HomeMy WebLinkAbout0489 ` Y
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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp ~
Describe furniture by color a~d style: ~
Abbreviations - Mod. , Ti~ad. , Col A1edi Fr. P. ~
Describe appliance by size and brand. V rbal List? ; ~
}!~j
Yes 1 I No '
Sofas M Style TV
Color 5 i ze B rand
~ Counge Style N
o Chairs # Color Size Brand
o Occ. ~ TV /i
~ Chairs #k Color ~t,~~/~ Size ~ Brand
End Stereo
V Tables # ~ S le ~n T Brand
Z Coftee Room Air .
- Tabies # St le 7'j V Conditioners Size Brand
~ Rugs - z Range
J Size Color Q Brand f
Carpet - Refrigerator ~
Size Color ~ Brand
Lamps # Dishwasher ~
2 T a Brand ~
Dinette Set a Freezer
Z~ ; Pieces St le Brand ~
' ~ W End Washer
~ ~ Tables ~ ~ St le Brand
I o: Chairs # Style ~ Dryer ;
W ~ Color Brand ~
~ v o F- Sofa Style Sewing Machine
~ ~ F- ~ ~ Color Brand
! ~ W` Desk Vacuum ~
€ Z z + T Brand
E A o~ ~ Power Type ~
~ ` Lawn Mower Brand
Suite ~ Piano ;
~ ~ ~ Pieces St le W T Brand ~
~ Suite ~ Organ ~Mp~O
' ~ Pieces St le ~ ~ Z T Brand V~jd
~ ` Suite ~ J Major
~ f ~ Pieces ~ St~/le , J Povrer Tools ~
~ ~ Suite ~
~ W FIlEO AND RECORpEp
# Pieces St le V
~ ~ Rugs or Size ~ ROCEF ?OtTRAS ~
~ Car ts ~k Color _ CLERK C14C 1 ~
~ m Chairs # ~ RI IED.....,.~.~.~ L
. `
- Color ' ~
° ' Lamps It ~ i
~ T 19 $
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~ When and Where was furnitur purchased ? Cost $
~ Customer's estimate of v,al~~, ~QQ~ QQ ~
_ ,
With what company is the furniture insured: Name
Policy # Address:
~ Schedule "A" of Security Agreement dated the ~ day of , 19
No.
~ 3- 7~ ~
(Witness) (Date) . (Se
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~ (Witness) (Date) (Seal)
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G~ itness a e ea
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~ L-48
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~ BOOK~~ PAGE 4~9 ~
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