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~ SCHEDULE -"A" SECURITY UST _ Branch Address Stamp ~ `
~ Describe furniture by color and style: ~
~ ~ Abbreviations - Mod. , Trad. , Col . , Medi . , Fr. P. I - ~
~ Describe appliance by size and brand. - ~ I
i Verbal List.
; _ - i ' Yes No . . ~
} - Sofas # ~ - Style . TV _ ~
~ _ Color ~ Size 5 Brand ~/j/ L.~ U ~
~ Lounge ~ Style ~ 'n/
# 0 Chairs Color ~ Size Brand - _ s
; - O Occ. TV '
~ Chairs # J?~ e..~ Color Size Brand
~ End / Stereo ~
V Tables St le G~ ~n T e Brand • ~
~ ~ Coffee w Room Air ~ - ~
~ ; Tables tl St le L2,1° U Condifioners # ~Q'. 5iie Brand - ~
~ _ R~95 z Rang~ / `
J Site ~ Color~r' d Brand ~
Carpet .~L,~/J, ~ - Refrigerator / R R ~ . ~
~ Size /dN~1`Celor ~ A~1C Brand
~ Lamps # _ ~ a Dishwa Qr - - ~
~ ? e l Q Brand ~v
' Di~ette Set r y Freezer /O
' . Z ~ Pieces ~ - St le
: W rI srand i~~
` 0 End n - Washer
Tables # N D~C Style Brand - i
o Chairs ~ Style / Dryer_ / - f
W Color ~ G~ Brand ~ ~
o F- Sofa Style Sewing Machin ~
~ Color Brand ~ ~ "
W Desk Vacuum 1 - [
. _ Z ~N~ T e-----" Brand ~ ~
~ ~ Power ' Type L/}g7 ~ ~
Lawn Mower Brand ~~~1~
Suite ~
Piar~o
# Pieces • St le ~~e W Tyre Brand
Suite Organ ~
~ ~ Pieces St le L~- Z 'f' e QN~'' Brand~~ -
~ Suite - ¢ Major -
. ~ # Pieces j Style m~P~~ ; Po~ver Tonls Q/{/~ -
~ suite , - j
~ W ~
~ Pieces St le V
~ Rugs o~- -Size ! ED AML~ RECORD~D
W Car ets ~ Color ~ ST.~UCIE C~p1iT1( F~A,
0° Chairs ~ ~ CIERX CI~CI/1T CaURt ~
~ Color
Lamps # Z ~ - _ . _ -
T e / ~f s . - -
When and Where was furniture purchased ?~/~,~~b c/~ - Cost $
Custorrnr's estimate of value f_~
Q~1 L~
With what company is the furniture insured: Name ~iQya.~/
Poliry # Address: ~ -
Sched~.~le "A" of Security Agreement dated the day of , 19 "
- Or i ' oan - . ' ~
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E itn (Date) (Seal~
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-Zo
(Wit ess) (Date) (Seal)
~tness a e ~
_ . ~ ea
L-48 - • -
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800X PA~E~s~~
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