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SCHEDULE "A" SECURITY LIST Branch Address Stamp !
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col. , Medi . , Fr. P. ~ ;
Describe appliance by size snd. brand. ! Verbal List? ~ ~
Lj Yes 1 ~I No i ! ~ ~
So1ss # Style TV
Color Size ~ brand -
~ Lounge Style nn
Q Chairs # Color Size oG ~ ~ Brand a~~
O Occ. ~ ~ ~ TV
n: Chairs # Color ~ i Size Brand
End Stereo
V ~ Tables # St le ~n ! Type Brand '
z Co{tee w Room Air
- Tables # St Iq V v Conditioners • Size Brand
? Rugs z Range
~ Size Color i Q Brand ~ [-V ~ ~~-u^'t~'~N~
Carpet - Refrigerator ,
Size Color Ca ~ ~ ~ Brand ~
Lamps # a Dishwasher
T ~ a I Brand
Dinette Set Q Freezer t
~ z # Pieces St le Brand - -
~ w End ~ Washer ,1~ , w w 0
~ ~ Tables # St le Brand OCX~ G(/~' _
GY o Chairs # Style ~ Dryer
w Color ` Brand _ - - -
v o F' Sofa Style Sewing Machine ,
f ~ H ~ Color Brand - _
w~ peSk I Vacuum
Z z 1' Brand ~ -
C ~ t i ~ Power TYPe - -
w = Lawn AAower Brand - _
Suite Piano
# Pieces St le ~ r ~ W T Brand
~ Suite z Organ - -
i Pieces St le a T Brand
t ~ Suite 1 ~ Ma)or
~ # Pieces Style J Power Toots _ _ - _ _ _
~ ' Suite ; w ~
~ i Pieces St le u -
~ 0 ~
Casts # Color ! `n _ - tQi~ i)~Y _Q
Chairs # ~ ! -
Color { ! ~p
Lamps # ~ ^_SfT
Lt~lC1E CQl1N~T~Y~fLA. -
! ~ R06ER POITRAS
- TYPe 1 ~ - - - . -
Cost 5
When and Where was furniture purchased ? - -RECORD ~'ERIFIEO -
Customer's estimate of value 44323
~ With what company is the furniture insured: Name _ _
~ - -
Policy A Address: - _ - - - -
Schedule "A" of Security Agreeme ed the day of 19
Orlgi N~ ~ ~ _ n ~ ; r
fitness) - ~e~/,~ Seal) - - - 3
• (Witness) IDate) (Sean
Hess a e eaTj - (
~ L-4e
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