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SCHEDULE "A• SECURITY LIST ~ Bra~ch Address Stamp
Describe turniture by color and style:
Abbi^eviations - Mod. . Trad. , Col. , Medi Fr. P ~
Describe appiia~ce by slze and brand. V rbal List? ?
~ Yes (~J No t
i Sofas~~ Styte TV ) .
~'iV"~L Color Size / ~ Brand
~ t~ounge Style TV
0 Chairs • Color Size Brand
; ~ Occ. 7'V
i~ Chalrs # Cobr Size Brand
~ End Stereo , ~v„vn,
~ V Tables !~1'VC ~ 5 le in T Brand
~ Z Coffee w Room Air
Tables S le t) Conditioners # Size Brani!
R~S z Ran9e j~1. T~
J Size Color ~ Brand
i Carpet ~ - Refrigerator % , ~
~ Size d r~ Color J Brand
~ Lamps # a Dishwasher '
7' Brand
~ Dinette Set ~ Freezer
Z ; Pieces ~ O1,(J S le Brancl
~ W End ' Washer
p ~ Tables # S le Brand
~ o Chairs # Styfe ~ Dryer ~
W Color Brand
~ o E- Sofa . Style Sewing Machine
F- Color Brand
W ~sk Vacuum
Z T Brand • "
Q ~ Power Type j
Lawn Mower Brand
Suite ~ ~ Piara
~ Pi S le ~ T Brand
i Suite W Organ •
# Pieces S le Z T. Brand
~ ~ Suite ~ Major ~
~ # Pieces S! le J Power Tools ;
~ ~ Suite
; Pieces - St le- W tiOCEK Yu~~KA~ (
~ o ~ v CLEAK CIRCUR COURT :
~ R s or Size ~ ;
i w Ca ts • Color
; _
~ Chairs # g (]p~y
~ Color ~~o I
I LamQs #
T
When and Where was furniture pur ased ? "f' ~~n~ ' r~ Cost $
Customer's estimate of value.
With what company is the furnitur insured: Name
Policy # Address:
Schedule •A" of Security Agreement dated the ~ day of , 19
Originat tAan No. -
- ~:~y/~1 ~
(Wit ) (Date) ' Seal)
" i
,
(Witness) (Date) (Seal)
ss a e a
L-48
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