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SCHEDULE "A" SECURITY LIST Branch Address Stamp
i
Describe furniture by color and style: '
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P.
Describe appliance by size and brand. Verbal List?
{U Yes 1=1 No -
Sofas # Style TV
Color 1~ Size
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. TV
~ ' Chairs # Color Size Brand
End Stereo (1 h
U ~ Tables St le T D~i'~' ~riso ~
z Coffee w Room Air
- Tables # St le U Conditioners # Size Brand
> ~ Rugs z Range
Size Color Q Brand ~ „
~ - Refrigerator ` ~
Carpet w
Size ~ Color -i Brand 8~
Lamps # a Dishwasher
T e a Brand
_ Dinette Set Q~~\~ Q Freezer ~ `
Z i # Pieces~~G Style ~ F;"rn~(~ Brand ~ C'~I~~6~ ` B~
i c wi End .Washer
~ O Tables # St le Brand
I ~ o Chairs # Style Dryer
r w ! Color Brand
f U o ~ Sofa Style Sewing Machine
z ~ Color Brand
f-
w i Desk Vacuum
t z Z T Brand
Power Type
g ~ p t > Lawn Mower Brand
' ~ Suite O Piano
~ # Pieces Y w T Brand
Suite Z Organ
B d
`n # Pieces St le G T
O ~ #uP eces St le J Power Tools ~ ~ - -
O Suite w
~ ~ # Pieces St le U
O ~ Rugs or Size ~ q '
w Car is # Color _ ~ 2 ~ ~ (
00 Chairs # ~
Color
g Lamps # _ - .;~'r ..~•~r.-
T
When and Where was furniture purchased ? Cost S
Po ~ ooo. yy
- Customer's estimate of value
With what company is the f niture insured: Name
p # Address:
Sche a "A" o uri A e ated the day of t9 S
S c e
_ riginal an ~ n
s s) ate! , (Sea I )
(Witness) (Date) (Sea I )
a
~tness a e ea
L_ 4a 3U5 ,~~::1365