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SCHEDULE °A" SECURITY LIST ~ 8ranch Address Stamp
bescribe turniture by color and style: i
Abbreviatio~s - Mod. , Trad. , Col Medi Fr. P. ~ ~
~escribe appliance by size and bra~d. ~ Ve I List? '
! T es 1=1 No ~
_ ;
Sofas 1~ ~ Style n/
Color Size gKj Brand
~ ~ounge Sty Ie Ty r
o Chairs M Color Size Brand i
~ Occ. ~y ;
~ Chairs ~ 2 Color /p Size Brand ;
~ End Stereo `
V Tables t~ St le cn T Brand ~
z Coffee ~ ~ q~(` ~ w Room Ai r !
Tables # St le W~`~ U Conditioners # Sixe Brand i
~ Rugs ~ 2 Range - #
J Size Color s( Brand ~ ~
Carpet ~ - Refrigera or .
Size Color ~rta.- Brand ~.f-
~mPs # ; Dishwasher
. _ T a Brand
Dinette Set Freezer t
~ Z ~ ~ Pieces St le Brand
~ ~ End
Washer ,
~ i Tables ~ St le Brand
~ o ; Chairs # Style • Dryer
~ Cotor Brand f
v o~? Sofa Style Sewing Machine
z F- i Color ~Brand ~
W ~ Desk Vacuum
= Z .r . ~ ~
Brand
p - - Power Type ~
, ~ ~ ~ ~ Lawn Mower Brand =
~ Suite p~a~ `
y ~ Pieces bt le ~ W T ~ Brand
~ Suite z Organ .
~ Pieces St le /i T ' Brand ~
o Suite - J Major ~
4 ~ Pieces St le ~L~Ao( J Porrer Tools ~
~ i Suite T
~ Pieces 2 St le / • W ~ ' ~
~ Rugs or Size V ST. LUCIE ~
u, v~ C.,JltTT FLA.
f Car ts S Cotor RGG: ==.1~TR
m Chairs t ~ ' U! COURT
Color 3U~'723 Rcl`rni~.V: •~~r~[1 ~
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`~'~S ~ Mar 11 2 04 ~
When and Where was furniture purchased ? Cost S
Customer's estimate of value ~~Q
With what company is the furniture insured: Name ~
Poticy # Address:
Schedule "A" of Security Agreement dated the ,f~~ day ot , 1977~;
Q;~ Loan No.
_ 3/ 4 i-~ l_I~l/ i-~!~
(Witness) (D e) " (Seal)
(Witness) (Date) (Seal)
itness a e ea ~
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