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SCHEDULE •A• SECINtITY LIST ~ Branch Address Stamp -
Describe turniture by oolor and style: ,
/lbbroviations - 1Aod., Trad., Col., Medi., Fr.P.
Oescribe applisnce by size and brand. Verbal Ust3 ~
? Yes No
~ Sofas • , Style TY _
Color Size B~and
~ ~ t~ounge ~ Style TV
o Chairs • Color Size Brand
~ o Occ. TV
ot Chairs ~ 2 Color Si:e Brand
f End , , Stereo ~
j V Tables # St le ~n T 8ra~d
i z Coftee Room Ai -
i' Tables # S le t~ Canditioners # Size ~ Brand
i > Rugs ~ z Rart9e
f- Size Color b~ ~ B~and '
~ J
; Carpet - Refrigerator
~ Size ~~`~t~ Color J Br~ed •
; Lamps # Dishwssher -
T ~ Brand ~
Dinette Set ~ Freezer
b Z t Picces ~ S le ~ Brand '
E~ui Washer
p ~ Tables # S le 8rand
~ o Chairs~ # Style ~ryer
u+ Color Brand
~ o F- Sofa Styte Sewing Machi~e
~ f- Color Brand
~ Desk Vaaium
~ •
~ z T • Brand -
~ - Power Type
~ ~ N Lawn Mower Brand
~ Suite ~ Piano
! # Pieces S ie W T Brand
~ Suite . Organ !
~ I~ # Piece~ S le Z T Brand s.
~ Suite J Major 4
i Pieces 5 le Po~wer Tools
' J
' ~ Suite ,
~ Pieoes S le V -
i~ Rugs or Size N Q_
LL' Ca ts # Color _ ~O
j L° Chsirs ~ ~
~ Color
L.amps ;
T -
•%4uMTr Ft,~.
When and Where was furniture purchased~ Cost $
~ ~T-''~'~ i
^
~ Customer's estimate of value y0Q0 ~ p~!`t~~- ti., r. :.f.~ ~~URt
~ With what company Is the furniture insured: Name
~ Policy t Address: ,~9 ~1ti
z S~hedule •A" of Security Agreement dated the y of ~~~1 19 7~
~ 3~7'8
~ ~ ~ ~
(VYitness) (D e) ~ al) ~p '
~ l/3 °~.L ,
~ (Witness) (Date) (Sea
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ss a e
L-48
~ BOOK 245 ~1045
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