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SCHEDULE "A" SECURITY LIST Branch Address. Stamp i
Describe furniture by color and style:
Abbrovlations -Mod. , Trad. , Col. , Medi . , Fr.P. i
Describe appliance by size snd brand. Verbal Lists - -
[J Yes No ~ - - ~
fn Style ~
Color Size Brand t
:~ounge Style - TV i
~ .Chain # Color Size Brand
o Occ. ~ Tv - ~
oC Chairs # Col Size Brand
End Stereo
v Tables # S le w T Brand
z Coffee u+ :Room Air ~ _ _
- Tables # ~ S le V - Cenctitioners # ! Size i~L~rand
> Rugs z Range
i ~ Size Color < Brand -
_ Refrigerator -
j Size Color Brand
~ Lamps # - o. Dishwasher - {
a
T Brand
Dinette t Q Freezer -
z # Pieces St le - Brand
LL• End Washer
p ~ Tables # St to Brand
Ipc o Chain # Style , Dryer
W Color Brand . - -
o ~ Sofa Style ~~~~~7/J. Sewing Machine -
F- ~ Colorl;~/~' Brand
W peak Vacuum
z T ~y~~~.1 " Brand -
~ p Power TYPe -
I C , Lawn Mower Brand
Suite _ ~ Piano
# Pieces S le T Brand .
W
{ ~ Suite ' z TOrgan Brand -
#Pieces 5 le ~ ~
~ Suite ~ Major 1~
~ ~ # Pieces St le ~ Power Toots -
~ S"ite W 1919 SEP 20 _ P11 ~ 33
~ # Pieus .mat' Ic -
U
~ ~ Rugs or Size a
j W Ca # Color - _ ILEO AKC RECORuf•O . -
00 Chairs # ~ itQGER POITRAS
Color - T COURT
Lamps # REi:ORO YERIFiEO--~
T
When and Where was furniture p rchased 2 Cost S _
Customer's estimate of value
With what company is the furniture insured: Name -
Policy # Address: _ _
::cheduie "A" of Security Agreeme dated the _ day of 19
Iginal Loa No.
C:/
W ss) ~ O at ~1)
(Witness) (Date) (Seal)
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