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SCHEDULE "A" SECURITY LIST Brand~ Address Stamp ,
Describe (urniture by cotor and style: i
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. ~
Describe appliance by size and brand. Verbal List? ~
~ ~_j Yes I -I No
.
Sofas A Style TV /1 ~l
Color~Cl7W~ Size ~~0 rBrand ~\Yl'if~..~
, ~ Lounge Style N
o Chairs t Color r Size Brand
O Occ. , TV
~ Chairs ~ Color Size Brand
End Stereo
V ~ Tables ~ St le (~j v? T Brand
Z Cof(ee . W Room Air
- Tables A St le U Conditioners # Size Brand
~ Rugs z Range
~ Size Color Q Brand 0~ - r ~
Carpet _ - Refrigerator
Size Color J Brand C~~ ~ QC ~'~e~.
Lamps ~ \ n' Dishwasher
T Ps 1 e. Brand
' Dinette Set ~ i~A~'~S a Freezer
'L Z' # Pieces St le Brand
c W End = Washe~
~ ~ ~ Tables # St le Brand
a o; Chairs 1~ Style Dryer
~ Color Brand
o f-' i Sofa Style Sewing Machine
Z F- ~ Color Brand
W ~ Desk Vacuum
'Z z t T Brand
Power Type
~ ~ Lawn Mower Brand
i ~ Suite ~~,Q- o Piano
' ~ # Pieces ~ ~e~y~St le W T Brand
~ ; Suite 1~JO0~. ~ Organ
€ ~1 Pieces ~ St le 1+a'.SSC f Z T Brand
€ ~ Suite --r J Ma'or
g ~ # Pieces St le {rie~ ~ Power Tools : i•. ~~0~1,~'C •
~ ~ j Suite O w - , . . ~ _ ~
~ ~ ~ A Pieces t le V - ` .
s ~ ; Rugs or Size ~ ~(~L~~ 5
~ W I Car ts it Color _ 41~+~
~ 0° I Chai rs ~ , ~ ~ ~ •
2 ; Color
~ Lamps # ~
~ ; T
~ . -
~ When and Where was furniture purchased ? Cost
S ~M .
~ Customer's estimate o( value (/Ibt~~~ ~
With what company is the turniture insured: Name _
~ Policy 1i Address:
Sched Secur' dated the day oi _ , 19
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