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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp
Describe furniture by color and style: ~ t
Abbreviations - Mod., Trad., Col., Medi., Er.P. ; i ~
Describe appliance by sixe and brand. ~
; Verbal List. j ~ ~
' Yes I- ? No ~ '
Sofas t~ Style TV •
Color ~~I~ Size ~ Brand -
~ Lounge Style TV _
0 Chairs ~k Color Size Brand
~ i Occ. TV '
c[ Chairs N Color Size Brand
End Stereo
V ~ Tables M St le ~ v~ T `-f Brand
~ z Coffee ~ Room Air
' Tables ~ St le U Conditioners N -~Size Brand
~ Rugs z Range
~ Size Cotor Q Brand
Carpet - Refrigerator
Size Color Brand
Lamps i a Dishwasher
_ _ _ ~ Type ~ a B rand
1 Dinette Set 1 Q Freezer
2 Z` ~ Pieces ~ Style ~ Brand
~ W ~ End ' Washer
o i
~ Tables 4 St le ~ Brand
~ o : Chairs # Style ~ Dryer
W ~ Color Brand
~ o~- ! Sofa Style f Sewing Machine
~ ~ ~ G Color t Brand s
~ Z W i Oesk ~ Vacuum
_ Z ~ T ~ ~ Brand ~
' p ~ ~ { Power Type
j ~ i ~ Lawn Mower Brand
; - uite ~ ~ Piano
! ~ Pieces Style~~/'~~ i W T Brand
~ Suite ( Organ •
i ~ # Pieces Style~'te~_~ I Q T Brand
Suite ~ Major
~ ~ I ~ Pieces Style ; J Power Toots f~~oy"fl ~E~ R~o
! ~ ~ Suite ; W ROCER i JtTRAS
= it Pieces St Ie V CLERK C~tCU1T COURT
~ ~ Rugs or Si ze ~ •
3 ~
, ~ Car ts ~ Color ~
~ m Chairs M ; g ~
~ ~ Color _ ! , i
° 1 `-a"'PS " 34Ei33,i
1 TYPe ~ ~
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~ When and Where was furniture purchased 7 Cost $
Customer's estimate of value ~
i With what company is the furniture insured: Name
Policy k Address:
Schedule "A" of Security Agreement dated the ~ day of , 19 ~
Original n No_
, _ 9 ~7 xG~L~~ ~ ,~(:`r~'`,
(Witness) (Da e) (Seal)
~
_ _ _ 0 ~~a-~_s ~ l~7~ _
- (Witness) (Date) eal)
s
itness a e ea
I
L 48
i $o~K 258 ~E 202