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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. i Verbal Li ? ~ '
[1 Yes ~No ~ ~ '
Sofas # Style TV _ .
Color Sire t' 0 1 Brand
~ Lounge Style TV
O Chairs # ree~n Color reC Size Brand _
o OKC. ~ 5?er~ vo.c
~ Chairs # Color I ~ Syr F Brand ~ ~a.~~~n r c _
~ End E o.~ 1y ( Stereo i~h1- F!^
J Tables # St le ~ ~n T ~ Brand ~ h~u d C
z ~ Coffee t 0.r~'~ A w Room Air
III ~.e~~c'
Tables ! ~ St le U Conditioners ! Size Brand- -
~ ~ Rugs z ~ Range
J Sire Color Q Brartd -
Carpet - Refrigerator
Size Color Brand _ _
Lamps # i a I Dishwasher
_ _ Type ~ a Brand
Dinette Set Q Freezer
o w ( # Pieces ~ Style K?-~C y Brand Cj. ~ _ _
End ~ Washer
'c ~ I Tables ! Style i Brand ~
Y r ~ W~~ ec ~ r4 F-~~s_e-- -
a o': Chairs # Style csvee.~ Ir Dryer ` \
w ~ Color Qr Brand ~ W ~ _ _ _
o ~ -Sofa Style ue~e..- t Sewing Machine
II Z I- ~ Color ! Brand r _
j Desk Vacuum
~ ? z l Type ~ Brand . _
E - ~ _ Power TYP~1 -
i G p~ N
_ t ~ Lawn Mower Sra r
~~c~s-~S~rA,.~hS
I Suite n 1 g,v.~ =O Piano
# Pieces St le T Brand
Suite w Organ
t `n # Pieces St le tf•OCE~ a Type Brand
~ Major
~ # Pieces St le t ~ ~ I Power Tools F c P~ t_ ~4~%
o I Y a u~ ~ ~ C~~a~ k ~ ~ k - ll
Suite ~ w y-~
~ I # Pieces St le ~ v ~ QC k ~ LJPC K er. _ ~~13_-
~ Rugs or Size ~ ~ i ~ h l
Car is # Color i ~ ~ 0.c k ~ kJ t C e~' =_-~Li S~S~W
C° Chairs # ~ ! - .1
Color I ` u n ab?~ne ~ 1'~le~ _0~~~_~-~+A.d
Lamps # a ; s e rco.+n a.m P s ~ - - S .
~ ~ 3 m~~4~h.:~YPe 1 ~ v t rw ray w•1 _
When and Where was furniture purchased ? Qn OS o C k Cost S -~S~_ (fU _
~
Customer's estimate of value 60 p ~
- X79 f~'~ t k ~f:; ~ I~ 28
With what company is the furniture insured: Name _ _
Policy # Address: -j~- CvU~ 1 Y. Ft A.
Schedule "A" of Security Agreement dated the _ day of 19 R FOITFAS
Orf final Losn No. ~ CL~f21(CIr,CU!T C~U~T
(Witness) i (q'ate) (Se
Seall-
~ (Witness) (Date) l
Hess --I6a-E"eT eaT~ -
48 ~~320 e~ 928
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