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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by ooMr and style:
Abbreviations -Mod., Trad., Col., Medi., Fr.P.
Describe appliance by sire and brand. Verbal List?
[j Yas No
Sofss # a-~ Style ~ f f . ~ TV .
Cok?r~w~~ i''°~~' Size n-~ Brand
~ i~ounge Style . TV
O Chairs # Color J,J ~.-Q.~ Sire Brand
O Occ. . TV
oC Chairs # ~ Colorer ~ Slza Brand
End - Stereo
v Tables # y S ie v? T ~ Brand
i z Coffee w Room Air -
II Tables # S le ,p V Conditioners # Size Brand
~ Size v Color ~cf •C Brand ~N •
Grpet - - Refrigerator -
Size Color Brand -
Lamps # o. Dishwasher
T e' Brand
Dinette Set ~ Freezer
z # Pieces S le Brand
w ..End - Washer
~ Tables # S k Brand
`o Chain # Style Dryer
m Color Brand
0 1- S~'j Styte Sewing Machine
i- L" /i ~rl S~~ Color!`~~~ T/ ~ Brand ~P
W Desk Vapium -
z T u ~ ' -Brand ~ ~ r- ~ o /t ~ .
a Power Type
~ Lawn Mower Brand •
Suite ~ ~ Piano
# Pieces :r S le T Brand
Suite m Organ _
# Pietas ~ S e z T Brand
~ Suite ~ Major
O # Pietas S le J Power Tools -
O State
~ # Pieces S le m ~i7 .~Gz a .
~ Rugs or Size t)
~ G is # Color ~ Y.f
00 Chain # ~
• Color i
Lamps # ~ i~ 11EA1
v T
When and Whore wss furniture purchased Cost S
Customer's estimate of valuq~,
With whst compsny_ Is the furniture Ensured: Name
Polity # Address:
Schedule "A" of Security Agreement dated the _ day of 19
Ori real No
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loess) ) (Seal)
(Witness) ( ) (Seal?
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