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SCHEDULE "A• 5ECURITY LIST ' 8ranch Address Stamp
Describe furnituro by color and style: ~ _ ~
Abbr~vistions - Mod. , Tr~d. , Col Medi Fr. P. ~
D~scribe sppliance by size and brand. t Verbsl List.'
~ ~j Yes (~i No (
~ Sofas ~ Style 0 TV ,
; Color ~/'f Size ~ Brand ~ i/c 0
' ~ Lounge ~ Style ~ TN .
~ 0 Chalrs / Cotor ~ Si:e B~and
O Occ. TV
~ Chairs ~ Color p ~ S~ze _ Brand _
' End Stereo
V Tables t St te O~ N T ' Brand
Z - Coftee / Room Air
• - Tables ~ St le C0.1 tf . Conditio~ers # Si:e Brand fi~,
~ Rugs z Range +
~ J Siie j-} 'tl~ Color ~ Q Brand _
Carpet - ~ Refrigerator
' Size Color ~ Brand ~ o
lamps i a Dishwasher ~
- T a Brand
' Dlnette.5et a Freezer
{ p W ~ Pieces St ~e C6 ~ ~ Bra~d -
End Washer
~ Tables t St le j Brand
~ o Cha1 n i Style ~ pryrer - - - ~
i Color Brand
~ V o E' So(a Style Sewing Machine -
? 1- Color Brand
I ~ W
~ ~ ~esk Vacuum - -
~ Z T Brand '
~ Q ~ Power TYPe :
l.awn Mower Brand
' Suite ~ Piano --J f
~ i Pieces St le ~0 ~ T Brand
~ Suite W Organ - - - -
~ ~ • Pletes St le Z T Brand
~ i~ Suite J Major V93_ +
~ ~ Piaces y Style ~~F b..~ ~ J Power Tools
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~ iuP~~s s~ ~e '979 J~~t; 21 A!~ t:
~ ~ R s or Size ~ `
~ u' G ts ! Cofor ~ j xR~?~A. - ~
Chairs ~ ~ ! }
~ Color ~ CLERK C1RCUIT CO `
, L.smps t YEF.IF;`_^ ~
~ RECQ.°.0 ~
~ T _ _
¢ ~~iV Gl.~ 7 S
~ When and Where was furniture purchased ? < < ~h Cost S /ZQ~ _ _ _ _ _
~ Gustaner's estimate of value -~o_ ~~DDD.oo
q Wfth whst company is the turniture insured: Name _ _ _
~ Policy ! Address: _ - - - _
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~ Schedule •A' of,Securlty Agreerttent dated the day of 19
# Orfginal Losn No. ~
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(Wltness) (Date) ' (Seal) ~ -
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