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SCHEDULE "A" SECURITY LIST ~ Branch _Address Stamp `
.Describe turniture by color and shle:
Abbrevistions - Mod. , Trad. , Col Medi Fr. P. ~
Describe appliance by size a~d brand. I Verbal List' '
' (~j Yes j ~ No j
~ Sotas t Style TV
! Color Size r ~ Brand~' N~9'
~ ~ Lounge 1 ' Style TV
~ 0 Chairs i Color Size Brand
~ O Occ. TV
ac Chairs # Color Size Brand
` End y ~ Stereo 1
V Tables # S le - v? T Brand
Z Coffee ~ c3' w Room Air
~ - Tables t - St le ~ V Conditioners # Size Brand
, ~ Rugs z Range
J Size Color d Brand ~
, Refrigerator (
Size Color J Brand
Lamps ! y a Dishwasher!
T a Brand
Dinette Set Q Freezer -
~ Z # pieces S le B~and
p W End Washer -
II Q ~ Tables ~ St te Brand
~ o ~ Chairs # Style ~ Dryer -
W Color 8rand
~ o F- Sofa t'i Style c,~'"' Sewing Machine
R 1- Color Brand
~ u~ pesk Vacuum (p
~ z T Brand C~.~-C6-~~
~ Q N Pawer Type
> Lawn Mower Brand
i Suite 0 Piano
# Pieces'~ St le W T Brand
' Suite Z Organ
I # Pieces S le T Brand
~ ~ Suite J Major
~ ~ # Pieces Style ~ Power Taois
~ W
~ ~ Suite f I LUO ~
~°C • Pieces St le V f?. , EC ~
~ ~ Car~ ts f! Color ~ Rp C( EFK T C 4Rq4s 1~1.
W ~
m Chairs # ~ w
Color
' ~"'ps , - lo PH'16
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~Ilhen and VYhere was furniture purchased ? Cost S _
Cuslomer's estinwte af value 1) j
With what ny is the furniture insured: Name
Poli Address:
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Sched t uri Ag~ t dated the day of , 19 -
Origi Loa No. ~ ~ ~ n ~
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~ (VYitnes . ~ (Dat ) (Sea ~
(Wilness) (Date) (Seal)
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