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SCHEDULE "A" SECURITY LIST 1 Branch Address Stamp !
Describe furniture by color and style: ! '
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. N. _ ~ ;
Describe appiiance by size and brand. Verbal List?
~ Lj Yes i 1 No ~
Sofas # Style . / N / r
~ Color ~~Y~- Sixe ~C~ ~ Brand t _
~ ~ Lounge Styla~ N ~
O Chairs # Color Size Brand
O Occ. ~ N
~ Chai~s ~1 Color Size Brand
~ End Stereo ~
` Tables ~ St le ~n T / c~~.-~ ' Brand ~t~C~~
z Cof(ee Room Air c?O'n ~
- Tables # St le V Conditioners # Size ~ Brand ~ti~
> Rugs z Range
- Size Color Q Brand ~Kt, ' ~~.l~s~ ~U
~ Ca ~ - Refrigerator
~ ~ /
Size Color Brand ~ c'.~~~
~~5 ~ Dishwasher C%
T a Brand
Dinette Set a Freezer ~
~ Z' # Pieces 5 le 11.«c-~ ~ 6rend .~C~
~ W End Washer • ?
~ ~ Tables # S le Brand ~e=cG~--~i
~I ~ o: Chairs ! Style Dryer
w ~ Color Brand `!J c~iL--.
v o F- ~ Sofa Style Sewing Machine ~
z F-. ~ Color Brand
` ~ j Desk Vacu~.:~
Z Z T i Brand
p _ ~ Power TYPe ~i- /
O s ~ Lawn Mower Brand O'`-~ •
` Piano
~ Suite p _
; ~ # Pieces ~ ` Style T Brand
w- Organ
~ r Suite Z -
# Pieces ~ St le T Brand
a 1
~ Suite 1 Ma"or
~ Pieces St le i J Power Tools
~ 1 Suite ~
~ ~ ! Pieces St le ! V . .-cc~Y~%-
~ Rugs or ~ize ~ N
'L l Carpets # Coior _ ~ - i
~ "
~ Chairs # ~ FI~fD ANL~ R~CQROEO
Color
~~5 ~ ROGER PQITRAS ~
-r ~ CIERK CIhC
. ~ ..~~r.
~ 1 ~
When and Where was furniture purcF~ased ? ~t.r~ - <.y~ ~ ~
~ av
Customer's estimate of value
With what company is lhe furnilure insured: Name ~ ~
pp~~~y ~ Address:
Scheduie "f." of Security Agreement dated the day of . 19
Orjginal Lo..~N " _
~ - '~~--a rl, / /!l7 ~-l~a~7~i'„
- (Witness) ~ (Date) - (Seall n
L
(Witness) (Date) (Sea ~
~tness a e ea~
L-48 B~~ ~f~~
~ ~ -
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: m ~ ~i
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