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SCHEDULE •A• SECURITY UST Branch Adds;mP .
Describe furniture by color and style: ~Gj,$ ~~ALV
Abbreviations -Mod. , Trad. , col . , Meth . , Fr. P. - - j3,0. BOX 3 265
Describe appliance by size and brand- Verbal Ust? (705 S. rEL~ERA~-
i Yes ~ No - ~ I', PIERCE FLORIDA 33 ~
sofa: # style Z. - Tv - .
Color ~ ~ Size Brand S
~ Lounge Style ~Z TV
O Chain # ~ Color Size Breed
O Occ. TV - -
GC Chain # Color .Size
End _ _Stereo
t~ ~ Tables # ~ S le ut w T
z ~ry~, w _ Room Air
- Tabies~ # S le U n Sze
I , Size ~ ~ ~ < emend
~ Carpet _ - - Retrigera
Size or -i Brand _
# ~ Dishwasher 4~!1/it~
_ T a Brand
Dinette Set ~ Pr~eezer . ~ , t -
z - # Pieces S le Brand .
w Washer Ep FECWt1~E0
~ O Tables # Brand _ (IC Y. A.
o Chairs # Style ~ Dryer j ~ F b a~ ~~T Cp{~
m o,-
~ ~ Brand -
o F- Seie- j~vas~ Style to
f- Color Brand
Qesk Vacuum - -
z - T Brand
- Power TYPe
r Suite - «t+ O Piano
9 # feces S le Brand
w rte,
Suite z man
# Pieces - ~ T Brand
~ Suite _ ~ MaJor -
O # _ ~ - Power Toois
I o: Suite w y - -
i # Pieces e V
O Rugs or Size ~ -
w ~ is # Color -
I m Chain # ~ Q
o'CoT`~-.
I Lamps i . /y \ - s . - -
T ~h •ia )
When and Where W- furnit purchased? ~ t # ~ ~
Customer's estimate of •value • • f ~ +aOO. O ~ ~00~.~_
With what company is the fu i ~~i
~ame
Policy # Address: -
Schedule •A" of Security Agreement dated the daY of ~i~>t 19 ~Q; -
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(YYi t ~ (Date ~ -
(Witness) ~ (Date
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L-43 -
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