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SCHEDULE °A" SECURITY LIST ° Brand~ Address Stamp -
Describe furniture by color and styte: ~ ~
Abbreviations - Mod. , Trad. , Col Medi Fr _ P.
Describe appliance by size and brand. j V rbal List? ;
~ ~~Yes I~I No l ~
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Sofas Style {ttr Gn TV -
Color ' Size ~O.-}t~ ~ ' Brand ~ ~
~ un Style TV~ " i
O Color ~j.~~~1,~ Size cs~0• l Ip'' Brand
O Occ. N
~ Chairs ~ Color Size Brand q
End ~ Stereo ~
V ' Tables i St le M(,~ ~ ~ T Brand
z Coffee Room Air
- Tables # St le U Conditioners N Size~TiE~Brand ~.~~,ttS lp 1~~'~-
~ Rugs 2 Range
~ Size Color Q Brand
Carpet ?'~e - Refrigerator
Size ~ c S Color O.A Brand
La~nps # Dishwasher
T Brand
Dinette Set o • Q Freezer
~ Z' # Pieces 4 St le ~1~C ~rCi~.n~ Brand
~ End Washer •
~ ~ ! Tabies ~ St le Brand
' a o;~ Chairs ~ Style~,~;~d •c5 Dryer
' u+ Colo e: Y y~ Brand ~
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; v o F- ! Sofa Style ~ Sewing Machine
' z F-' Color Brand
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~ Z { Desk . Vacuum ,
~ z T rp Brand ~
~ ^ Power Type
Q ~ # ~ Lawn Mower Brand
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i Suite w`S ~ Piano
, , # Pieces 5 Style ! W T Brand
E Suite E~j,~,~ 5~~;;,?3 Organ •
~ Q O ~ C• Brand ~
j # Pieces ~ Style Z T ~ ~
r Suite Major
~ ~ # Pieces Style ~ J Power Tools
~ i Suite
~ A Pieces St le i W tKff? t-~1%''f~R~
~ Rugs or Size ~ "q~;,=•~ ~"':s~SAAs
W Car ts ~i Color _ C+ fP.' :`•%'J:T C4URT
~ ~ Chairs t ' • ir
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Color
~ ; Lamps ~ L/ .
'Y T ~ Itt
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When and YYhere was furnitu~e urchased ?~~1 Cost $
Customer's estimate of value ~n IZs
~ With what company is the furniture insured: Name
~ Policy i Address:
~ Schedule °A" of Security Agreement dated the day of , 19 h 3;
~ Original o. (
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~ (Witness) Date) Sea ~ ~
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~ (Witness) (Date) T (Seal) f
itness a e ea
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