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SCHEDULE "A" SECUR1IY LIST ~ 1 Branch Address Stamp I
Describe furniture by color and style: j
Abbreviations -Mod.. Trad. , Col . , Medi . , Fr. P. j
Describe appliance by size and .brand. ~ Verbal List? ~
Lj Yes {=1 No ~ _
Sofss i Style TV
Color Size SS'~.w--:!~ Brand 10?') .
~ Lounge Style TV
O Chairs # Cotor Size Brand _
O Occ. TV
o: Chairs # Color Size Brand _
End Stereo
V Tables # St le of T Brand ~
z Coffee w Room Air
- Tsbles # St le V Conditioners i Size - Brand
~ Rugs z Range _
Size Color Q Brand -c-` ~
J _
Carpet Refrigerator ~ -
Size Golor Brand -
Lamps ; a Dishwasher
T o_ Brand
r? Dinette Set Q Freezer
~ z y
t Pieces Q ~ St le Brand _ -
~ /End Washer
o O Tables 4 Sl le ~tio-ii~-~. Brand iJyj~ -
\ ~ o Chairs t Style ~ Dryer ^ - -
w Color Brand
U o F' Sofa Style - Sewing Machine _
2 H Color L~2~,,,..i Brand {
f W Desk - Vacuum
R ~ z T Brand ~1 - -
p - N Power TYPe - _ ~J
D ~ Lawn Mower Brand d`~~'i~!-
~ Piano
~ Suite O T Brand
S-(1 Pieces St le w
Sulte~ ~ Z Organ
`n * Pieces St le t ~ t ~ ~ T Brand _ _ -
~ Suite ~,p~t J Major
O !Pieces St le Power Tools L' _ _
O J
~ Suite W
~ i Pieces St le - ,
~ V -
Rugs or Size m
w Csr is # Color _
m .Chairs • - ~ ~ _
Color L- ' -
~ s9~9 ~4~'' =B' ail
Lamps i
~ T _ - -
f O+AtKkECOr~~-
When snd Where was furniture purchased? //3~ Jr~~ Cost S ~ E1~ ~F
Customer's estimate of value G 0 t
With what company is the furniture insured: Name ~ECOROVEAiFI£D- -
Policy # Address: . j~j{~!~j~~
~ Schedule "A" of Security Agreement dated the day of 19 ~~;`3W~4 -
Original Loan _
ss) Da _ ealy `I
(Witness) (Date) (Sean
Hess a e eaT)- -
L-411 _
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