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SCHEDULE "A" SECURITY LIST Branch Address Stamp -
Describe furniture by color and style: ~:T.B FiT~r1~NC'~ ~
Abbrsvlations -Mod., Trad., Col., Medi., Fr.P. ' ? •r) ~
Destribe appliance by size and brand. ~ Verbal List? } ~ ~ t'.: )°:~~?.1~~
Yes 1 No 1 1-. i'i~i:C:: 17,0~iillA 33 5 _
Sofas # ~ Style TV .y
Color Size d Brand
~ Lounge Style TV ~ r ~ _
O Chairs # ~ Color Size ~ Brand C_
O Occ. TV
oC Chairs # Color Size Brand
End Stereo
v Tables # ~ St le ut T ~ _ Brand LCJ I ~„~+4e~..-
z Coffee W Room Air
- Tables # ~ St le u Conditioners # Size Brand _
~ Rugs z Range
~ Size ~ Color Q Brand ~ _ -
Carpet - Refrigerator
Size Color ~ ~ Brand l~ _
Lamps # ( n' Dishwasher
T / n' Brand ~ / -
Dinette Set f Q • Freezer
~ z # Pieces St le ~iWl.~'~ Brand l~ - -
W End Washer ~
O O Tables # St le ~ Brand h>~ '•/a-C _
~ o Chairs # Style Dryer
Color Brand f
_ _ _
l o H Sofa Styte Sewing Machine s
F Color Brand _ -
Desk ~ Vacuum
z T ~ Brand ~
Power TYPe
A G ~ ~ Lawn Mower Brand V___ `
Piano
Suite O
t # Pieces ~ St le W T Brand _ _ -
Suite z ~ Organ
~ # Pieces ~ St le ( ( ~ r Type Brand
Suite Major
O ~ Style J Power Tools ~ f EO AN_ I ,CEO
O ~ # Pieces ~
Suite i w kpgr: - ~5
~ # Pieces St le U w~ e_or
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O Rugs or Size ,n 3 IIECOp^ ~
W Csr is # ~ Color -
m Chairs # i ~ ` - oEC 1 9 4o a
color _
~"'~s # ~ T -r ? ~ 48661
When and Where was furniture purchased ? ` ~ Cost ~ _ _ _
Customer's estimate of value ~ -
With what company is the furniture insured: Name - _ _
Policy # Address: . _ _ - - - f
Schedule "A" of Security Agreement dated the _ day of 19 5
Or f 1 No. J r
~ Q
1 - 1
(Witness) (Date) (Seal) -
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s) ~ 'Date) (Seal)
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dO~K 321 PacE 21.22