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SCHEDULE •A" SECURITY LIST ~~F ~N•,N_("`g
Mscribe furnfture by wlor and stylei r•Q~ ~i~~~d; 9..~aress,Stamp
Abbreviations -Mod., (2(1 7 c• rt;)-..;?~j ~ T;WY
Trad. , Col . , Medi . , Fr. P. ~T
Describe appliance by size and brand. yerbai List? ' P~RC~, I'LORIDA 334SD i
Cl Yes ).I too
Sof ! ~ Style Ty l~
!/e Gt`~olor Size Brand
~ i Style 'ry
O Cha Color ~ Si:e Brand
O Occ. r/ .
oC Chairs i Color Size Brand
End Stereo /r! i/t~ ~'IP A'
v Ta61es # S le ~n T ' Brand
j z ff~ - - - w Room -Air -
Tables # S le ~,,•iI/ t) Conditioners # Size . ~ _ -
~ Rugs z Range
~ ~ Size ~ Color ~ Q Brand
~~'Pet - Refrigerator
Size Color ~ Brand
VmPs # ~ o. Dishwasher
'T - o. Brand
Olnette Set Q Freezer ~ - - -
Z # Pieces le Q'it-.' Brand
W End
b C Washer
Tabies-iV~ St le !!i+-' Brand
o Chairs # Style ~ Dryer ~
W Color Brand _
`o t- tyle Sewing Mschi -
~ F' I~ for C Brand
Desk Vacuum ~ -
fir"" Z T ' Brand
Power Type
~ ~ Lawn Mower Brand
Suite ~
O Piano
# Pieces le T Brand
Suite W
N Organ
# Pieces S le z T Brand
~ ~ Suite ~ Major - }
~ O # Pieces St le Power Tools i
O Suite
~ W ~ ~ J
# Pieces 5 le
~ Rugs or Size V
W Ca is # Color ~ OEO
°0 Chairs #
Color ~ ppfSRA5
Lamps # ~
When and Where was furniture purchased ? Cost S _ _
Customer's estimate of value _ ~ ~ ^ A w
With what company is the furniture insured: Name Y
Policy # Address: -
Schedule "A" of Security Agreement dated the Q day of 19 _ z
Ori final Losn No. r
i s -
(~ate) (Seal)
(Witness (Date) (Seal)
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