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SCHEDULE "A" SECURITY LIST ~ Brand~ Address Stamp
Describe furniture by color and style: ,
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~ ~
Describe appliance by si:e and brand. Verbal List? ~
~ ~Yes No
Sofas t ~ Style ~ TV
Color /~1e Size ~ Brand L t n~~h
; ~ Lounge Style 7V
' ~ Chairs i Color Size Brand
c occ. 131a~~c 'n?
a Chairs # Color Size Brand -
End Stereo
V Tables • S le ~n T Brand
z Coffee ~ W Room Air
- Tables # ~ St le t~ ~ ~ V Conditioners / Size Brand
~ Rugs ~ ~ z Range
~ Size Color h~ < Brand ~ ~
Carpet J Refrigerator Q ~•~'`O ~
Size Color Brand ~
Lamps # ~ d a Dishwasher _
.r S~o 'P1o o. Brand
, Dinette Set ~ a Freezer
~ Z ~ Pieces S le ~10'~. ~ Brand
'C I End Washer
~ ! Tables # S le Brand ~D
a o; Chairs ~ Style Dryer
W Color Brand k
~ o ! Sofa Style Sewing Machine '
2 f- Color B~and "
' W ~ Desk Vacuum ~y
! ~ z~ T • Brand b1 ~ Or c~ C td~
~ p Q ~ Pavrer Type
E ~ Lawn Mower Brand
i Suite ' ~ Piano
; # Pieces ~ c S le fT1 o c~ • W T Brand
~
Suite Organ
~ # Pieces S le Z T - Brand
F ~ Sulte ~ Major
~ ~ # Pieces S le ~ Power Toois -
~ ~ Suite W -
~ ~ ~ Pieces St le ' .
~ Rugs or Size V
( ' u' Ca ts # Color ~ 51.:•1~,•: _OiIM 1'F A.
- Q
~ m Chairs # ~ C 1JIT C~CRT ~
Color - s
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~ lamps # ~ T t v
y
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' When and Where was furniture~purchased ? Cost S
; Customer's estimate of value ~ a~a 31~.~p .
~ With what company is the furniture insured: Name S
; Policy i Address:
Y
~ Schedule "A" of Security Agreement dated the day of , i9
Original n No.
~ $ ~u ~JJ ~
~ (YYitness). (Date (Seal)
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~ (Witness) (Date] ` (Seal)
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z . BOaK242 PAGE245?
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