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SCHEDULE "A" SECURITY LIST ; Branch Address Stamp
Describe turniture by color and style: !
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ;
Describe appliance by size and brand. j Verbal List? '
i L1 Yes I-) No ~ '
Sofas t Style N
Color Size . ` ~ Brand li ~ .
~ Lounge Sty le U,~a-! ' N
~ Chairs # Color I~ Size Brand
O Occ. TV
~ Chairs ~ Color Size Brand •
End Stertb .
V Tables # St le v~ T Brand
Z Coffee Room Ai r
- Tables # St le U Canditioners # Size Brand
~ Rugs z Range -
~ Size Color Q Brand ~ .;.pt
Carpet - Retrigerator ~ ; ~
' Size Color Brand
Lamps # a Dishwasher
T Brand
Dinette Set Q Freezer
~ Z ; Pieces St le Brand
'Q W End Washer
~ ~ Tables • St le Brand
a o Chairs i Style Dryer j
W ~ Color Brand °
v o~~ Sofa Style Sewing Machine
~ F- Color Brand
! W Desk Vacuum
~ Z z T Brand
E
Power Type
~ ~ ~ = Lawn Mower Brand ~
~ ~ Suite 0 Piano - - -
~ ~ Pieces ~ St le W T Brawd
Suite Z Organ
# Pieces ~ St le Q T Brand
~ Suite J Major
~ ~ Pieces Style ~ J Power Tools F ~ AMO ~.C8R0~
° i Suite w ~ ROCE?~ P01TRAa T~
~ ~ Pieces St le '
~ Rugs or Size ~ RFCO~•" Yf~'~flEDr.~..~~.. ~
W Car ts ~ Color _
00 Chairs f ~ 3'r F
~ ~ Color ~ ~
Lamps ~
~ T ~
' When and Where was furniture purchased ? Cost 5 ~nl~ O
~ Customer's estimate of value ~/~3"C~10
~ With what company is the furniture insured: Name
? Policy ~k Address: _
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~ Schedule "A" of Security Agreement. dated the _ J,~C~ day of ~d1f , 19~
~ Origina ~ 7 €
~
~ ? ;
~ (Witness) (Date) , (Seal) ' '
~ _ ? J c~~
[ Wi tness) (Date) ea 1)
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~ ess a e ea
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