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SCHEDULE "A" SECURITY LIST ` Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. t
Describe a fiance b size and brand. ~
pp Y Verbal List.
p Yes No
Sofas # Style TV
Color Size / Brand ~ -
~ Lounge Style TV
O Chairs # Color Size Brand
O I Occ. TV
~ t Chairs t j Color ~.......~i Size Brand
End Stereo
V ~ Tables # St le '>...,,-~lt...~- m T Brand
~ z Coffee W Room Air j
~ St le u Conditioners # Size/G fi ~ 4 Brand i
Tables #
> i Rugs ~ z Range ~ ~
Size / Color Q Brand
J
Carpet - Refrigerator ~
Size Color Brand Gi-~ t~ •.J
Lamps # a Dishwasher •
T a Brand '
Dinette Set ~ ~ a Freezer
~ z ~ # Pieces 7 St le •~~°'r Brand
W End Washer
O ~ Tables # S le Brand K t r~ d c:
a o Chairs # Style Dryer
to Color Brand
U o Sofa Style Sewing Machine
2 H Color Brand
W ~ Desk ~ Vacuum
z z T Brand
A Power Type
o a Lawn Mower Brand
Suite O Piarw
i ~ # Pieces 3 St le ~*fL:.--~ ~ W T Brand
N ~ Suite z Organ
# Pieces 3 S le ~ ~ ~ T ' Brand
~ Ma"or ~ ;
~ Suite J ~ ! r.ECORDED
O # Pieces 3 St le J Power Tools _ `y , ' - .
~ O Suite - .
Q' W - . .
# Pieces St le U
O Rugs or Size m e
's„ w Car is # Color _ AA''
I m Chairs # ~ . 7 W~ ~ ~ .
Color
£ Lamps #
T
When and Where was furniturg~purchased ? Cost S ~ y J ~
Customer's estimate of value ii~j ~ UZ ~°'t.J
' With what company is _ the furniture insured: Name _
policy # Address: -
Schedule "A" o ecur' reement dated the day of 19
riginal n /
z// 3
the (D JSeai) l ~ - /
(Witness) (Date (Seal)
~ ess a e ea
L-48
. gooK 304 PaGf 1782