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SCNEDULE •/1" SECURITY LIST Branch Address Stamp ( ~
Describe furniture by oofor and style: ~ I x
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ! ±
Describe appliance by size and brand. Verbal List? ; ~
~ Yes No i ~
Sofas ! - S~vl~ _ _ Tl! ~ r~ C'O e1'~'r
' Color , ~-vG;~ ~ a Size .it,~ Brand ~ CG'~1f~0
~ Lounge Style TV - - '
0 - Chairs E Color Size~~ ~~c ~ B~and ,"`7`e"~
O Occ. TV /
~ Chairs # Color ~-d:,J~ L Size / ~ ~ l Brand r ~ ~ ~
End Stereo ~
v Tables • 5 le . in T Brand
z Coffee ui Room Air ;
- Tables # S le v U Conditioners / Size Brand ~
~ Rugs z Range ~
~ Size Color ~ Brand ;j
c.1 ;
, Carpet - Refrigerator
Size Color Brand c- •a- ~ ~~7
Lamps ~ a Dishwasher ~
~ T li ~ L P Brand
~ Z i Dinette Set / Q Freezer i
# Pieces St le Brand ~
p o End Washer ~ '
Tables # S le Brand v-
~ o Chairs i ~ Style ~ Dryer
W Color Brand ~
~ o F- Sofa Style Sewing Machine ~ :
' Z F- Color Brand / / ' ~ '
i ;
~ ` W Desk Vacuum
~ z z T Brand -
' c - N Power TYPe
' ~ Lawn Mower Brand
; _ ~
~ Suite 0 Piano ;
E ; # Pieces 5 le T - Brand '
~ Suite W Organ 1
r ~ # Pieces St le Z T Brand
~ ~ Suite - ~ Major '
~ o # Pieces 5 le ~ Power Tools
~ Su~te W RECORD~ ~
# Pieces St le v £D ~ND ,T.~ FL.A-
~ ~ Rugs or Size ;T, L ~~~~";~G
`L Ca is # Color ~ - ~ n : "
~ m Chairs # g ~
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~ Color
~ Lamps # ~~p ;
: T V
~ 7 ?t,. S
~ When and Where was furniture purchased . Cost. •
~ - Y..: . ~ , i ~
~ Customer's estimate ot value~~~}~/G " C~E?K C~'`r'~
x
With what company is the furniture insured: Name .
` Policy t Address:
Schedule uri greement dated the day of , 19 ~
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