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SCNEDULE •A• SECURI7Y UST Brand~ .Address Stamp
Describe furnitun by oolor snd style: °
Abbnvistio~s - Yod.. Trad.. Cot.. Medl., Fr.P. -
Describe applisnce by sise sr~d brsnd. Verbal l.ist~
_ - ? Yes rl No
Sohs i ~ St~rle - TV . ~ s~
Co1or Size Brand
~ L,our~p Style _ N , - -
O Chairs Color - Sise C~ Brand ~
O Oec. 71/
at Chsirs • Cotor Slza Brsnd
~ End Stereo
~1 . Tf~bles ~ ~ S le ~ ~n T Brand
z Gpf~ae - Room At.r - ~
~ Tabfe~ i .l S le V Conditioners • Si e ranid -
= > R~ - z ~ . 4~ ~
Sise W~~w~Cobr < Brand
5 G~pet - Refrigerator~ EO UiD RECOROEO
Sise Color Brand
L,amps # - T ~ B s~asher ~ RI.~~K iRCltIT
COUR
Dinette Set - . ~ Fr+eeter . . _
- Z # Pieoes ~ S !e Brand . - . .
W E~d - ~ Washe~ ~(,~,D •
~ ~ Tsbles # S le Brand O
~ o Chain Style ~ ~ryer i;.l~
- Color Brand -
p i- Soh Style - Sewing Machine
` F- Color Brand ~ '
u~ Desk " Vawum
Z T Brand
~ ~ Powe~ ~ TYPa
~ Lawn Mower Brsnd
Suite 0 Plano
~-P~e~xs--~- - S le W T ~ Brand
Suite ~~9~
~ # Pieces S le Z T Brand
~ 3uite - ~ INsjor
~ # Pieces - S le J^ Power Tools -
~ Suite • ur
~ i Pieoes S le -
r~ ~ Rugs or Size N .
~ w Ca ts ~ Color ,
m Chairs t g
Color ' • "
l.amps #
k 1' - ~ _ `
~ When and Whero was furniture purchasetf T Cost S
Customer's estimate of value
With whst compsny is the furniture insured: Name
Pelicir t Address:.
Schedule 'A• ot Security Agreeme~t dated_the day of . 19 ;
~ Orlgins! LAan No. ~ .
s _ x
pMltness) _ (~ate)
(Witness) (Date) (~~1
s ae
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