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SCHEDULE "A" SECURITY LIST ! Brand? Address, Stamp
Describe furniture by color snd style:
Abbnviatlons -Mod.. Trad., Col., Medi., Fr.P.
Describe appliance by size snd brand. Verbal) List3 ~
[J Yes ja) No
i f # S le TV [
r Size Brand
~ L+ainge Style TV
O Chairs # Color Size Brand
O Occ. TV
~ a Chairs Color Size Brand
End Stereo
u Tables # S v~ T
~ z Coffee - --Room Air - .
~ - Tables S le U Conditioners # Size Brand
~ Rugs z Rsnge
i ~ Size ~ Color ~ Brand
~ Carpet - Refrigerator ~
Size r Brand
~ mps # Dishwasher
~ Brand
Dinette Set < Freezer ~
z # Pieces S le Brand _
W End Washer
p O Tables # S le Brand
Ip~ o Chairs # Style ~ Dryer
W Color Brand _ _
(J c t- Style ~ Sewing Machine
tt~z i- Color Brand
~ Desk Vacuum - . -
~t"- z T Brand
Power TYPe _
C H lawn Mower Brand
~ Suita ~ Piano _
i • Pi .S le W T Brand _
~ Suite z Organ
# Pieces S I < T Brand _
~ Suite J Major LI a~OQ
O • Pieces S le J Power Tools
O Suite .
~ # Place t I V 1 ~ ~ 3~
1 ~ Rugs or Size ~
W G is # Color _ E
m Chairs # ~ ~
Color
~s f
T RECOi!0 VERif if fl
When and Where was furniture purchased T Cost S
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Customer's estimate of value
With what company is the furniture insured: me
Policy # Address: ~ _ - _ _ -
Schedule "A" of Security Agreement dated the _ day of 19
Original No. _ , / - ~
Tim ` ~ - -
Itness) a (Seal)
-~1 2~C
(Witness) (Date) (Seal)
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