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SCHEDULE "A" SECURITY LIST ' Branch Address Stamp
Describe furniture by colar and style:
Abbreviations - Nbd•. Trad., Col., Medi., Fr.P.
Describe applia~ce by size and brand. ~ Verbal Ust?
~ Yes [i No
' Sofas # ~ Style TV ' ~ .
Color Size ~ ~ Brand
' ~ ~~,ye , . Scyte ~ T~ j ~
! O Chairs • Co~or Size w Brand
O Occ. N
~ Chairs # 2- ~ Color Size Brand
~ End Stereo
u Tables # 2` S ~e T Brand
Z ~F~ w Room Ai r
- Tables ~ ~ S le u Conditioners # Size Brand
~ Rugs z Range
- Size Color < Brand
~ - - Retrigerator
' S
~t Coior J Brand
~~S # ~ Dishwasher
T Bra~d
~ Z Dinetie Set ~ ~ B~a r ~ f~~~ AECOROEO
~ S Ie 0 A~14
p w E^d~ Washer' ~ ROCER ~~11pA
'o ~ Tabies i S te Brand ;c~1T COURT
i~ o Chairs # Style ~rYer PEC4R~'~t'~ .1
i j w Color B~and !
~ N o t- Sota Style Sewing Machine _u~ 4
~ Z Color Brand "f'~~
w Desk Vacuum ~
~ Z T Brand ~
F- Power TYPe ~
P p • ? Lawn Mower' rand
; Suite ~ Piano - '
-r Brand
i ~ Pieces S le W Organ
~ Suite z Brand
~'n # Pieces S le Q T
~ Suite ~ Major -
' O # pi~ St le J Power Tools
~ Suite w
~ # Pieces 5 le V
~ Rugs or Size ~
ui ~ ~ ~ Color -
° Chai rs f ~
Color
Lamps #
; T
When and Where was furniture purchased ? $
~,,r se a
Customer's estimate of value
With what company is the furniture insured: Name „
po~~~y # Address:
Schedule •A" of Security Agreement dated the it ~7 day o1~ _ • 19~~'
Original Loan No. d~~
~ ~o~ y. ~J
~ (Witness) (Date) /F~
(Date) (Seal) -
(Witness)
~ ss a e , "
~-as BOOII~ MfEit~
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