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SCHEDULE "A" SECURITY LIST E r~`6YSfu~~s3''3tamp
Oescrlbe furniture by color and style: BQX
Abbreviations -Mod. , Trad. , Col. , Medi . , Fr-P. _ ~ NORTHFLELDt ula B~OtTi
Describe appliance by size and brand. ~ Verbai List? ~ '
i ,
11_i Yes i No
Sofas # ~j s~~ u/ Style ~ •NVrY TV ~cSi~~2 ~
o'~- i?trI Color Size .~3/,~, Brand ~~.A ~1~
~ Lounge Style iy,,r~ TV _ 3~ w - '
O Chairs # Color i Size ~a.~ Brand -
O Occ. ATV
~ Chairs # ~ Color - ~ ~ ~ Sire Brand
End Stereo
U ~ Caob~ # ~ Style j /~r3 ~ W TYPe L~UtiSo /r Brand ~ /J~er_~x_~
z Room Air
Tables # St ie /as u i Conditioners • Size Brand
~ Rugs ' z ~ Range
' J Size Color < .Brand
Csrpet - - Refrigerator
Sire - Coiur ~ Brand l~~„~;Q1Lx, ~iG/t 6~ s,ct r _
~mPs # o_ ' Dishwasher
°2 TYPe 1 a Brand
Dinette Set < Freezer _
~ _ # Pieces S_ Style p~ ~ L Brand ~y. ~ /3 C ~ ~f -
O W -
~ End ~ i Washer
L I Tables # Style ~ Brand ~tt./tr-.? /.7./~c
[x o r
Chairs i Style ! 1, Dryer ! ~ A - v- -
W i Color Brand Gt/fs <t.-.? ~?1'
~ o` I- ~ Sofa Style ~ Sewing Machine - ^ -
l" ! Color Brand /li~~°w ~
w f Desk 1-Vacuum
z
z ~ T e ! ~ Brand /~~G ~l.~
~ ~ i ~ 1 Power Type
_ ~ ~ Lawn Mower Brand
! -Suite Piano - - - - .
~ # Pieces 'Lf Style Flo ~ ? O ( Type Brand
Suite u' - - - - ` . -
~ ~ i f Organ
~ i # Pieces Style ~c~ Q Type Brand _
t7 + Suite ~ J ; Mayor
O , # Pieces 3 Style ed~ ~ J ! Power Tools _ -
Suite ~ ~ ` t ~1~~ OED
Pieces Styir lUCtr lA.
~ U - ~iL~ i. ~t ~;-i~}~-------
W ~ Rugs or Size ! ~ CLERK i : ~'U T ~
m Carpets # Color ~ _ RECQI?n /i R ~ K
( Chairs # ~ ~ n,, Dom'-'Q-"
F ( Lamps # ~ Color - -----Y~Cr--~ JPa F-~~J
1 Ty~_- /Nd C/. 1
When and Where was furniture urchased ? w~ ~c r s - -
P !/r it iL ~ - - pt~.c s ~ Cost S
Customer's estimate of value ~ ~ ~ ~S - - - - -
s~~~ - _
With what company is the furniture insured: Name i(j G 2
_ - - - -
Poliey A Address: _ _
Schedule "A" of Security, ¢gTle~pt dated the day of i~(1Y6R1taAI=- i4---- - ~ - - ~ - - -
Mal Loan No. ff..l~l //~~FF .j3
/ ~7 '
(Wit sI -LL
- ~ fJ / ~ ~~~t L ~ f~ -
- {Gate) ~ eat)
(Witness) - (Date)_--- - - (Beall- - - -
i Hess - _`_--iTjateT`---- ------1~r~ - - -
L-4a
b~~•~321 ~~~1136