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SCHEDULE "l~" SECURITY LIST ~ Branch Address Stamp
Describe furniture by wlor and style:
Abbreviations - Mod. , T~ad. , Col Medi Fr. P. i
Describe appliance by size and brand. List~ ~
Yes r) No 1
~
; Sofas ~ ~ Style TV
I . Color Size Brand .c.c..ec~a~ri
' ~ Lou~ge Style Tv
~ o Chairs # j Co~or Size Brand
o Occ. ~ .
' a Chairs # Color Size Brant!
' E~d j Stereo
i c~ Tables i/ 5 le ~n T Brand
: Z Coffee w Room Air
T~les S le U Conditioners # Size Srand
~ > Rugs z Range
~ Size Color ~ Brand
~~t Refrigerator
~ Size Color -i Brand
~~5 ~ a Dlshwasher
ai. T ~ Brand
~ Dinette Set Q Freezer
~ Z # Pieces ~ S le ' Brand
p W End Washer ~
I~ ~ Tables S le Brand
~ o Chairs # Style Dryer
I i w Color Brand ~ ~
(J o F- Sofa Style Sewing Machine
~ ~z F Color Brand -
~ ui Desk Vacuum
z Z T Brand
p Power TYPe
~ p j Lawn Mower~ rand
Brand
i Suite S le ~ T a~
~ Pieces W
i Suite z Organ Brand
I'~ ~ Pieces 5 ~ T
~ Q ~ .
~ o Suite St le Power Toots
~ # Pieces J
~ Suite - w fILEO AN~ RECOROEO
~ ~ # Pieces St le -
~ c~ Size U ROC~R ~QITRAS
! '~O1" CLERK ^ ;
W Car ts # ` Color _ •
00 Chairs # ~ ~ ERIfIEp„i,..
Color
Lamps ~ 16 ~
T
When and Where was furniture purchased ? S ?n ~ Q'~
~ Customer's estimate of value
With what company is the furniture insured: Name
po~~~y ~ Address:
Schedule "A" of Security Agreement dated the day of . 19
O~iginal L~oa~ No. " ~-i~
~'~y - ~oa~-~s~ ' ~ f ~
` ~ (Witness) (Date) ~C~
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(Witness) " (Date) eal) -
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