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SCHEDULE "A" SECURITY LIST Branch Address Stamp ~
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Describe furniture by color and style: ; ~
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. ~ ~
Describe appliance by size and brand. Verbal List? ~
! Cj Yes No , I
Sofas # / Siyl~} N Q i~ ~
r Color ~~w~ Size I r ~~~f ~ Br~nd ~.L~ ~ ;
~ l.~oun St I~~ TV. ~
~ Chairs t 1 Color 4~ro~ n Size Brand ~
o Occ. N
~ Chairs ~ ~ Color K~ (`DVJ~ Size Brand
v Tables # St le wBC~~ Tte~ Vh~~~'~~and
' z Coffee W Room Air .
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- Tables # St le ~ U Conditioners # Size Brand
, ~ Rugs ~ z Range ~
- Size ' Color < Brand ~
J _
~~t - Refrigerator
Size Color Brand -
Lamps ; ~ a Dishwasher
T a Brand
Dinette Set ~•~-C,~IAIY a Freezer ~ ~
~ Z ; Pieces St le ~ a' Brand ~ ~
W End .-l-_~,,,~ Washe~ ~
~ ~ Tables ! / St le W~C~-- Brand F
~ o Chairs # Style Dryer . ~
~ Color ~Q~i Brand ~
~ ~ o E' Sofa Style Sewing Machine
~ 1- Color Brand
f ~ ui pesk Vacuum ~
~ ~ z T Brand
p Q N Power Type
j > Lawn Mower Brand ~
€ Suite J P~a~ 1
( ~ Pieces St le ~ T Brand f
W '
~ Suite z Organ
` Pieces ~ Wti ~ St le T Brand i
t Suite J - Major p ~
~ , ~ # Pieces St le ~ Power Tools . , CpR .
~ ~ Suite W c;~c ,.;;r,Si . -
°C # Pieces St le -
Rugs or Size ~ ~
`j' Car ts # Color
~ , ~ U - -
~ m Chairs # . ~ S3µ ~G •
~ Color 1 ~ ~
~ ~~5 ~ ~ 4 1
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r When and Where was furniture purchased ? ~SF: ~
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Customer's estimate of value
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; With wk:at company is the furniture insured: Name
- po~i~y # ~ Address: z
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Schedule "A° of rity ement dated lhe day of , 19 ~
~ Ori al . '
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~ (Date) ~e 7~~Ca~_
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~ (~tness) (Date) (Sea -
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~ ~tness ea
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