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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. ~ Verbal list?
~ ? Yes j 1 No
Sofas # ( Style TV I
Color ~ arln Sire ` Brand
~ Lounge Style TV
O Chairs # Color V~Q.. Size Brand
O Occ. TV
~ Chairs # Color •!1~ Size Brand
End Stereo
u ~ Tables # St le m T Brand
z Cotfee ~ W Room Ai r
Tables # St le U Conditioners # Size Brand
~ ( Rugs z Range
~ Size Color Q Brand
Carpet - Refrigerator
Size - Color -i Brand
Lamps # a Dishwasher
` T a Brand
Dinette Set A,if ¢ Freezer
~ z ! # Pieces le Brand L°~~ 5 ~ t
O W ~ End Washer
~ ~ l Tables # St le Brand
o . Chairs # Style ~ Dryer-
' W ; Color Brand _
v o F- Sofa Style Sewing Machine _
~ f-' Color Brartd
Z W ~ Desk ~ Vacuum
z ~ T Brand
i
Power TYPe
O O y a Lawn Mower Brand
O Piano ~
Suite ~
~ 3 # Pieces 1$~? W T Brand _
! Suite Z Organ
~ # Pieces ~}11~5 lAW T Brand
Q
~ Suite ~ Major i
O ~ # Pieces ~ St le ~ Power Tools ~ . ~ 1_ _
O ' Suite - - -
~ W f
# Pieces Sf le V ~
O Rugs or Size a ~ ~v
W Car is # Color , v i
m Chairs # ~ ! n
Color I ~ ~ ~ ~ ,J
Lamps # -
t T - r
When and Where was furniture purchased ? ~ Cost ~ . ; . ~
z
Customer's estimate of value VC/l/.
k
_ With what company is the furniture insured: Name _
Policy Address:
x Sched f Sec ri nt dated the of 19
rigina a
qv~~ _ #
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( fitness) (Date) (Seal)
i Hess a e ea -
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- - ~ _
~ ~ x
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