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SCHEDULE "A" SECURITY LIST Branch Address Starnp ~
Describe furniture by color and style: I ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. c Ve al List?
1 L Yes I I No ~
Sofas ~ ~ Style TV ~ '
Color Size ~ •c~ Brand
~ Lounge Style TV
O Chairs M Color Size Brand
O Occ. ~
~ Chairs i~ ' Color Size Brand
End Stereo ~
u Tables Ik St le ~n T Brand ~
z Coffee W Room Ai
- Tables # St le U Conditioners Size Brand
~ { Rugs ~ ~tI~' z Range
Size " Cdlor Q Brand
- Refrigera r
I S Ze~t Color J Brand
~~S ~ a Dishwasher
T a Brand
; Dinette Set Q Freezer
~ Z ~ Pieces St le Brand
~ W End Washer _ , /
c ~ Tables if St le Brand
i a o i Chairs # Style Dryer
; w ! Color Brand
i ~ F- I Sofa Style Sewing Machin~
0
j z F; Color Brand
w ; Desk Vacuum -
? Z T ~ Brand ~
Q Power Type
p 1 j Lawn Mower Brand '
~ Piano
, ! Suite ' ~ p
~ ~ Pieces ~ Style W T Brand
~ ~ Suite Organ
~ Z T Brand .
~ ~ ~ ~ Pieces y Style ~ Q =
~ ~ Suite J Major
O ~ ~ Pieces ~tyle J Power Tools
~ E Suite ~ w ~
~ ~ Pieces St le U FILED ~ti~~ -r;' ~ ~
~ Rugs or Size ~ ~vk„Ep
u' Car ts # Color _ S±. ti~Cie `_j ~
m Chairs IF ~ C;E=L+' ' r~ ~~c ~
~ - -d;T Cv"JRT ~
~ ~ Color " ,
Lamps ~k ~
T
When and Where was turniture purchased ? Cost S
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~ Customer's estimate of value ~C ~G~
~ - -~~~~u~~~ ~
With what corr~any is the fur~iture insured: Name ~~r,,~ ~ ~ J yv •.iV
~ po~~~y ; Address:
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Schedule "A" of Security Agreement dated the Z_day ot . 19 7~'%
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~ Or' Lven No. ~ r
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~ - ~ i'SL ~ ~ ~
(Witness) (Date) ~5~ :
~ [Date) (Seal) ~
~ (Witness) _
~ ~tness a e ea -
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L-48 ,
- BooK2~0 ~acf1667
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