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SCHEDULE "A" SECURITY UST Brsnch Address 5tamp
Dtscribe furnitun by color snd style: ~
Abbr~viations - Mod. . Trad. , Col Medi Fr. P. ,
Dtscriba appltsnce by size snd brand. Verbal List? ; ~
[j Yes ~_I No ~ -
Sotss • Style ~ TV ~i ~ ~
~ Colorc"' t Size Brand ~A J~ ~
~ ~ L,ounge Style TV
a ~ Chalrs i Color Size Brand
~ O Occ. TV ;
1
i~ Chairs i Color Size Brand
End Stereo.
~ v Tabies t 5 le ~n T S~rP~ grand
j z Coftee ~u Room Air ~,,C,N /`AG ~
i- Tables t St le u Conditioners ~ Size Brand C/'G~~9?~ ~
j ~ Rugs z Range ~
' ~ Sfse Color G Brand
Carpet - Refrigerator ,
! Size Color ~ Brand ,
Lamps i ~ ' Dishwasher
T a Brand
~ Oinette Set ~ Frcezer
Z i Fieces St le ~E' Brand
W End ~ Washer
C ~
'Q ` Tsbies i St le e ~ hl~ Brand e/1~ - `
a o Chaln ~ Style ~ Dryer
' ' Color erand S~' ~'G -
; ~ o F' Soh ~ Style M ~ y+,~! Sewing Machine "
M- Color Brand
j ~ W Oesk. Vacuum ~ ~
E ~ 2 / T P ~ Brand ~v r
~ Q ~ 'Power Type °
; lawn Mower Brand `
~ ~ Suite ~ ~ Piano
{ ~ i Pieces S le /4r/j~I ~ T Brand
t ; Sufte W Organ ` ~
~ Pieces ~ le Z 7 Brand .
i ~ Suite ~ Major
~ i O i Piacei St le ~ Power Tools .v. _
Sufte `
~ ~ °C ~ Pieces St le W ' •
~ ~ Rugs or Size ~ d.EO A1~+-` `t.~
~ ` W Cs ts •ul Color /C~ _ ~LL~fCi~tY.FIA~ :
; ~ Chsirs i ~ .
~ Color ;
; V~s ~ ,i_,~, f;
T 9
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When snd Where was fur.niture purchased ? 'j G'~,Q~
~f~
3 ~~'a'~ Cost S ~ j/BL~_~'~Q~___ ~ x
~ Customer's astimate of valve ~GD 6 1
f With what company is the furniture insured: Name /,//jllj,y~is t7' ~~'~Jo~~JL.+Ie ~1,~ ~
~ Policy ! ress: - - - - _ -
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; Schedui of Security Agr men! dat the day of 19 -
~ ginsl n No. -
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itness) _ (Date ~ (Sea ) ~
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ss) (Date) (Seal) t
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