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SCHEDULE "A" SECURITY LIST Branch Address Stamp ~
Describe furniture by color and style: ' . ~
Abbreviations - Mod., Trad., Col., Medi., Fr.P. ;
Describe appliance by size and brand. Verbal List? ~
i Yes { 1 No ~
Sofas f ~iyie y ~ ~ • ~i.
/ Color ~ w Size Brand
~ ~ Lounge Style 'ry
O Chairs # Cotor G' Size Bra~d
~ O Occ. TV
oC Chairs ~ Colo - Size Brand
End ~ / Stereo
U Tables St I~~ v~ T Brand
z Coffee W Room Ai ~ ~ O`Z'-O '
- Tables Y St le U> Conditioners ~ Siz Brand .
' ~ Rugs " z Range ~
~ Size / Color Q Brand
Carpet - Refrigerator
Size Color • Brand
~~5 ~ L ~ a a Dishwasher
T Brand
Dinette Set Q Freezer
~ Z # Pieces St le Brand
W End Washer
~ Tables # St le Brand
a o, Chairs # Style ~ Dryer
w l Color Brand
~ v c~- Sofa Style Sewing Machine .
~ ~ F- Color Brand
i
~ ` Desk Vacuum ~ • `
~ 2 Z T Brand ~
, -
s - Power Type
3 p Q V1
~ ~ Lawn Mower rand
~ ~ Suite ~ Peano
, ~ • Pieces St le T Brand
' W Or an
~ Suite Z 9
# Pieces St le T Brand
~ Q Ma'or
, o Suite Power Tools fIlEO ~'i_ RcCuRDEO
, # Pieces St le ~ '
~ I Suite W FG;,~ ~?`s~TRAS
~1 Pieces St le Clf~:r. C; ~.:U1~ COURT
„ U , . .
~ , e'cugs or Sizc ~ .
Car ts t Color
~ ~ Chai rs ~ ~
~ Color
; ~ Lamps R
~ l TYPe
~
When and Where was (urniture purchased ? Cost S
~ Customer's estimate of value . rp
~ With what company is the furniture insured: Name lJiu C~azc/ ~'u~~~~
~ po~i~y ~ Address:
~ Schedule °A" of Security Agreement dated the day of ~ , 19 ~ E:
Original n No. • ~ v ~/J
~ / / ~ ~ - - - ;r- / ' v~ ~
i- ~ ~
~ (Witness) , (D e) ( j
' -GL ~ i
(Witness) (Date) (Seal) ;
v
~ ness a e ea
L-48 . . ' BOOK244 P~~zoS
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