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SCNEDULE "A` SECURITY LIST ~ Branch Address Stamp ~
Descrfbe turnltum by oolor md ~tyle: ~ ~
/lbbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~
D~scribe applia~ce by size a~d brand. Verbal Ust~ ~
[j Yes n No ~ ~
Sofas # ~ Styte s TV ~ ,
i Color Size ~ Brand ~
~ l.,ounge Styte TV
~ o Chairs • Color t Si:e Brand
i O Occ. TV (
~ Chairs # Color Size Brand ~
End Stereo ~
~ V Tables • S le vf T Brand
; z Cpftee u~ Room Ai r
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Table~t # S le V Conditioners # Size Brand
~ R z
~ ~ R~9e •
+ ~ Size Colar ~ Brand
; Carpet - Refrigerator -
Size Color '-i Brand ~
~ Lamps ~ ~ a Dishwashar ~4 4
` ~ T ~ a Brand ~ ~
Dinette Set a Freezer K ClRCUiT COURT i
~ Z ~ Pieces S I~ Brand ? VEAIffED - c.
b W End Washer ~ ~
~ Tables # S le Brand A~ ~ ~
o Chsirs # Styl~ ~ Dry~r ~
~ u+ Cotor Brand
L o f- Sofa Style Sewing 11Aachine
E~' F~ ColOr Brand
~ W - Desk Vacuum
~ z ' ~ T Brand
~ - ~ Power TYPe
~ Lawn Mawer Brand ~
Suite ~ Pisno ~
# Waoes ~ S le ~ W T Br~d ~
Suite Z Organ
~ # Pieces 5 le T Brand ~
f ~ s~iu J Msjor ~ ~
I o # p~~ S le J Power ~oots
! ~ Suite W . ~
+ ~ Pieces S le V
( ~ Rugs or Si:e ~
~ Ca ts • Color _
Chain # ~
~ Color
~ U~s # T ~
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When and Where was furniture purchssed 1 ~/~/yG~~//a Cost S e~K'LM'U~-
Customer's estimate of value -
With what compsny is the furniture insured: Name ~~Q~~
Policy ess:
Schedule.•A" curity /?g n ed the day of LL , 19
Origi 1 t~lo.
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(Dat (Seal) ~
tness) (Date) (Seal) 4
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• 6~K ~i l ~r PACE J.(r
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