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SCHE~ULE "A" SECURITY UST Brand~ Address Stamp `
p~acribe furnituro by co~or snd style:
/lbbreviations - Mcd.. T~ad.. Col.. Medi.. Fr.P. . " .
pescripe applia~ce by siie and brand. Verbal ListT
[j Yes ("i) No
Sofas # Sty1e S
~i - 8rand ~a~~ - ~ ~ ~
y Color ~'~w?
1~ Sty~e S=j e Brand
O Chai r3 i Cotor
~ o Occ. Cofor Size Brand
~ ~i Stereo
I ~ S le ~ v? T Brand
V T~~~ # w Room Air
i z ~f~ 5 le ~ U Conditionen # Size Bra~d
T~ies #
I> R~ bi < B~sn~d .~C ~ - _
I Size Co{o~
~ / Y' - Retrigerator
Size Color ~ Brand
Dishwasher
i Lamps # T a. Brand
' • ~ Freezer
Z # Pieces t 1 5 fe5~' ~ ~ Brsnd
W E~ Washer
Brand
~ Tables # S le
o Chairs # Style Dryer
W Color Bra^d _ ~
i o F- Sofa Styte Sewing Machine #
Color B~~ ~
~ Vacuum c '
~ ~ ur Desk . Brand
Z T
N Power TY~
! Q _ ~ Lawn Mower B~~
Piano
Suite 5 O T Brand
i Pieoes S fe W .
I,n Suite ~ z Tr~ ' Brand
# pi~ 5 te < Major ~
I ~ Suite ~
O ~ p~~ S te Pawer Toois '
J e~~ :x ~ ~ -
~ sIJ~LE - W . l.._,,,,,,
~ # Pieaes 5 le - v - p -
p R~ or Size N
u~ ~ Co1or - 4g p~ t
m ctiatn f ~ ~ 17 1
Color
Lamps #
T
Coat S
Whcn and VYhere was furniture purcfiased T _
Customer's estlmate of value
With what ca~pa~Y ~s the furniture insured: Name ~
Pnlicy f /lddress:
Schedule •/l' of Sewrity /lgreertie~t dated the ~Y ~f . 19 ~
~ ~ .
Ori nsI L~oan Plo-
s) ~ ~ ~ drt L~i~,
er~ess) tDat ) ~ t'Sea!)
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