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~ ~ SCHEDUL.E "A" SECURITY LIST ! Brandy Address _ Stamp
OeseMbe turnltun by oMor and style:
Abbreviations -Mod., Trsd., Col., Meth., Fr.P. '
Describe appliance by sl:e snd brand. Verbal Listd
[j Yes I_~ No
Sofss Ii Style ~ - .
Colo ~ Size Brand
i Lotxt~ Style TV
O Chain I? Color - Sise Brand
O Occ. TV .
~ emirs ~ Color Size Brand
End / - ~ stereo D »~'PC
~ ,T Brand
u Tlblas i S le
i z Coffee f_ d W Room Air ,~j~~
- Tablas * ~ S le t3 Conditioners * Size ~'>srand 5 -
> Rugs z Range
~ Size Color < Brand
rop7 +e.- Refrigerator ~
Siz "'motor Brand
Lamps # a Dishwasher
- T ~ Brand
Dinette Set _ ~ Freezer `tom O ~ ri
z 9 Pi ,N~4 O+M[~l ~ Brand L~?~ -
W End Wssher
G Tables i S le Brsnd ~ ~ ~ ~ ~ N~
o Chain t Style ~ Oryer
W Cobr Brand - -
~ F Sofa Style Sewing Machine ~
F- Cobr Brand ~ I ~ Y
W Disk Vacuum ~
= T Brand ~ ~ _
Power ~ TYPC
C ~ Lawn Mower Br
{ Suite 3 `l d~ 'pr ~ O piano Brand
t Pieces SSA I '~r7~ W
~ N suite f~ ~ yytr w
~ organ
1 pr's S ~ ~ Z T Brand
~ Sulue~s J Msjor p.-_
1 O • Pieces S le Power Tools ~19 SEP ~a ~'-3~
J
O Suite W FILE ~ 0 -
oC ~ Piaces S to
a v TRAS
Rugs or Size m ~
Ca b ~ Color ~ _
m Chain Ii ~ RECORO YEAiFtEa~-
Cobr ~2 8/Y -
T s~ I Q~ 05
When and When was furniture purchased i I ~ ~1~3 , 1~ ~w/'/~~ ost S ~O~l
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~ 4 v
Customer's estimate of value ~.N a '
With whst company is the furniture insured: Name
Policy i Address: _
Schedule "A" of Security /?greement dated the day of 19
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fitness ( ate
(Vllitness (Date eaq
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