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SCHEDULE "A" SECURITY LIST BrariEh'1~r~ Stamp
Oescrlbe furniture by color and style: 2: _ _ • ~ ?'!•'i '
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. f ~
Describe appliance by size and brand. Verbal List? ~ it • ° - ~ , . , ~ 's}; j ~ , ~ ~ ~
[j Yes No , ~ _ _
Sofas ! Style /IrjOC TV
i/
( Color. • G Size S Brand .tJ/
i ~ Lounge Style QaZ O~/ TV
O Chsirs ! Color ~ Size Brand
O Occ. TV
oC ,,Chairs ! Color /•C~w/ Size Brand _
End Stereo ~-~5~~~
I V Tables • St le ~n T i?,~C Brand _
z Coffee W Room Air
- Tables ! St le ~0 U Conditioners / Size Brand
~ Rugs z Range
~ Site Color ~ Brand ~ A9t9ir't _
Carpet - Refrigerator
Si:e (,t) Color y./~J -i Brand e /rILY~ _ _
Lamps ! o. Dishwasher
T o_ Brand
Z Dinette Set Q Freezer
!Pieces St le Brand _ _ _ _
W End Washer
~ b ~ Tables ! St le Brand / J _ _
?Y o .Chsirs ! Style ~ Dryer
I W Color Brand C.? ~ _ _ ,
o F~- Sofa Style Sewing Machine
~ Color Brand _
~ Desk Vacuum
i
z T Brand
- Power Type ~ N.5 - i--
P ~ - ~ Lawn Mower Brand
Suite ~ Piano q
!Pieces Sl ie U/~ T Brand
Suite Organ
~ !Pieces St le z T Brand _ _ _
~ Suite ~ Major ~ -
~ t Pfaces Style - ~ Power Tools _
~ Suite W ~ ~g
i Pieces St le V _ ~
~ Rugs or Size N F1LE0lNORECOA 0
Ca is ! Color _ i ST.LUCI~CO~t
t1TY.FLA.
eww~ ~s~c -
m Chairs ! ~ ~
Color ~ q.ERK CIRCtltT
I Lamps !
t ~ TYPe
~ ~ ~ costs ~ DDO' dC
When and Where was furniture purchased . war /O Yr' B Yc7i`w~/S s7]~ S _ _ _ _ _ _
Customer's estimate of value ~l j-l~ O j/, ~Q
t
With what company is the furniture insured Name _ _ -
Policy ! Address:
Schedule "A" of Security Agreement dated the p~ _ day of 19
) Or f Loan No.
Wi ) ~ (S .al)
/~2 - - -
(W 'mess) (Date) (Sean
Hess a e `_`T~aT~~__ - _ _ _ _ _ _
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