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SCHEDULE "A" SECURITY LIST )~~r~.''Stamp !
Describe furnituro by color and style: 0~ B~x ~26~ ~ -
Abbrovlations -Mod. , Trad. , Col . , Medi . , Fr. P. ~ ERAi
Describe applisrtce by size .and brand. _ Verbal List? ~ 05? ~(~~A 331}~Q~
- , p~ER . - - - - - -
[j Yes No -
Sofss • Style TV c
Color Size Brand \
f ~ L,ounge Style ):ei'~1 eC ~ TV
4 Chairs ! Color Size Brand
o Occ. TV
oc Chairs ! Color Size Brand
End Stereo
V Tables ! S le 100 ~ T 'i: rand
Z - - 6 - - - - -
w --Room- /fir - _ - - _ _ _
- Tables ! St le sJ Conditioners i •Siz Brand
> Rugs z Range ~
~ Size Color C Q Brand
Carpet n - Refrigerator
Size k~Z Color 6 ~ Brand t\CJ~A
lamps # a Dishwasher
' ~ T A o. Brand
Dinette Set ~ Freezer
z t Pieces S le !'n\C-~ Brand _
p W End Washer
!o ~ Tables ! St le Brand - ~
o Chairs ! Style ~ Dryer
Color Brand _ _
~ (J o i" Sofa Style Sewing Machine
~ F- Color Brand ~
w pesk Vacuum -
_ z T Brand
b - ~ Power TYPe
~ Lawn Mower Brand
Suite ~ Piano -
• Pieces S le OCT • w T Brand
~ Suite z Organ
~ !Places S le T Brand ;
Suite ~ Major ~
O # Pieces St le J Power Tools P~ j
o
Suite
s • Pieces St le ~ ~g19 SEP
~ Rugs or Size ,n i1lEO ABOI'~tY~
W Ca is i Golor _ IUCiE COUM
m Chai rs f g ~ItCU(~
Color
f Lamps ! RECORD
T r1 _ _
When and Where was furniture purchased? c ~e ho~~ Cost 5 _~,c~c\~~QQ •~~'_'l-~l'S~~
Customer's estimate of value ~ ~ Q~~ . ~ -
Wlth what company is the furniture insured: Name (~~(~(`(1 s
Policy i Address: \~e,~ t7 y~~`~ - - - - ~
Schedule "A" of Security Agreement ted the day of 19
O Iginal o.
l7 ~ -
( I s (Da ~ ~ YO D I~~el:a:~1, -
i
fitness) (Date) (Seal)
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