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SCHEDULE "A" SECI,'RITY LIST ~ ` ' . BP`anb11'Jtdd?~s' Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. - ~ ~ . ~
Describe appliance by size and brand. i Verbat List? ~ ~
L? Yes t-i No ~ ~ ~ _ ,y
Sofas M / Style TV
Color / Size O/" Brand ~v°~ I c~`~
~ Lounge Style TV
O Chairs s« Color a/`6Vt( ~ Size Brand
O Occ. T/
~ Chairs M Color Size Brand
' End Stereo
c7 I Tables M St le ,aravV/ll rn T Brand
Z ~ Coffee w Room Air
Tables N ~ St le B~~ U Conditioners tt Size Brand
~ Ruas w~......
_ ,...yam ~
J Size Color Q Brand
Carpet - Refrigerator
Size Color J Brand
~mPs # a Dishwasher
_ ~ T e ,~i a Brand
_ ~ Dinette Set ~j Q Freezer ~
'2 Z ' A Pieces / St le Brand
~ ~ End Washer
Tables aE St le Brand
~ o Chairs S Style Dryer
' Color Brand
U o f' ' Sofa Style rt Sewing Machine
2 ~ ~ Color ~ Brand
~ W
z Desk 1 Vacuum
Z ~ T ~ Brand
p ~i w Power Type
I , _ _ _ ] Lawn Mower Brand
! Suite ! Piano
' M Pieces Style ~ O - T Brand
~ ~ Suite ; Z Or an
g
! k Pieces Style + T e Brand
~ ~ Suite j ~ Major FILED ~4 QED
O ~ Pieces Style ~ J Power Tools
O Suite w
k^'- 'y
~ ! M Pieces Style ~ w ~ ClE"' •JURiZ
o Rugs or Size i ~ ~ - REC~^~'
w r Carpets # Color _ '
~ ~ Chairs 1R ~ ~
t Color Eri s
4 Lamps ,t
_ Type
When and Where was furniture purchased ? ~ ~ ost S
Customer's estimate of value J~~~D~
t With what company is the furniture insured: Name .LyTer~
Policy # Address:
Schedule "A" of Security Agreement dated the day of ~f 19
Ori al oan
(Wi ) ~ (Date) (S al)
~ - ~~~3 ° r' y ~ -
(1Yitness) (Date) (Seal)
fitness - a e ea
r
L-48
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