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SCHEDULE'. "/1" SECURITY UST ~ Branch Address Stamp .
Describe furnlture by color and style;
Abbreviations - Mod. , Trad. , Col, , Medi Fr. P.
Describe appliance by size and brand. Verbal list?
~ ~j Yes No
; Sotas # Style f Ty
~ w:~: Size .9NScN~L Brand ~ _
~ -Lounye gty~e T/ -
~ ~ Chairs # Coior Size B~and
~ 0 Occ. ' Ty
i~ Chairs # Color Size ' Brand
~ End Stereo /f ~ p
f v Tables f S le v~ ~T L"f%lt,~s~-'- Brand ~
} Z Coffee w w? Raom Air
, Tables # St le V ~ Conditioners # Siz~~Q ~ and
~ ~ Rugs z Range
~ ~ Size Color < Brar~d -
+ C~~t - - Re(rigerator . _
I S1ze Color -i Brand ~ ~ r - ~U~'TY• ~ _
' ~mPs # ~ . a Dishwasher ' ~ ~ ~
T n' Brand ~
~ Dinette Set ~ Freeztr
Z # Pieces S le
p W Brand ~ . 3
; 0 End Washer ~
Tables # S le Brand
fC o Chairs f Sfyle ~ Dryer
i W , ` . . , .
Color Brand , ~
~ `o Sofa Style Sewing Machine ' ~ ' "
~ F- Golor Brand
~ W ~Sk Vacuum ~
Z 'r B rand
~ 0 . N Power Type
~ Lawn Mower Brand
Suit ~~f~~j ~ Piano
# ~eces ~e~~"~ ~T Brand
, Suite . ~ Or an
!~-f~~l~ 9
# Pieces '~"~'S I ~ Z T Brand
~ ~ Suite ~ Major
/ Pleces St le J Pawer Toois
~ ~ Suite
~ ~ W
f ~ Pieces St te V
~ ~ Rugs or Size _
W ~
C2 t5 # C.O~OI'
Chairs ~
~ ~ ~
~ Color
I _ Lamps •
~ T .
When and Where was furniture purchased 1 Cost S ~~p 0-~"O
Custorner's estimate of value ~
With what company is the furniture insured: Name
Policy t Address:
Schedule "A" of urity Agreement dated the ~ y of i9 7 ~ •
Origi ( . ;
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(Da ) (Seal)
(Witness) (Date) • (Sesl)
ss a e a
t-aa
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