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SCHEDULE "A" SECURITY LIST ~ Branch Address. Stamp
Oescrlbe furniture by Dolor and style:
Abbnvlatlons -Mod.. Trad. , Col Meth . , Fr. P.
Describe applisnu by sire and brand. Verbal ListT
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Sofas # Style TY
Color Size ~8rand if
i Style TV
~ Chalrs # Cob Sise .+e Brand
O Oct. ~
o: Chaln # Color Size Brand
End Stereo ,
V Tables # S le N T _ Brand
Z W Roan Air
- Tables # S to u Conditioners # Size brand
~ RuBs 2 Range /
Size Color < Brand G
Refrigerator
Sise Color Brand
# ~ Dishwasher
T d Brand
Dinette Sat < Freezer
Z # Pieces S to Brand -
W E~ Washer
~ Tables # S le Brand
o Chaln # Style ~ D~'Yer
W Gobr Brand
~ H Sofa Style - Sewing Machine
F. Cobr Brand
i W Desk Vacuum
~ = T Brand
_ ~ Power _ TYPe
i D ~ Lawn Mower Brand
Suite ~ Piano
# pieps S le T Brand _
W
m Suite Z Organ
#Pieces S .S/ < T Brand .
~ Suite Major y~ ~ $ ~ 3s
~ • Pleoes S J Power Tools tJ~. S~ ' _
~ Suite W # ~Rtliai
°C ~ Pieces S 1
o u T
Rugs or Size a
W G is # Color
m Chatrs # ~ _ RECORD VER~IEO _
Lamps # Color w
T Y
Whsn and Where was furniture purchassd Cost S i~~y~
Customer's estimate of value OHO
With what company is the furniture insured: Name -
Pbllcy # Address: ~ -
Sd~edule "A" of Severity raament dated the day of 19 ;
Origlna No.
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