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SCNEDULE "A' SECURITY LIST 1 Branch Address Stamp I
i i
Describe turniture by color and style: ~ ~ .
Abbreviations - Mod. . Trad. , Col Med'e Fr. P. ,
Describe appliance by size and brand. i Verbal List? ~
~ ~es J =1 No
Sofas # Styie 1F~ • ~ TV b'
Color R.~^-~ Size j~j /Kf Brand ~ _
, ~ i.ounge Style TV r~ ~
O Chairs # Color Size i~~~, t1~~`°-Brand
O Occ. ~ ~
a Chairs # Color Size Brand -
End ~ Stereo
c7 Tables St te v? T . Brend
Z Cof~ee w Room Air pt'' v Q
- Tables i St !e U Conditioners i~ Size'f~ "~fi8rand ;~.i .
~ ~ Rugs z Range
Size 7" olor Q Brand ~
~ - Refrige~• or
Ca rpet
Size Color J Brand ~ -
~~S ~ a Dishwasher _
a Brand
i Type -
' Dinette Set Q Freezer
~ Z' # p~~~ ~ St le Brand
~ W E~d Washer
a ~ Tables # St le Brand
~
a o; Chairs # Style Dryer
w ~ Color Brand
U o F- I Sofa Style , ~ Sewing Machine ~ - ,
Z ' Color Brand ~
w i pesk Vacuum
Z z, - TY~ ' Pwner TYPe
C '
p j ~ > Lawn Mower Brand
. Suite ~ ~ Piano
~f' ~ # Pieces St le . T e Brand
/L_ W Organ
~ Suite . Z
~ I # Pieces ~ S le T Brand
Q
~ Suite Major ~ / Q
~ i # Pieces St le J Power Toois /V(. tQ.e ~.u.~
~ ~ Suite { w , / . .
~ # Pieces St le V •/~l
~ Rugs or Si ze ~ ,
Car ts # Color _ 1 ~
~ Chairs ~ ~ ~ T~l1~CiE COUMTY iL~
Golor
Lamps # , CLERk ~lFC{~iT COURT
T
When and VYhere was furniture purchased ? _~ost ~
a - 4'
Customer's estimate of value ~
With what company is the (urniture insured: Name
Policy # Address: _
Schedule °A° of Security Agreement dated the day of . 19 7 %
riginai No.
( , v
~J~~`'~- r` /y ~ ~
(Witness) (Date; / ~a~ ~ ~ j~.~
l1i. i+ ~ W(i(..[t~~
(Witnessl (Date) (Sea11
~tness a e a
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