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SCHEDULE "A" SECURITY LIST " Branch Address. Stamp
Mscribe furnituw by Dolor and style:
Abbwvlatlons -Mod., Trad., Col., Meth., Fr.P. ~A(~T.F+ ~ T
Describe spplisnce by si:e snd brand. Verbal Listl 20tj~` ~`i. Fy~~~~~11at~t
~J Yes No iii/ -
Sofss • 'Y Style TV ~ff~/
Cotor ¢.t..r- Size ~ j ~~-Brand
~ L~otmge Style ~ TV Q
O Chairs # Color Size ~J ~ Brand
O Occ. Tv
o: Chairs # Color Size Brand
End Stereo
V _ T-shies # S ie ,n T Brand
- W Room Air
z Coffee '
~ - fables # St le V Conditioners # Size Brand ~
> Rugs z Range n ,i
~ Size ~ Color ~ Brand t ~.•~s'~
Carpet - Refrigerator `A
Size Golor Brand ~
t„a~s # ~ Dishwasher '
T Brand
! = Dinette Set ~~f~~ Freezer
# Places S le /~%~/~x2.~' Brand
W End Washer
~~~ppp O Tables # St Ic Brand
j o Chairs # Style ~ Dryer /
`l u~ Color Brand
i ~ ~ Sofa Style Sewing Machine .
H Color Brand 2
W Desk Vacuum ~ UY~ ~
= T Brand
m Power TYPe ~
O Lawn Mower rand ~1'
Suite ~y ~ Piano
# Pieces / S le ~ T Brand
~ Suite z Organ
# Pieces St le < T Brand
~ Suite Major
O - Power Tools
~ # Pieces St fe •r ~ -
O Suite W
o: # Pieces St le u V-'~-~
O Rugs or Size a
Ca is # Color _
Chairs # ~
Color - -
Lamps # I T ~ 458510 ST. uc E POITRAS~
When and Where was furniture~urchased? Cost~CORO~~--
Customer's estimate of value C~U• ~~Q.~~/
With what company fs the furniture insured: Na ~
Poliry • Address: - - -
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Schadule "A" of Security Agreement dated the _ day of 19
rlglnal No. -
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