HomeMy WebLinkAbout2905 .
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SGHEDULE "A• SECURITY LIST ' Bra~ch Address Stamp (
Describe furniture by co{or and style: ~
Abbreviations - Mod., Trad., Col., Medi., Fr.P. I
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Describe appiiance by size and brand. Ve I List?
' ~ es No `
~
Sofas # / Style TV
~ Color Size Brand
'z Lounge Style 7V
~ Chairs ~k Color Size Brand
O Occ. TV
x Chairs # 2-^ Color Size Brand
End Stereo
v Tables # St le u? T Brand
z Cotfee W Room A r
- Tabtes # ~ St le V Conditioners # Size Brand
~ Rugs z Range
~ Size Color ~ Q Brand .Q~-~
Carpet - Refrigeretor
Size Color ~ Brand
I.amps # ~ a Dishwasher ~
T a Brand ~
Dinette Set / Q Freezer
~ Z # Pieces S St le Brand
~ ~ End Washer
'c ~ Tables # 5 le Brand
; a o Chairs f Style Dryer
~ W Color Brand
E v o F- Sofa Style Sewing Machine
; z t- Color Brand
6 ~ Desk Vacuum ti µ..~•-r-
i z z T ' Brand ~
~ o - N Power Type
~ Lawn Mower Brand
r
~ ~ Suite ~ Piarw
~ # Pieces ~ St le W T Brand
Suite Organ
~ # Pieces ~ St le Z T e Brand
_ ~ Suite ? J Major
~ * Pieces J St le ~ Power Tools
~ ~ ~ Suite ~ - :
z ~ Pieces ti St le W '
~ ~ Rugs or Size V
~ Car ts ~k Color N
a C0 Chairs # ~
~ Color f~~f0 Ry: '
Lamps # T CLER ~CFr. 'DUk~ Y FIA.
~
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° : ~EO
_ When and Where was furniture purchased ? ~
Customer's estimate of value 8~
~ --~`r` ~9 AM ~T~ N
_ Wilh what company is the furniture insured: Name
~ Policy ~ Address:
= ~chedule "A^ of Security Agreement dated the ~ day of ,e~,l/E•n,~ , 19 7 S- ~
~ ~
~ ~ .
(Witness) (Da e) Seal)
~ (Witness) (Date) (Seal)
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~ - ~ ness a e ea
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~4 ~a ~ooK ` ~ 7 ~ ;
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