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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp ~
Describe furniture by color and style:
Abbreviations - Mod., Trad., Col., Medi., Fr.P, i
Describe appliance by size and brand. Verbal List? ~ ~
I[J Yes r~ No j ~
Sofas # Style ~ _ TV
Color.-~ „c Size 1^~~ Brand ~
~ Lounge Style ` TV
o Chairs t Color ~ Size Brand
o Occ. .y , N ~
~ Chairs t ~,r;,s( Color • ~ Size Brand ~
End Stereo j
c~ Tables ~ S le m T ~(,~rand .s
z ~{f~ w Room Ai r
- Tables t 5t le U Conditloners # Size Brand
> (t~ys z Range
- Size Color < Brand ' t
J ~~-pe~ ` , ~ - Refrigerator . °
Size ~l.cl Color Brand
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Lamps ~ a Dishwasher _ ;
i T a Brand
Dinette Set ~ Freezer ~
~ Z # Pieces ~i" St le 7- Brand ,~'T~ ~
~ W E~d Washer
'c ~ Tables t 5 le Brand c -
~ o Chairs i Style Dryer
W Color Brand
U o f- of , Style Sewing Machine ~
z F- ..'J~ d' ' Color - Brand
` w pesk Vacuum
' ~ z T B rand
p o ~ Power Type
; _ ~ Lawn Mower Brand
Suite Piano
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; ' # Pieces ~ S le W Type Brand
~ Suite ~ . Z Organ ' f
~ ~ # Pieces ~ S le ~ T Brand
; ~ Suite ~ Major ~
, ~ pieces St le Power Tools ~ ~ FD AND ~ECOR~E~' .
~ ~ ~ Suite W :~IC4'' t-,? ~F;Cn
's ~ ~ Pieces St le V ~ ^n'~ ~P• '
~ ~ Rugs or Size . ~ N . '
° w Car ts # L~' Color U O~ _
` m Chairs ? ~ ~ig APR 2 ~
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Color
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; L.amps ~ pJ #
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~ ~1~ p~{ C~RCUIT C~ ~ #
' When and Where was furniture purchased? " `~st'T ~
Customer's estimate of value l S~~U. r- ~
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With what company is the furniture insured: Name ~
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Policy ~ Address: f
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Schedule "A" curiry Agreement ted the ~ day of 19 ~
Origi No.
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? (Witness) t al
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~ tness) (Date) (Se
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~ ~ ness a e ea '
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