HomeMy WebLinkAbout1168 . -
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SCKEDl1LE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color a~d style: j
Abbreviations - Mod., Trad., Col., Medi., Fr.P. '
Describe appiiance by size and b~and. Verbal List? _
~ Lj Yes I I No
Sofas # ~ Style TV i/
Color Size 3 Brand j~LL!~
-
~ Style TV
O ~hairs # ~ Color Size Brand
O Occ. ~ -
a Chairs Coto~ Size Brand
End ~ Stereo -
St le ~ v~ T Brand
u Tables # w Room Air
z Cotfee U Conditioners # - -
- Tables i St le
> R~gs ' z Range -
Size Color Q Brand ~
~ - Retrigerator -
, Carpet
Size Color -i Brand
~~S # Dishwasher
~ T a Brand
Dinette Set a Freezer -
~ Z, # Pieces S le Brand
p W End Washer ~
~ ~ i Tables ~ 5 le Brand _
I F o ~ Chairs # Style ~rYer „ ~
~ w # Color ~ Brand
v o F- Sofa Style Sewing Machine r_
~ F. ( Color Brand
` w ' Desk Vacuum
2 Z T- Brand
p Power TYPe
p j ~ Lawn Mower Brand ' ~
~ Piano
~ Suite O T " Brend
~ # Pieces S le ~
Suite s Z Organ
~ ~ St le C T Brand
~ Pieees Q -
~ , Major ~
' O ~ ~up~~ St le ' ~ Power Tools
~ ~ i Suite w
t~
~ / Piec~s St le V CORD 8
: o Rugs or Size ~ ST LUCIE COtlpT~tFu
RO
W Car ts # Coior - K CIRCU!? COURt
m Chairs # ~ RECORO VE,~~F~E
Color
~~s # ~
7 ~
When and Where was furniture purchased ? Cost $ , _
Customer's estimate of value
With what company is the furniture insured_ Name -
po~~~y ~ Address:
~chedule "A' of Secu~ Agree dated the day of u- . 19
Or' ~Loa~ '
~ ~
a~' ~ Lc Q,L~ '
(Witness) (Date) ~ (Sea )
(Witness) (Date) (Seal)
- itness a e ea
~-48 g~231 ~~~8
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