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SCHEDULE •A" SECURITY LIST A~~tamP
Deserlbe furniture by color and style: .(7. BOX 3265 -
Abbnvletlons -Mod. , Trad. , Col . , Meth . , Fr. P. l05 7 S. FED$RAI,
Describe sppllence by slze end brsnd. Verbal Lisa • PIEItC~ ~~.ORIDA 334
- ~I Yes (^i No
Sofas # Styb 7Ko • ~
Color Sire Brand
~ Laxige Style ~•+o ~
O Chem # Cobr c Size Brand
O Ott. TV
oC Chairs # Color . Sire Brsnd
End Stereo
- I u Tbbles # S le a T Brand
z Cotise Room Ai r
- Tsbles # S la 9rte V Conditioners # Size Brand
> Rum- ~ z Range r--
J Sise Color < Brand
Grpet - Refrigerator
Stze Color Brsnd
_ i L,emps # . ~ _ o' Dishwasher. . ~ 1 _
T " Brand O
Dinatb Sat ~ < Freezer
Z # Pieces S to Ito Brand
m End Washer
~ Tsbles # S le Ait 0 Brand ~
o Chairs # Style ~ Dryer
Color Brand _ -
o H Sofa Style Sewing Machine
F- Color Brand - t
e+ Desk Vacv~
~ z T Brand _
ut Power TYtx
~ Lawn 1?Aawer Breed
Suite / ~ Piano y~
# Pieces 5 le p ~ d T Brand
Suite W .Organ ;
~ # Pieces S N ~ Oo~ z T Brand' -____,,,,_r_
_ Suite ~ ~'e1~
~ # Plates S le
O Suite J
°C # Pieces S le W
O Rugs or Size N
W G is # Color _
1 °D chairs # ~ 13 ~!i ~ 52
~ Cobr
Lamps # fE.Epp ANO Pf CO~iOf 0
T S~ 1JClE CWN Y.F A. -
n+i~ CSIt~T COURT
When and Where was furniture rchased i Cost S _
Customer's estimate of value
Wlth what ca~any is the furniture nsured: Name _ .
Policy # Address: _ _ _
ScheduM •A• of Severity Agreement dated the _ day of ~ ~ ~ - ~ _
No
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