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SCHEDULE "A" SECURITY LIST Bra sue--Stamp _
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Describe furniture by color and style: V~,'~ 71 y~`~ ~ -
Abbreviations -Mod., Trad., Col., Medi., Fr.P. ~'.f~;; 3 ~ ~ ~ •
Describe appliance by size and brand. j
Verbal List? 1~.~_ f`:- 1 _`,'i1
Yes No ~ ~i:..C:>., A _.~.1-~-
Sofas # Style TV
~ Color Size ~ rand
~ ~ Lounge Style TV
O Chairs # ~ Color ~ Size Brand
O Occ. TV
' oC Chairs # Color Size Brand
End Stereo
• V Tables # St le W a T ~ Brand
z Coffee w Room Air
- Tables # St le U Conditioners # I Site rand
~ Rugs z Range
J Size Color < Brand l
~ Carpet - Refrigerator
Size Color YC.G~t.J Brand
i
Lamps # a Dishwasher
i T ~ Brand
z Dinette Set Q Freezer .
# Pieces ~ St le . " ~ Brand x/~/~
p W End Washer ,I ,
b G .Tables # St le Brand ,Vb~/'L
I~ ~ o ; Chairs # ~ Style Dryer
~ Color Brand OX/ ~
j o F- Sofa Style Sewing Machine
j ~ f- ~ Color Brand
p! ~ to i Desk Vacuum
f z z( Q T Brand
- ! Power Type
A o! ~
F > Lawn Mower Brand
~ Suite O Piano
# Pieces St le w T Brand
i
Suite z Organ
# Pieces St le Q T Brand
~ Suite ~ Major
O ! # Pieces St le ~ Power Tools ?IlEO AN f - _ . ~ DEO
O Suite w R4`:F - : $
~ # Pieces St to I U F:.: ~ ::.'UR
o ~1r~ Size o~ w RECO~^ ' ` -
j W Ca is # Colo -
m Chairs # g ~ (}rj
i Color
f Lamps #
T ~
When and Where was furniture purchased ? Cost S ~ l V (J ~V ~
Customer's estimate of value
With what company is the furniture insured: Name
Policy # Address:
~ Schedule "A" of Security Agreement dated the 3Q day of
a
e Original n No ~ ~
F /
O
_ Wit ) (Dat (Seal
(Witness) (Date) (Seal)
fitness a e ea
L-48
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