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SCHEDULE "A" SECURITY LIST j BtatcFi'Address SEemp
Describe furniture by color and style: ~ • ' ; _ _ _ ,
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. - r '
Describe appliance by size and brand. I Verbal List? ~'1 ~ L':.•.~ i - - - ~ - - ~
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Yes ~ (No
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Sofas # Styie I((,$~L TV
• Color ~C~£ Size Brand
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. TV
~ ! Chairs # ~ Color ~ FJw.v Size Brand
k
' ~ End ~ _ Stereo
V I Tables # St le /~C7, v~ T Brand -
7 I (:nffnP w RrYUn Air
f - Tables # St le U Conditioners # Size Brand
l ~ Rugs z Range
J Size Cotor Q Brand
~ Carpet - Refrigerator
E Size Color Brand
1 Lamps # a Dishwasher
s pZ T ~ a Brand
Dinette Set ~ Q Freezer
~ z ' # Pieces St le ~ Brand
~ w End Washer
~ ~ ~ Tables # Style Brand , -
I ~ o Chairs # Style Dryer
w ` Color Brand ~ ;
v o ~ Sofa Style Sewing Machin
`s z F ` Color -Brand
~ - W ; Desk Vacuum
~ Z ~ T Brand ~ _
Power. _ Type
Q ~ I a Lawn Mower Brand
: - ~
' Suite ~ Piano
# Pieces Style ~ w T Brand
~ ~ Suite z Organ
# Pieces St le Q T Brand
~ Suite Major
~ o + iILEO iihL *f _ !•~DEO
# Pieces Style ~ J Power Tools
O Suite w ROSS ' S
I ~ I # Pieces Style V
s ° ~ Rugs or Size 11ECOp^ - '
~ i Car is # Color ~
~ ( Chairs # ~
Color 3(1 `
Lamps #
T i
( When and Where was furniture purchased ? L(fuQ4[,D - ~(j~~ ~fj],Q Cost 5 ~j ~G`y , ~ ~
Customer's estimate of value (~s~ i
With what company is the furniture insured: Name i
Policy N Address:
Schedule "A" of Security Agreement dated the day of 19 ~g ;
Original n No. T
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j (Witne ~ / (Seal) •
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(Wi Hess) (Dat) (Seal)
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