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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style ~ :
Abbreviations - Mod. , Trad. , Col. , Medi Fr.P.
Describe appiiance by size and brand. i ~Ve~r al List? ~ ,
{ ~yYes i I No -
Sofas ~k • Style TV ~
Color Size Brand ~
~ ~ounge Style TV '
O Chairs ~i Color Size Brand
O Occ. ~ ~
Color Si ze B rand ?
r Chairs # Stereo ~ i
End
:J ~ Tables # St le v? T Brand j
z Coffee w Room Air ~
Tables Ik St le U• Canditioners ~ Size Brand ~
> Rugs z Range
- S~ZQ Color a Brand
~ - Refrigerator - ~
Carpet J
Size Color Brand
~~S ~ a Dishwasher
-r B ra~d
Dinette Set a Freezer
~ Z ~ ~ Pieces St te Brand
~ W End Washer ~
o Tables ~k St le Bra~d
~ o~ Chairs 1E Style Dryer <
; ,L ~ Color Brand
~ H i Sofa Style Sewing Machine
~ z ; Color Brand
z W ; Desk Brandm
~ Z I Type .
~ _ ` Power TYPe , J ~ .
c p j ~ Lawn Mower ~~rand ~7'b~~.•.- Gf~~•~
~ Piano
~ ~ ~ Suite ~ T Brand
~ ~ N Pieces St/le
W I Organ
Suite ~ z .r • Brand
' ~ Pieces 3 St le Q
L Suite I J Major ~
~ ~ ~t Pieces Style ~ J Power Tools ~
~ i Suite j w ~r ~
~ A Pieces St le V
_ ~ Rugs or Size ~
LL' ~ Car ts # Color - _ y~
~ ~ Chairs #I ~ . L~J('j~r ;
^JiJ~~~ ~4~. ~
Color ' ' ~
~EFK i,~ .;UtT
Lamps # RFP3N~ yfF:~=~~,; t6~Rf ~ -
T ~
' S
~ w~._.... f. rnif~~ro n~~~-rhacPtl ? _ COSt S ~ ~ eA 1
I1fIC~1 Ai~IA •s~~crc Y:u+ .1. r- - 'sZ9 is
y ~ ~
~ Customer's estimate of value 0
With what company is the furniture insured: Name
~
- Policy # Address:
~ Schedule "A" of Security Agreemenl dated the day of _ • 19
~ ~
igina oan • ;
,~/77~ #
~ cs~it ?
~ (Witness) (Date) ~ ~ x
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(Date) ( eal) ~ j
~ (Witness) ~~v~ . ~~V ~
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- ~tness a e F
~ ~ 48 n 9
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