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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod., Trad., Col., Medi., Fr.P. +
Describe appliance by size and brand. E Verbal List?
~;_j Yes I-1 No
Sofas # Style ~ TV /Ytt/
Color p ~ Size Brand
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. ~ TV
!]C Chairs # Color ~ ~ Size Brand _
End Stereo
V ' Tables # ~ St le of T Brand
z i Coffee W Room Air
- Tables # St le V Conditioners # Size Brand _
> Rugs z Range
~ ' Size Color Q Brand S ~
~ Carpet - Refrigerator
Size Color ~ ~ Brand ~ E'er
Lamps # ~ a Dishwasher '
T a Brand O d L
Dinette Set Q Freezer
z ~ # Pieces Style jt/~j/V~ ~ ; Brand C L L _
G W End ; Washer ~
~ ~ ~ Tables # St le Brand L
a o Chairs # Style ~ Dryer
W ~ Color Brand C
~ o f' i Sofa Style Sewing Ma ~
z F ! Color ( I Brand ~//~I(~ ,~.y0 SE,~.eC ./IE.YAIep~
Desk ~ ~ ~ Vacuum
' 2 z Type 1i1/,h~ lJU~ ~ ' ~ Brand ~ L' ~L - -
Power Type
A O ~ ~ > .Lawn Mower Brand _
E Suite , O Piano
# Pieces ~ Style C~F~R/ ~ T Brand _
W
f ~ ; Suite ~ ~ i z Organ
~ ` # Pieces S le T Brand /qs _
~ Suite ~ Major _ ~ - J r.:;' ~ it
~ ~ O # Pieces 3 Style 1~1/Iq ~T ~ ~ Power Tools -
O Suite
a' I I W
# Pieces ~ Style~~-Pj ~ 1 V
o r Rugs or Size ~ t ~
`L i Carpets # Color ~ _ - ~ t~---
Chairs # ~ ~ ~ i•'
Color
' Lamps # . -
-
( When and Where was furniture purchased? Bost 5
Customer's estimate of value ~ aQQ,~
With what company is the furniture insured: Name _ -
_ Policy # Address: -
Sche a "A" Sec ent dated the _ day of 19
rigina a _ -
v '-1 ~ ,
x - ~p~
~ (Date) (Sea
\ ' ~ ~
Seal) T
(Witness) (Date)
ttness a e - ----~ea~- - -
L-48
s'o~~ 301 ~~~E223~
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