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SCHEDULE "A" SECURITY LIST Branch Address Stamp I
Describe furniture by color and style: '
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. ~
Describe appliance by size and brand. Verbal List?
. I(^l Yes 1 I No '
Sofas 1k Style N
' ' Color Q~O~ Size rand ~
, ~ Lounge Style TV
o Chairs t Color C~h Size Brand
O Occ. ~ ~
~ Chairs i Color Size Brand
End Stereo
V Tables / St le ~n T Brand
z Coffee W Room Air
- Tables # St le U Conditioners ~ Size Brand
~ Rugs z Range
J Size Color Q Brand ~~?b
Carpet J Refrigerator '
Size Color Brand
lamps ~ a Dishwasher
T Brand
Dinette Set ~ 1- Q Freezer
~ Z # Pieces St le ~ 1~i Brand
~ W End Washer
~ ~ ; Tables # St te Brand
~ o ; Chairs # Style Dryer ~
' w ! Color Brand
v o E' ! Sofa Style Sewing Machine
j 2 F- ; • Color Brand
j ` w~ pesk Vacuum
f Z z i T Brand
Power Type
Q ~ ~ N Lawn Mower Brand ~ •
~ ~ Suite ~ ~ Piano _ ,
~ ~ / Pieces V? t le ~r W T Brand
~ ~ ~ Suite Z Organ .
~ ~ i ~ Pieces Ou~ le ~ T Brand
~ o Suite G ~ J Major ~RpEO~`
~ ~ ~ Pieces W~1T ~~f~ J Power Tools ~ EC
ti ~ I Suite W ~
# ~ ~ # Pieces St le V ' . ~i : L~
s Q ~ Rugs or Size ~ - ~ A`~
~ i Car ts # Color
~ m - ~n !
s Chairs A ~ Q a~ l:
* Color t V
~ , Lamps ik q
~ T e , - - ~'s"y' f ' ~
~ _ , ~,.}l~rt ~
~ When and Where was furniture urchased ? Cos r~ i ti'.'~"~
P ~ t'
~ Customer's estimate of value D~`.~.~~
5
With what company is ihe furniture insured: Name
x policy # Address:
Schedul c greement dated the day of , 19
3 iginal
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