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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp
Describe furnituro by color and style: _ . I
Abbreviations - Mod. , Trad. , Col. , Medi F~. P.
Describe appiiance by size and brand. Verbsl List3 '
I [j Yes n No ' ~
~ Sotas # Style ~'OL~N~ TV
~ ~ Color Si:e ~ ~OLOR Brsnd /y/¢rOX
i~ Loun9e StY~e .[/j~ y N
~ 0 Chairs ~ Color ~ Size Brand
~ O Occ. TV -
I oc Chairs # / Color ~ie/Nr Size . Brand
! End Stereo 711~6 BCrC y Ti~uv~McF
~ v Tables # S le ~OLON/1/~ v~. T A,tl Brand /~/Y iv/C
~ z Coffee " Room Air
Tab1eY # St le C p Nd~~ V Conditioners t Size Brand
; > R~gs z Range
j ~ Size Color ~ Brand
~ ~~t - Refrigerator .
' ~ 51:e Color Brand NT EX /r
~ ~~5 # a Dlshwasher
~ T d Brand
~ Z Dinette Set Frcezer
b ~ Pieces S le N~ ~ Brancl
W End Washer
T~las # S le Brsnd ~f~/ G OG
~ ~
o Chairs # ~Style ~ Dryer .
~ u+ Color Brsnd ;
~ c~ Sofa Style Sewing Machine Q `
~ ~ F- Color Brsnd U d E~ ~
~ Desk . Vacuum ~v '
~ ~ z . T Brand C~ /1/pC .
~ - N Power Type ~
~ Lawn Mower Brand
Suite ~ Piano
# Pieus .3 S le `OLdti/~~ W T Brand
+ Suite Z Organ
# Piaces S le C i ~ 'T Brand
Suice ~ Major :,~~ED ANO RECOR "
; Pieces 5 le !f7 J Power Tools wCl DEp
~ Su'tte W rrw~l~ AK CI POITRAS _
# Pieoes 5 le v RCUIT
~ ~ Rugs or Size ~ ±
~ 1° Ca ts # Color _ _ ~
~ m . ~ _ a9 '~l
co~or >
t,amps # ~E~AIn C a~'~
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When a~d VYhere wss furniture purchased~ 7~ ~El~(/ ~~i
SE Y S O~
Customer's estimate of value ~0~~~ DO
With what company is the furniture insured: Name '
polic~r ; Address: _
Sc;~edule of Security re t dated day of 19
Ori I No.
/Z 77
i ) ~Date) (Seal1
. -7 /i Z "7 7 Y~~' ~ ~
ss) ~Date (sesl)
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