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SCHEDULE "A' SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
i
Abbreviations - Mod. , Trad. , Col Medi Fr. P. '
Uescribe appliance by size and brand. ~ Ve 1 List~ ; ~
es [I No !
Sofas i Style ~ 1~~~ ~
Coior Size ~-~i Brand
Lounge Style 'N
O Chairs ~k Cotor Size Brand
' O Occ. TV
~ Chairs ~ Color Size Brand
End Stereo
~ ~ Tables • St le in T Bra~d
z Coffee W Rootn Ai r
- Tables # St le U Conditioners # Size Brand
~ Rugs h, z Range ~
Size Color ~ < Brand ' ~.a.
J
~~t - Refrigerator
Size Color B~and ~ ~
' ~~s # a Dishwasher
T a Brand
Dinette Set ~ Q Freezer
t Pieces S le Brand
W End Washer
~ Tables ~ S le Brand
a o Chairs # Style Dryer ,
~ tu Color Brand
~ ~ o F- Sofa Style ~ Sewing Machine
~ ? ~ Color Brand
~ w ; Uesk Vacuum
z Z T ~ Brand
~ ` - _Power TYPe -
p G ~ Lawn Movrer , Brand
~ ~ ite Piano
j.~ Pieces St le W T Brand
~ ~ Suite Z Organ
~ I # Pieces St le T ~ Brand ,
Q
~ Suite ~ Major
~ ~ Pieces St le Power Toois ~
J
~ ~ SUI~@
~ # p~~s St le W f1LEU Ah;~ K~CUitDE
U
Rugs or Size ~ • F. ~E~~~ ~CIS~AS
~ 'j' Carpets ~ Color _ -
m Chairs ~ ~ ar~..~~ .r;,.,~~~d~
Cotor
; Lamps #
~ T -
~
~ When a~d Where was furniture purchased ? Cost S
~ ~d d
~ Customer's estimate of value
With what company is the furniture insured: Name
~ Policy A Address:
~ Schedule "A" of Security Agreement dated the _~L day of . 197 ~
~ inal n No. ~ /
~ c / ~~I S ~ " ~i ~
~ {Witness) ~ [Date) (
~ (Witness) (Date) (Seal)
i ess a e ea
L-4$ ° R 244 P~ 2?3
BOOK
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