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SCHEDULE "A" SECURITY LIST ' Branch Address Stamp I
Describe furniture by color and sryle: ! ~
Abbreviations - Mod., Trad., Col., Medi., Fr.P. i
Describe appliance by si:e and brand. Verbal ~ List? '
1 Lj Yes j ~ No ~ '
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Sofas i Style TV ,
Color Size Z. ~ Brand t .C,
, ~ Lounge Style TV
~ Chairs f Z Color /3~ Size Brand
' o Occ. TV
~ Chairs # Color Size Brand
End Stereo
v Tables # S le („IYl v? T Brand ~
Z Coffee W . Room Air ~a
- Tables # St le ~ 6i? V Canditioners 1~.t Size Brand
~ Rugs z Range -
~ Size Color Q Brand
Carpet • - Refrigerator
Size Color J Brand ~
, Lamps # Dishwasher
3 T Brand t
Dinette Set Q Freezer
~ Z # Pieces ~ St le Brand
p ~ End Washer 1
~ ~ i Tables i St le Brand ap /
o Chairs t Style Dryer
W Color Brand
~ o F- Sofa Style Sewing Machine
= Color Brand f' t
?+i Desk Vacuum ~
Z z T B rand ~ 1/ t ~ !
~ ~
i o - ~ Power Type '
j ~ ~ Lawn Mowerlp ~,Brand '
E Suite ~ Piano
j # Pieces / St 1 W T Brand
~ ' ~ Suite , Z Organ
~ i Ik Pieces 2 St le , Q T Brand
~ ~ Suite Major
~ ' ~ # Pieces St le ~ Power Tools ~
O ~
~ Suite W fILED Gh4 ~ECi~R0E0
~ Pieces St le V ST. lUC1E i.CUNTY FLA.
~ Ca~rs ts . Color N CIERK C r~CU1T COURT \
~ , m Chairs / g ~
fi Color f ~
~ i Lamps II Z
~ T
~
~ When and VYhere was furniture purchased ? Cost $
z Customer's estimate of value 31/~~SQ
i ~0 v
s With what company is the furniture insured: Name
~ Policy ~ Address: ~
5 Schedule "A" of Security Agreement dated the ~ day of , 19 7~? ;
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~ z ~ 7 5~
~ (Witness) (Date) (S 1) ~
~ - / ;
~ (Witness) (Date) (Seal) ~
~ %
~ ~ ness a e ea
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~ L- 48
~ ~ BQ~K 242 PAGf 2328 -
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