HomeMy WebLinkAbout2887 . ~ • ~
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SCHEDULE "A" SECURITY LIST Branch Address Stamp I
Describe furniture by color and style: ! ,
Abbreviations - Mod. , Trad. , Col. , Medi Fr. P. !
Describe appliance by size and bra~d. ! Verbal List? ~ : i
i LJ Yes I~I No ~
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Sofas t Style ~ TV ' /J
~ Color ~,..,,,w Size / Brand ~ A
~ Lounge ~ Styte ~,r,~ N ~ ~
~ Chairs ~ Color ~I-Fti-~. Size ~a Brand
O Occ. TV :
~ Chairs ~ Color~lu~ Size Brand 4
End Stereo ? ~
v Tables S le ar~-- v~ T Brand
z Coffee ~ Room Air
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- Tables ~ ~ St le V Conditioners # ~ Size /'u'°~Brand ?
~ Rugs z Range -
Size l~~~ Color Q Brand ~
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Carpet ~ / ~f - Refrigerator / _ L ~
Size D Color -i Brand ~
Lamps # a Dishwasher 4
T L~ a Brand i
Dinette Set a Freezer / _ ~
~ Z # Pieces JJ St le Brand
~ W End Washer
~ Tables ~ ~St le Brand /
a o i Chairs ~ Style Dryer
W Color Brand ~
! v o~ Sofa Style Sewing Machine
~ 2 t- Color Brand ~ ~
~ ~ W r ~esk Vacuum '
~ Z z ~ T Brand
~ o - ~ Power TyPe O /g^.~~'
3 _ ~ > Lawn Mower ~ Brand ~
~ Suite ~ Piano ~
# Pieces ~ St le W T Brand
~ Suite Z Organ 3
~ ~ `n # Pieces St le Q T Brand
~ ~ c~.peo . L.1.o i Maior ~
~ # Rieces ~ Style ~ ~ Power Tools
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~ r~ I W F?~~G AY~ ~tCORDEO
~ #_Pier.es o~G~-~~ St le V - ST. LUCii t'OUNT11 FLA.
~ ~ Rugs or Size _ : : r• ' :
Car ts # Cotor ( f.• :~~T COL'RT i~ ~
~ 0° Chairs # ' . :
~ Color ~ ~ ~
~ Lamps A T
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? When and Where was furniture purchased ? ,,Qeri~ / Cost S ~
:x
Customer's estimate of value ~ 00 O a
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~ 1Nith what company is the furniture insured: Name
~ Policy # Address:
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~ Schedule "A" of Security Agreement dated the ~ day of ~c_ , 19 'J ~
~ Original Loa~ No.
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~ ~ ~ ~/`~i/ iE~~~`-~-'~~`-~.e-O
~ (Witnes (Date) Seal) _
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~ (Witness) (Date) (Seal)
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~ itness a e ea
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~ ~-48 ° R 235 ~~2886
~ BOOK
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