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SCHEDULE "A" SECURITY LIST } Branch Address Stamp ~
Describe furniture by color and style: i ~
Abbreviations - Mod. , Trad. , Col. , Medi. , Fr. P. ~
Describe appliance by size a~d brand. ; e~~ List? ~
~ ~ Yes 1 I No
Sofas i S~y T~
Col Size Brand r1 '
, ~ Lo~..n.,~ Styi TV _
O Cha~rs s Co or Size~ Brand
O Occ. N
n: Chairs # Color ' S~ze Brand
~ End Stereo
U ~ Tables # St le ~n T Brand
z Coffee ~ Room Ai r
- Tables i St le V Conditioners ~ Brand
~ Rugs z Range ,
J Size Color Q Brand ~
- Refrigerator ~ •
Size Col~r ~ - Brand ~i~et Gc.~
~~5 # a Dishwasher
~ n' Brand
• Dinette Set Q Freezer
~ Z ` # Pieces ~ St 1~~"- ` / Brand
~ W End Washer
~ ~ Tables # St le Brand - -
i a o Chairs # Style Dryer ~
Brand ~F~~sc.r~/t~E.
~ w ~ Color
~ o E-- Sofa Style Sewing achine
z ( Co{or Brand ~
` W ~ Desk Vacuum
Z Z ~ 'f Bran
~ - + Power e
~ 0 y > Lawn Mower~i~~
~ ; uite . ~ Piano
' ~ Pie T Brand
W
' uite ~ Z Organ
`n Pieces le T Brand
~ uite ~ Q Major •
~ ~ Piece o? . ' J Power Tools
~ ; Suite i v ~E~A~IC
R~~{~R~fO
~ ~ Pieces Style -
~ ~ Rugs or Size - i N ROi'i R'Q~j~
u' ~ Car ets # Color _
~ Chairs ~ ~ : . ~F~~~~r
Color
Lamps ~ ~ ~
~ T ~
When and Where was furniture purchased ? ~
Customer's estimate of value ~~Z~'fl~ ~
With what company is the furniture insured: Name _
po~~~y ~ Address:
~~chedule "A" of Sec 'ty Agreemer:t dated the day of ~ , 19
inal ~
(Witness) (Date) ~ a~1
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(Witness) (Date) ~ (~1)
~tness a e _ a
L 48 ~Q~
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