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SCHEDULE "A" SECURITY LIST ~ Brandy Address Stamp
Describe furniture by color and style: -
Abbreviations -Mod., Trad., Col.,- Medi., Fr.P.
Describe appliance by size and brand. Verbal List?
l..j Yes rl No
S to TV i
Sofas # tY - brand j
Color L° Gh Size
~ L~9e Style TV
~ O Chairs • Color t'~O Size Brand
O Occ. TV .
o: Chairs # Color Size Brand
End ~ Stereo
v Tables # S le ~n T Brand i
z Coffee - a+ Room Air
- Tables # St le ~ V Conditioners # Sire Brand ~
Rugs - z' Range
Size Color ~ Brand
~ ~ t - Refrigerator
Si:e~ Color -i Brand s
Lamps # a Dishwasher ~ ~
T n' Brand
Dinette Set ~ Freezer
~ z # Pieces S le Brand
fP W End -Washer s
C
p G Tables # S le Brand
~ o Chairs # Style Dryer ~n~DYG
W Color Brand
i ~ o H Sofa Style Sewing M i - ~
~ ~ Color - Brand ~ 1tr-
~ w Desk Vacuum
Brand -
Z T m Power TYPe
j~ p ~„~u„~~ Lawn Mower Brand
O Piano
Suite O T Brand
# Pieces S le ~ Organ
Suite 2 grand
~ # Pieces S le ~ T
~ Major ~ _
O #uPieces S .le ~ J Power Tools -
O suite W S GUC1E ~OUNTY:`FL~?:' - )
~ # Pieces St le V ' -
o Rugs or Sire a 4 ~ ^6~
i - Ca is # Color - )
j m Chairs # ~ ~ 6 ii~1 9• ~ Z
Color
f Lamps #
T
,.v •,_r
When and Where was furniture purcha~syedy?~ C@~E~RK C;RCU!T COURT
Customer's estimate of value ~~f/~/.0 y ~
With what company is the furniture insured:. Name
Policy # - Address:
Sc ule "A" Sec rit nt dated the day of 19
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Origins a ^ ~ i'
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i (D e) (Seal) -
Seal)
fitness) (Date) (
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