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SCHE~ULE "A• SECURI7Y LIST Branch Address Stamp '
Describe furniture by color a~d style: ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. }
Describe appliance by size and brand. Ve I List? ;
Yes No
; Sofas ~ / Style ~ er- TV
; / Color Size Brand
~ Lounge Styte l~,sT~- TV
~ ~ Chairs Color Size Brand
O Occ. TY ~
oC Chairs ~ Color Size Brand
End ' Stereo
, v Tables ~ St le ~ :~7v~ T Brand
2 Coffee ~ / , w Room Air
- Tables # ~ St le i~iC . U Conditioners # Size Brand
~ Rugs z Range
. ~
~ Size Color Q Brand ~ e~r.
, Carpet /,J - Refrigerator
Size <'L~/ix~ lo J Brand ~ ~
' Lamps # . 4' Dishwasher
T a Brand
, Dinette Set , Q Freezer
~ W( ~ Pieces St 1 ~ Brand C~ C/
~ End Washer / -
p ~ Tables ~ St le Brand -
~ o Chairs # Style ~ Dryer
W ~ Color Brand
I ~ o E- Sofa . Style Sewing Machine `
I~ F- Color Brand
I. ~ w Desk Yacuum
f ~ z T Brand C3~~~C/~/l~
~
~ - ' Power _ Type
~ p ~ N Lawn Mower ~ Brand
~
' Suite , Piano
~ # Pieces St le T Brand
~ ~ Suite . ~ Organ EO ~IND fiECflRDEO
~ ~ Pieces St le T Br~~ .
~ Suite , 4 Major ROCEfi Pp;j,~AS
~ ~ i Pieces .!o St le • J Power Tools ~IEPK CIRCUf
J
~ Suite W ?EO
~ ~ # Pieces t
~ R s or U ~
W a lor 27 r6
~ ' m a rs # g
~ Color Z7~Zf1~
; Lamps #
~ ~ T
~ When and Where was furniture purchased r',c6-t~p Cost $ ~
~ Customer's estimate of value ~
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~ With what company is ihe furnitur insured: Name
~ '
~ Policy Ik Address: ~ ~
~ Schedule "A" of Secu~ity Agreement dated the day of , 19 ;
~ Original n No. . ~
~ il.l~A ~ ~ ~ ~ ~
~ [Witne s) (D e) Seal)
~ (Witness) (Date) (Seal)
~ i ness a e ea
~ L-48
~ . 248 ~ 8~l
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