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SCHEDULE "A• SECURITY LIST ~ Brand~ Address Stamp
Desc~ibe furniture by color and style:
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. V 1 Ust~
Ye No
Sofas ~ Styl 1 TV ; ' _ ~
Color • I~ Size Brand .
~ ~ Lounge Style~ TV
~ O Chairs # Color Size Brand
~ o Occ. 'N
; a Chairs i Color Size r d
~ End Stereo ~
i c) Tables # S le ~ N T ran
; z Coffee yy~ W Room Air /4oe~ ~
Tables # St lei/// t~ ConditionerY~ Si~ G Brand
~ > R~ys z Range
~ Size Color < B~and .
~~t - Refrigerator
Size ~l~C~ Colo Brand
~ ~~S a Dishwasher ~
T ~ Brand
i Dinette Set ~ Freezer
~ Z # Pleces St le Brand
p W E~ Washer ~
p ~ Tables # 5 le Brand
o. Chairs # Styte ~ D .ryer
ui Color Brand ~ v
! o F- Sofa Style Sewing Machine I~
Color ~ Brand v
ui pesk Vacuum ~ '
j z T Brand
I N Power TYPe
~ ~ Lawn Mower _ Brand
~ Piano
~ Suite •
~ # Pieces S le W T Srand
~ Suite Z Organ
~ # Pieces 5 le T Brand
~ ~ ~ Suite ~ Major
~ o # pieces St le J Power Tools
i Suite W ,
t Pieces S le V ~E h
~ Rugs or Size N ~~UI~ 1'
ROCs~ ~Ott
W Ca~ ts # Color _ A
~ ~ Chairs ~ ~ fC~R~ v~~„~r~ ~UAt ,
~ Color
~ ; ~~5 T ~ t6 If 3 ,
~ When and Where was furniture purchased ? Cost $ ~ ~
~ Customer's estimate of value C
i
i With what company is the furniture ' sured: Name
9
~ Policy • Address:
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~ Schedule •A" of Secu~ity Agre ment dated the ~ day of , 19
~ Origi No.
~ 9~~ s'
(Witn ) (Date) (Seaq
(Witness) (Date) (Seal)
ness a e ~
~
~ l-q8
~ BooK243 P~E2366
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