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HomeMy WebLinkAbout1021 i . 3 ! ~ . t . ~ . ~ r _ ° SCHEDULE "A" SECURIIY L.IST ~ Branch Address Stamp ~ r Describe furniture by color and style: { + 3 Abbreviations - Mod. , Trad. , Col Medi Fr. P. Describe appliance by size and brand. ~ Ve 1 List? ~ ~ ~ es ~_I No ~ f Sofas 4 Style N /f s 1 Color ~ Size ~~'R. Brand ~7~ ~.tytr.r ~ Lounge Style N ~ O Chain ~k Color Size • 6rand ~ o Occ. TV ; ~ Chairs # ~ Color ~'~'LS-lJ~ Size Brand E~d ~ Stereo V ` Tables # St le v? T Brand Z Coffee ~ W Room Air ~ ~ - Tables N St le U Conditioners S Size Brand ~ Rugs , z Range . , ~ ~ Size Cofor h~ Q Brand ~5~~ ; Carpet - Refriger or ~ ` Size Color 'i Brand E ~~S ~ a Dishwasher ~ T Brand ~ Dinette Set ~ Q Freezer ~ Z. # Pieces J St le ~ ~ Brand t Washer } W End ~ Tables ~ St le Brand (~~~`^~~=v~o-+~~ f a o• Chairs # Style ~ryer ` w ! Color Brand ~ o E- i Sofa St yle ~ Sewing Machine ~ ~ I- Color Brand ' W 1 Desk Vacuum ~ z Z ~ 'T ~ Brand ~ 1~~ i o ~ Power TYPe t t ~ I Lawn Mower Brand ~u~4~ ~ Suite = Piano ~ # Rieces 3 St le W T Brand ~ , Suite ' Z Organ F ~ ' # Pieces St le Q T Brand : i Suite ~ Major - ~ ~ p ! ~ Pieces St le J Power Tools C i Suite 3~~'~ ~ Pieces St le V ~ ~ i w ~ . ~ Rugs or Size ~ ~ ~ Car ts # Color _ f ~ ~ Chairs i ~ ~ IUCiF COUNTY FLA. ~ Color R, ~ l.amps ~F RECOP.~ yrc;riEP COURT ~ ~ , T ~ When and Where was furniture purchased ? Cost S ' 25 p~ ' Customer's estimate of value 2 7~ ~ i ~ With what company is the furniture insured: Name ~ ~ Policy # Address: ~ ~ ~ Schedule "A" of Security Agreement dated the ~ eC day of , 19~ S; i Original w-Atn~ ~ ~ ~ ~~Z, ~ ~ Z 7 7~ ~ _ ~ (Witness) (Date) ~ (S d~ ~ (Witness~ (Date) (Seal) ~ - ~tness a e ea L 48 ~ Bo~K 242 PACE10;~2 ; ~ ~ ~ _ . ~ °`'=.~-s ~~.4~.~- ~ ; i ~ _ _ ~ _