HomeMy WebLinkAbout2690 ~i , .
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SCHEDULE "A" SECURITY LIST ; Branch Address Stamp I
Describe furnit~re by color and style: ' '
Abbreviations - Mod. , Trad. , Col Medi Fr. P.
Describe appliance by size and brand. j Verbal List? ~
~ Yes ( = No ~
Sofas # ' Slyle N ~ ~ ~
• Color Size '"~~f~ Brand
~ Lounge Style • ~
O Chairs ~1 Color Size Brand
O Occ. TV
~ Chairs ~ Color Size Brand
End Stereo
v Tabies 11 ~ St le ~n T Brand
z Coffee W Room Ai r
- Tables A 2 St le U Conditioners # Size Brand
~ Rugs z Range
J $~Ze Color Q Brand
Carpet - Refrigerat ~
Size Color ~ Brand
~~S ~ a Dishwasher .
1 T e a Brand
Dinette Set Q Freezer ST. lUCtt '.'iUrTr F~A.
~ Z # Pieces St te Brand ~ RUC-. -
~r ~
~ W End Washer • ~URT
~ ~ Tables ~ St le Brand 4FCn~; y-: •c._~
~ o~ Chairs M Style Dryer M~ I~ ~
w~ Color . I Brand N
~ v o I- ~ Sofa Style Sewing Mactine ~
E 2 ~ ~ Color Brand " ` '
° ` ; Desk Vacuum
~ z z I T Brand " ~
~ - ~ Power TYPe ~ ;
Lawn Mower Brand
~ p ~ _
~ Suite ~ Piano
! ~ T Brand
~ # Pieces Style W
~ i Suite - Z Organ
~t Pieces St le i Q T Brand
~ Suite J Major .
~ ~ Pieces St le ~ J Power Tools
~ ; Suite W ,
~ * Pieces St le '
U
~ Rugs or Size ~
W Car ts 1F Color _
m Chairs # ~
~ f Color
~ Lamps #
T e
~ When and Where was furniture purchased ? Cost 5 "
Customer's estimate of value ~ C
'w~
_ With what company is the furniture insured: Name
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k. Policy ~ Address:
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a` Schedule "A" of Security Agreement dated the day of . 19
~ Origi n No. , ?
~ ~,~-v~ 3" 7~~ ~
~ (Witness) (Date) (Seal)
~ (yllitness) (Date) (Seal)
~ - itness a e ea
~ i
L 48
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