HomeMy WebLinkAbout2560 (
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Bra~ch Address Stamp
SCHEDULE "A" SECURITY LIST
Describe furniture by color and style: '
Abbreviations - Mod-, Trad., Col., Medi., Fr.P. i
Describe appliance by size and brand. I
ye~~ List?
[j Yes ~=1 No
Sofas ~ Style m'It, % TV ,
Color Gr e Size Brand ~
~ ~~y~ Style TV
o Chain • Color Size Brand
' o Occ. lY
~ Chairs # 1 Color Size Brand
End Stereo ~ ~ ~
•:J Tables i Style ~ T ~ Brand
z Coftee ' , w Room Air
- Tables # S le V Conditio~ers f Size Brand
~ R~ z Range
Size Color ~ ~ Brand
~ ~~t - ~ Refrigerator
Color 6' r~t t Brand ' 1~ 4~- ~
Size
~~S # a Dishwasher
~ . Ty~ Ch Brand
Dinette Set a Freezer
~ Z # Pieces S le , Brand '
p w E~d Washer
~ Tables ~ S le Brand
~a o Chair,s # Style ~ryer
; ~ Color Brand
' ` F- Sofa Style Sewin,g Machine . 4n j
E ';c ~ Color Brand
° w Desk Vacuum ~j
~ z Z T B rand ~ r
Power TYPe
P o ~ Lawr~ Mower Brand
~ ~ Piano p
Suite O ' Brand ~ l~Y -d C l~
~ # pieces St le C W T
Suite Z Organ ~?c~
~ p~ece, 5 le T Brand IG+~7
g ~ Major
O ~up ~5 t., St le CO ~ ~ Povver Tools FftEO
~ couMrr F«.
o Suite - w ROCtR POITRAS
! ~ ~ Pieces St le t) RF~~RD VERtFlEp..,..~~,~
~ Rugs or Size N
~ Ca ts ~ I Color -
' ~ Chairs ~ ~ t J~t IZ is PN f~
Color
Lamps ~
T r
When and Where was furniture purchased ? Cost 5 I~l ~
~ Customer's estimate of value
~ With what c°~~
ny is the furniture insured: Name ~ fi • YY~S
Poliry e pwnCY Address: ~ . 7 ~ 9 -
~ Schedule °A" of Security Agreement dated the ~Y • 19~
~ Original Loa~ No.
/o-~ ~ ~1/~m C~-~~-
~ ~ ~ ~ (Date) ~
(Witness) . ~ ~ _
(Date) (Sea I
(Witness)
itness a e ~
L-46
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