HomeMy WebLinkAbout0464 ~
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SCHEDULE "A" SECURITY LIST ~ Branch Address Stamp t
Describe,furniture by color and style: ~ ~
Abbreviations - Mod., T~~d., Coi., Medi., Fr.P. ~ ~
Describe appliance by size and brand. - f List? ;
~ Yes No ~ ~
Sofas i ~ Style N g
Color Size ~ ti Brand
~ Lounge . Style . N
0 ' Chairs / Color Size Brand
O Occ. N '
a Chairs i~- Color Size Brand
E~d / Stereo
V Tables St le v~ T Brand '
Z Coifee / W Room Ai r •
- Tables i! St le U Conditianers ~ Size Brand
~ Rugs h. z Range
~ Size Color ~ Q Brand
Carpet - Refrigerator
Size Color -r Brand
Lamps ~ } a Dishwasher
T Brand •
Dinette Set a Freezer
~ Z ; Pieces St le Brand ~
~ W End Washer
~ Tables i St le Brand
' a o Chairs # Style Dryer
W - ~ Color Brantt ~
v o F- Sofa Style Sewing Machine
2 t- Color Brand ` ;
r W Uesk Vacuum }
I z -
~ z T ' Brand ~
~ Q N Power Type
Lawn Mower . Brand ~
~ ~ Suite ~ Piano ~
~ Pieces S le W T Brand ~
~ ~ Suite Z Organ, #
~ t Pieces St le T , Brand ~
~ Suite ~ Major l, z~ ~
~ ~ ~ # Pieces St le ~ Power-Tools . Nr .
o } Suite
~ ~ ~ Pieces St le V FlIEC -
~ Rugs or Size _ ~~~~1TY FLA. ~
~n ROCER POITRAS
Car ts 1~ Color ~
~ m Chairs ~r - ~ _ REC~r,n vE~~F~Ep .
Coior ~
r ~~S # R 9 2~ Ai~'7 ~
~ T ~
~ When and Where was furniture purchased~ Cost S ~ ~
Customer's estimate of value 3~~~ ~ ~ `
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With what company is the furniture insured: Name
Policy i Address: ~
5 Schedule "A" of Security Agreement-dated the ~ day of 19
~ _ Or~ an No.
~ 3~~/
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~ (Witness) (Date) (Seal)
~ (Witness) (Date) (Seat)
~ ~tness a e ea
0 R ~+JO i
t-as 600K Pl~GE
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