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SCHEDULE "A" SECURiTY LIS'i' Branch Address Stamp s
~ Describe furniture hy color and style: _ ~
Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. , ;
Describe appliance by size and brand. Ver 1 List? ~
- . . I I_ es No ~
Sofas # Style ~ TV << ~ ~
~ ' - Color ~-~8-~' • Size ~ S' 6rv Brand ~
- E
- ~ Lounge Style ~ " l~V ;
O - Chairs ~ Color - ~ Size Brand - ~ ~
TV ~
~ O Occ. ~ ~ ~ - ~ ~
~ ot Cheirs # 3 Color ~ Size Brand ~ .
End Stereo ;
V Tablss St le v~ T e - Brand ~
z Cofiee / W Room Ai r ' ;
j
- Tables ` Style v Conditioners ~ Size ~ 8rand • ~
~ Rugs ~ z Range . _ `
_ ~ Size Color Q Brand - - +
Carpet - Refrigerator - ~
Size Cofor -1 Brand ~ X S. ~ ~
Lamps # _ + Dishwasher _ •i
. 7 e ~ Brand - ~
Dinette Set _,rt~ ~ a Freezer _ .
Z # Pieces St le / ' ~ Brand E
W End ~ IYasher (j .
~ Tables A St le - Brand• ~4•t~`'~' ~ _
: o Chairs # - Style Dryer
w Color Brand ;
~ o F- I Sofa ~ Styfe Sewing Ma hi 1- ~
i- ~ - Color Brand fF~"~ ' ~
W Qesk 1 Vacuum • ~
z / T e L~ ~ ' Brand "~-~--t-
- . Fower Type _ t
~ N Lawn Morr'ar • Brand ~
Suite / ' Piano t
# Pieces ~ St le ~ T e Brand ;
Suite Organ / /f , <
~ ~ Pieces ~ St I~ ~ Q T e Brand .~(/f ;
~ Suite _ ~ Major ~ ~
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# Pieces St ie Power Tools ~
~ Suite ~ ~ r~~
t~ u' FIIE~ "+r~ wc r~ _:1
# Pieces St le
~ Ru s or Size v • v~=~ ~:'?t%4TY FIA. `
~ W 9 ~n F,O::t_~ -iii1P.AS ~
Car¢ets ? Co4or ~ ~~~s~~~~ ~ ~ - -
m Chairs ~ - ~ RF!'^~~ yr-:: c;t - ~ -
- - Color " ~ #
' Lamps ~ 1'~ar U ~Il ~7 l
T e - :
When and Where was furniture purchased ? - Cost $
Customer's estimat~ of value L oe o
4Yith what company is the furniture ~nsured: Name,.-{// ~
Policy [ ^ Address:
' Schedule "A" ef Security Agreement dated the day of , 19 7~ - " _
. Original a. -
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(Witness) (Da e) _ iSeal) ~
, (Witness) (Date) ' al~ ~
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~tness a e ea t
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~ L-46 , BOOK~~ PAGf~~~4
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