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SCHEDULE "A" SECURITY LIST ~ Brandh Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. ~
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Describe appliance by size snd brand. i Verbal List? ~ i
I ~,-J Yes l~ 1 No ~ I +
Sofas ! / Style TV
v Color 9 .L`i't Size ~ Brand v'~
~ Lounge Style - TV
O Chslrs # ~ Color ~ - c t
~ ~ Size _ Brand _ _
O Occ. TV j
~ Chairs t Color Size Brand
End Stereo ,pR,
Tables i ~ Style N T Brand ~v~4'~
z Cotfee Room Ai r
- Tables i St le n f~`~~ U Conditioners it Size Brand _
~ Rugs z Range
~ Size Color a Brand
~rpeL - Refrigerator ~
Sire Color J Brand ~ -~r~ - _
Lamps i a ~ Dishwasher
i Type j a Brand
Dinette Set Q Freezer
~ Z i Pieces ~ St le -L 41I Brand - _ _ -
O W End Washer
o ~ Tables • St le I Brand _ _
~ c i Chairs i Style - Dryer
~I i Color Brand - _
- -
I o Sofa - Style Sewing Machine
Z E- ~ Color Brand ~ t61 L - _
ui pesk Vacuum
E z Z T Brand -
~ o ~ N Power TYPe
I F_-_ Lawn Mower Brand_____-_______
Suite = Piano
~ !Pieces ~ St le . c4-~ ' W T Brand .
Suite r~yi3a ~ Z Organ
!Pieces ~ St le T Brand
~ Suite a Major
O ~ • Piecesl~~c~ ~(f'U"`"Style J Power Tools _ _
~ Suite ~ ~ ( w +
# Pieces ~ G~~9'~"St pie ~ V ' ~ _-i~~_ ~ c~------
~ Rugs or Size
~ ,
W Ca is i Color _ 1 Wy to ~~i: h= 4dr. i1.. _ -
F ~ Chairs i ~ ~ ~;.11lClf COU..
ROGER PGIjR~~S
Color ( w. rny rt~riil7_~(;i,t
LampS # ~ l~.
When and Where was furniture purchased ? ~1 R n_-~ Cost 5 _ __pp_____ _ _
Customer's estimate of value ~~i n - 4~~Q6U
With what company is the furniture insured: Name _ _ _
Policy tt Address _ _ _ _ -
Schedule "A" of Security Agreement dated the - day of ,v1,(,~ 19
Original Loan Mo. (J//--
(Witness) (Date) n (yeah
(Witness) (Date) (Seal) ,
Hess a e ~a~--- -
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