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SCHEDULE "A" SECURITY LIST - Brancfi Address Stamp 1 ;
Describe furniture by cofor and style: ~ ~
Abbreviations - Mod. , Trad. , Col Medi Fr, P. !
Describe a liance b size and brand. ~ `
PP Y ~ V 1 List.
Yes No ~ ;
Sofas # Style ~ ~
! Color Size Brand
, ~ Lounge Style TV
O Chairs ~ Color Size Bra~d
~ O Occ. TV
a Chairs ~ Color Size Brand ~
End Stereo '
,
V Tables ~k S le v~ T Brand i
z Coffee W Room Air
- Tables ~ St le V Conditioners # Size Brand ~
~ Rugs h. z Range
Size Color ~ < Braod ~
: J Carpet - Refrigerator ' i
Size Color Srand ~
, Lamps / a Dishwasher
T Brand
Dinette Set , Q Freezer
~ Z # Pieces St le Brand
W End ~ Washer
~ Tables ~ S le Brand
~ o Chairs t Style . Dryer
W Color B rand
U o~- ~ Sofa Style ~ Sewing Machine
z F Color Brand
` W Desk Vacuum ~
~M ~ z - T • Brand
! ~
b - 1 ~ Power Type
f ~ ~ Lawn Mower Brand
~ ~ Suite 0 Piano
( :
~ , i Pieces 5 le w T Brand
Suite Organ
# Pieces St le Z T Brand
~ Suite J Major
~ Pieces 5 le -J Power Tools
' ~ Suite ?
~ ~ = ~ Pieces St le V ~ FtICL sy~~ c; ~ ;
Rugs or~ Size ~ ~~~.t~ ' UyTY FU.
Car ts # Color _ ~ RAS ~
m Chairs # g • ~r"~~~,:~=.~;~~
Color
~ ~ ~~5 ~ y 5 z~ ~1 ~ .
~ ~ T .
~ When a~d Where was furniture purchased ? Cj <<, /o Cost S
~ .
` Customer's estimate of value ~ p Q p_ ~ p
~ With what cortipany is the furniture insured: Name /~/eA e
~ Policy ~ Address: ;
~ Schedule "A" of Security Agreement dated the day of , 19
~ inai o.
~ 7 /
- ~ ~ C9--~~-~-~~
~ (Witness) ( te) ~ (Seal) , ~
~ f ~~i~ 1<~~ i. i'~• ~ .
[Witness) (Date) (Seal)
~ i ness a e ea
. ~-48 8~~242 ~
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