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SCHEDULE •A• SECURITY LIST ~ Brand~ Address Stamp
Describe furniture by color and style: ~
Abbreviations - Mod. . Trad. , Col. , Medi Fr. P. ~
Describe appliance by size and brand. j y I List? ~
~ Yes No ~
Sofas i ~ Style _ / ~ TV
Color Size Brand
~ Lounge Styte TV
Color Size - Brand
O Chairs #
O Occ. N -
~ Chairs ~ Z Color Size Brand
End
c~ Tables # ~ S le v~ T Brand
z Coffee w Room Air
- Tables # St le U Conditioners ! Size Brand
> R~ z Range ~
- e ~ Color Q Brand
~ - Refrigerat
Ca rpet
Size Color Brand ,
~~5 # a Dishwasher
T a Brand
Dinette Set ~ Q Freezer ~
~ Z~ ~ Pieces ~ St le Brand !
~ W End Washer
~ ~ i Tables t St le Brand -
kY o. Ghairs # Style ~~'Yer t l
' w' Color Brand i
; ~ o f- Sofa Style Sewing Mach~e .
( ~ F. ; Color Brand ~
I u~ j Desk Vacuum ` ~
~ z ~ TYpe 1 Brand •,~'~d~-~-~-
Power TYPe
A p ] l.awn Mower Brand ~
Suite ~ ~ Piano
# p1e~ St fe W T Brand
Suite ~ Z Organ
~ # Pieces S St le T Brand
Q ~ o~C
~ Suite ~ Ma'or ' ~ad ~
~ ~ # Pieces St le ~ Power Tools t-d-v
Q i Suite u~ ~ '
~ # Pieces St le V
~ Rugs or Size ~
u' Car ts i ~~o~ -
' m Chairs • ~ flZEO1M!• rECJ~OED
Color fT. U fE '
. -4:7RA5
~amps # CIEn?. ;~"~.;:;t: COURT
T -
When and Where was furniture purchased ? Cost S ~ ~
Customer's estimate of value ~c
With what company is the furniture insured: Name
po~~~y ~ Address:
Schedule 'A° of Security Agreement dated the ~~day of ~ . 19 ~`f % '
Original - .
o ~./'i
--~F
~ e~ - r(Seall-
itness) ~ ~
r
(Wit~ss) (Date) (Seal)
~tness a e ea
L-48
aooK 2!29 ~ ~.25~
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