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SCHEDULE "A" SECURITY LIST ~ Brand~ Address Stamp i
Describe furniture by color and style: ~
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Abbreviations - Mo~., Trad., Col., Medi., Fr.P. ~
Describe appliance by size and brand. Verbal List? , . r
I [J Yes r~ No ~
Sofas # Style ~ t
Color Size > ~ ~ N Brand #
~ Style Ty ~
O Chairs ~ Color Size Bra~d ~
O Occ. . TV }
oc Chairs ~ ~ Color Size Brand ~
End Sterto a:.. . ~
U Tables ~ 5 le ~ T P~ - f~~t e ~ Brand
z Coffee W Room Air ~ i
- Tables # St le U Conditioners i Size Brand
> ~ Rugs z Range 3
Size Color a Brand ~
~ Ca t - Refrigerator _ - ~j
r~ J
Si ze Color B rand ~
~~5 # . a Dishwasher
T Brand ~
Dinette Set a Freezer +
~
~
~ Z # Pieces St le Brand ;
p W End Washer
~ Tables t S le B~and
a o Chairs C Style Dryer _ ~
' ~ w Color • Brand ;
u o h- Sofa Style Sewing Machine ~
i z E.. Color Brand ;
I 'z W pesk . Vacuum
~ Z 1' Brand ~ ;
Power TYPe
I ,A G ~ Lawn Mower Brand '
~ i- Suite ~ Piano *
# Pieces S le T Brand ~
W Organ ~
~ Suite Z
i`~' # p~~g S le T Brand s
~ Suite ~ Major r:l.cD ;.t~:D ~ECORDED~
~ # Pieces 5 le Power Tools + ~ ^
' ~ Suife W " ' , . ' . . , . ~i
' ~ # Pieces S le ~
Q U
, Rugs or Size ~ ~
Car ts # Color _ ' ~ -
00 Chairs # ~ ~ ~
Color
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lamps # , s . - _ ~ f
.r . . _ , . ~
~ . . , ,
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When and Where was furniture purchased.? Cost S ~
~ Custwr~er's estimate of value ~
~ With what company is the furniture insured: Name ;
~
~ po~~~y ~ Address: :
~ Sched A" of curit ted the day of , 1g f
~ riginal n
~ , ~ _
~ , (Date) ~ (Seal) ,
, > n, :
^ < ' -~l ~ C~' l . ~ i
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(Witness) (Date) (Seat) ~
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i ness a e °i
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~ L-48
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soox3(1`3 ~ 545
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