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SCHEDULE "A" SECURITY LIST ? Branch Address. Stamp
Describe turnitun by Dolor end style: i
Abbnvlations -Mod. , Trsd. , Col. , Meth. , Fr. P.
Describe spplisnce by size and brand. Verbal List?
- Yes No - - ~
s
Sofas # Style TV '',,ll
Color Sire / ~'Brrand
` ~ Lounge Style 'ry t.
O Chairs # Color Size Brand k
O Occ. _ TV i
oC Chairs • ~ Color Size Brand ~ -
~ End Stereo
u Tsbles • S le ~3 .n T Brand '
Coffee - - - - - ~ - `
Z --Roo~ii-Alr _ - - - - -
Tables # S le v Conditioners i Size Brand
~ Rugs z Ran
i _ x
~ J Sire -Color < Brand
Carpet - Refri razor
S1ze x Color Brand
Lamps # ~ Dishwasher
T o. Brand
z Dinette Set ~ Freezer ~ , _
# Plates S le Brand
p W End Washe - -
p ~ Tables ! St le Brand ~ _ _ ,
o Chairs # Style ~ Dryer
W Color • Brand _ ~
N o f' Soh Style Sewing Machine
F' Color Brand - `
W Destt _ Vacuum
z T 8r~d _ _
Power Type
~ ~ Lawn Mower Brand
Suite ~
Piano _
~ • Pieces ' S le W T Brand
Suite Urgrn -
`A t Places ~ S le z T Brand
i ~ Suite ~ Major _
i O t Pieces ' St le ~ Power Tools
~ O Suite -
O: o W
~ # Pieces St le v
j 4 Rugs or Size ~9~g 5~~~~_
W Ca is # Color m
chair: • -
Color ~ A~~~IA. i
Lamps • C~ COUR
T a~
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When end Where was furniture purchasedt ~ ~_,4it~ ~R~` Cost S
Customer's estimate of value ~OpO, ~G ~~peo~
With what company is the furniture insured: Name ~~JJ
Fblicy # Address: -
Schedule "A" of Security Ag Bement dated the day of 19 - - - - - -
rlginal No. -
(Witness) ~ ( ate) i _ (Seal)
(Witness) (Date) (Seal)
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BODK316 ~~~ii57