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SCHEDULE "A" SECURITY LIST Branch Address Stamp ~
Deserlbe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. ~
Describe appliance by size and brand. Verbal List? ~
=(_j Yes I_l No
~ -
Sotas • Style ~*d • TV
~ ' Color ae`:. Size - ~ Brand ~
~ Lounge Style ZQ~.b TV
i O Chairs i Color 4 Size b\ 2 Brand ~'~i~-
O Occ. TV
~ Chairs / Color Size Brand _
End _ Stereo
V Tables ; St le a T e Brand (~,~c~z~R .
Z Coffee W Room Ai r
- Tables M St le V Conditioners # Size Brand
~ .Rugs z Range
~ Size Color < Brand C
Carpet - Refrigerator
Size G ~ Color J Brand S~c.,(Z ~,c:,_~c~~_~ -
~mps ; - Dishwasher
T Zw a Brand
Dinette Set Q Freezer
z t Pieces St le Brand Qua -
- - i
o W End Washer
O ~ Tables i St le Brand ~ _ _ _ _ _
f ~ o Chairs i Style ~ Dryer
E w , Color Brand ~ Q ~ c: c \0.-5~----
P o f" Sofa Style Sewing Machine
~ F- Color Brand - _
' Desk Vacuum - -
~ z I Type f I .Brand
~ - I Power TYPe
~ C ~ ~ _ ! Lawn Mower Brand
Suite Piano
Pieces 3 St le c,Z W Type Brand -
Suite Z I Organ
~ ;Pieces St le 0. ~ < ~ TYpe Brand
Suite ~ Major F LEO eft ~ ~ = °'~ED
O # Pieces y Style ~c3Si~ J Power Tools _ ~ r ~ - _ _
O ~ Suite ~ W ~ F; . r ~
~ t Pieces St le ClE ~ = _ _ __9UR ~__M
~ U „
Rugs or Sire m
- W Ca is i olor e _
4o J~~
Chairs / f ~ - EC
Color ~ - -
temps ~ 4~i£~662
T -
When and Where was furniture urchased? _ Cost S ~f~f7 .
~r---- - - -
Customer's estimate of value ~-~,~'1~ _
With what company is the furniture insured: Name _ _ _ - -
i
Policy A Address: - _ _ - '
Schedule "A" of Security Agreement dated the day of 19
` Orl Hal n o.
L / (W to s eat)
(Witness) ( ate) IS 1
Hess - a e `-T~a~
L-411
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