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SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
' Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P.
Describe appliance by size and brand. 1 Verbal List? ~ !
(rj Yes { _I No ( I 4
Sofas # Style TV
Color Size b1P et: rand ~
~ Lounge Style R. • ~ TV
O Chairs # O ~ Color G Size Brand
O Occ. II TV
oC Chairs # Color I ~ Size Brand
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End R ~ Stereo y
V Tables # St le 1\OV... v+ y TYpe Brand
Room Air i
z Coffee ` ,
- Tables # St le U 4 Conditioners # Size Brand _
~ Rugs ~ z Range
~ Size ~ ~ Color `J ~ ill Q L Brand _
Carpet Refrigerator
Size Color ~ Brand _ ,
Lamps # Dishwasher
T ~ a Brand ~
Dinette Set Q Freezer
~ z # Pieces ~j Style~(Ze•'~se ~ ~ Brand _ . _ _
O w End Washer
O O ~ Tables # Style_ Brand _ j
a o ~ Chairs # Style ~ Dryer
Color Brand - _
~ v n ~ Sofa Style Sewing Machine t a
z f- Color ! Brand ~OC~~RD`(V\~~~_ ~A ~ _ -
j z ' Desk ~ Vacuum 1 _
z ~ TYPe ~ Brand E - i
Power (Y~oJgS
€ A G ~ ~ a Lawn Mower J Brand _
' ~ f Suite - ` ~ Piano - -
# Pieces St le~'~A . ~ W Type Brand
Suite ~ : Organ
1 ~ # Pieces St le ~ T Brand _ - - - -
Suite J Major -
O # Pieces Style ~ J Power Tools g~ j
a O ~ Suite W 1 •~~9 ~'t ci~Fj{~~. v~, 3
oC # Pieces St Ie !
a Rugs or Size ~ j fIlEO ~kC F=C'nu'U_-
Csr is # Color _ St. tl)C?E COl,S1 Y. f t
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~ CLERK CInC.U{T C4J t S
Color !
Lamps # ' - R~Lf%i . - __~p -
When snd Where was furnitu purchased ? Cost 5 - _ - . _ _ _ _
~y- fl 1'0.~~
Customer's estimate of value
( With what company is the furniture insured: Name _ _ _ - _ _
Policy # Address: _ - - - -
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Schedule "A" of Security Agreement dated the day of 19~ ;
Orl final Lo n No. _ QQ,, -
(Witness) (Date) - alL~~~~
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