refrigerator '
Carpet
~ Size Color Brand .
# ~ a Dishwasher -
T a Brand
~ Z Dinette Set . . 5 le 6 Brand r
~p ui _ Washer !
~ ~ Tables # 5 le Brand
~ i~ o Ghairs # Style Dryer '
; w Color Brand
V o F Sofa Style Sewing Machine ~
~ F. Colo~ Brand
r w Desk Vacuum /
{z Z T Brand ~ _
~ _ N Power TYPe
p ~ lawn Movrer Bra~d
! Suite 0 Piano
Brand
~ # p~~ 5 le W Organ
Suite z • Brand
S le Q T
; 1
j ~ Suite~ ~ Ma or
# P'ieces S le ~ Power Tools C-)ut'£0 ~
~ Suite w trC( r1A
~ ~ - # Pieces S le V
Rugs or Size N ClOR ERIF~~ r~~
: w ~ ~ # Color _
` m Chairs # ~
~ Color ~
i ~~5 # ~ ~
T
~ lAfhen and YVhere was furniture purchased ? $
Custaner's estimate of value
With wfiat company is ,the furniture insured: Name
Policy # Address:
Schedule •A' of Security Agreertient dated the day of . 197
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