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SCHEDULE "A" SECURITY UST ' Branch Address Stamp i •
Describe fur~lture by color and style: !
Nbbreviation's - Mod. , Trad. , Col Medi Fr. P. . ~ i
Descrilx appliance by siie and brand. ~ ~ Verbal List? !
[j Yes No ~
Sofas ~ Style N ;
, Cotor Size ~ Brand L. '
~ Lounge Style TV .
! O Chairs ~ Q Color Size ~ Brand
O Occ. ' TV
n: Chairs ~ ~ Color Si:e ~ Brand
End Stereo r
~ V Tables t St le v? T ' Brand 1_ l l'~ - K
z Coffee W Room Air ~
Tables ~ St le U Conditianers # Size - Brand '
~ Rugs z Range ~
J Size Color Q Brand
: - Retrigerator .
Size Color ~ Brand ~
Lamps ~ Dishwasher
T Brand
; Dinette Set a Freezer
t~ Z~ { Pieces St le Brand .
p W End Washtr
p ~ Tables # Sl le Brand
~ o Chairs # Style ~ Dryer
i ui Color • ~ Brand
' ~ o F- Sofa Style Sewing Machine
' H Color -Brand ~ I C L~
~ ~ ' Desk Vacuum
I ~
~ ~ z T Brand
~ ~ - Power Type -
G N
~ > Lawn Mohrer ~ Brand
Suite Piano -
! # Pieces ~ S le W T i Brand
~ Suite ' Z Or9~ tT. (~pf~ ~F~fllf~p
~ Pieces ~ 5 le 1 c; ` ~ T Brand ~Y
4
' Suite ~ Major t'-.RS ~:3~U]t ~S
i~ # Pieces St le ~ Power Tools CGU~
~ Suite
~ ~ W 1 Jtry
~ # Pieces St le -
i ~ Rugs or Size ' ~ ~
; 'L . Ca ts ~ Color _ ~
i Chairs # ~ ~
( Color C .
I ~amps i
~ T
When and Where was fu~niture~ purcha ~ I~~.~~ f~~~ c~;~ K t=S Cost S_ ~ t_t t~ t~ el ~
o~
Customer's estimate of value _ ~i y~~~-
~ With what company is the furniture insured: Name N Gi1/ ~
~ Policy t /lll~ Address: ~ ~ fi/ /A ~
~ Y 9 R- day of ~ z,1 cJ . 19
~ Schedule "A" of Securit A reement dated the ~ r
~ Ori i Loa~ No.
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~ ~ ~I _ '
it ess) (Uate) r i e~ ~
n X ' t ~ ,
(Witness) (Date) (Seal )
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. g~~ 289 ~~E 3~33 ;
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