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SCHEDULE "A" SECURITY LIST i Brancfi /?ddress Stamp
Describe furniture by color a~d style:
Abbreviations - Mod., Trad., Col., Medi., Fr.P.
Describe appliance by size and brand. Verbal List? _ ~ i
I[J Yes rl No I ~
Sofas t 1 Style TV Q 1~ (
Co1or ~'eL '1~ Size 1 Brand G~ 1~`~
y~ S le TV yL
O Cha rs I~ I Color ~B~ Size Brand l~° ~1 T n
O Occ. ~ N
r Chairs # ~ Coior ~ Size Bra~d
~ E~d . Stereo _
U Tables • S le v~ T Brand ~
z Coffee ~ W Room Ai r
- Tables # ' St le V Conditioners t Size Brand
> R~95 /1 z Range .
- Size /l ) Color p'~// Q Brand ~
~ - Refrigerator
Ca rpet
Size Cotor Brand
~~S ~ . Dishwasher
T Brand
Dinette Set a Freezer
~ Z~ # Pieces St I Brand
Q W End ~ Washer
p ~ Tables ~ 5 le Brand
Ft o Chairs i Style Pryer
w Cotor - Brand ~
f- Sofa Style Sewing Machine
~ Z F ~~o~ Brand
~ w Desk _ Vacuum
~ z Z T 8rand
' Power TYPe ~
A p ~ Lawn Mower Brand :
~ Suite 0 Piano -
T Brand
I # Pieces 5 le ~ W
~ ~ ~ Suite ~j Z Tr9~ B~
~ # Pieces J 5 le • ~ , _
~ Suite ^ J Major - _ - ~.~-~r r !
~ ~ # Pieces V' St le 1 ~ Power :Tools ' -
~ ~ I Suite w 1~2 .
~ ~ i Pieces St le V
~ Rugs or Size N ~ ~ 1• ~ Z
Ca ts ~ Cotor _ : C • ~ ~
~ Chairs i ~ •
Color • -
Lamps # T t ( . '
tr
~ ~ When and Where was furniture pur t ~ Cost 5 .
x Customer's estimate of value .
i .
q With whal company is the furniture insured: Name
~ po~~~ ~ Address:
~ , 19
Sch e"A" oi urit : ment dated the day of
j. Qriginal
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~ (Da ~
~ f, ~ ~
~ ' .(Witness) ( e (Seal)
~ ess a e ea
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