HomeMy WebLinkAbout1716 r
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SCHEDULE "A" SECURITY LIST i Branch Address Stamp
Describe turniture by color and style: I ~
Abbreviations - Mod. , Trad. , Col Medi Fr. P. ~
Describe appliance by size and brand. Verbal List? `
`[j Yes i-I No ~
, Sofas i Style fnP~c~ ~e~. TV ~ -7 `
/ Color ~/~~r ~t.~i ~ Size ~ - ~~~v2 Brand L-t~tr/ r/y
~ Loungc Style /~c/~ti~n N
O Chairs f ~ Color G~ Size Brand
0 occ. Ge~dr ~-l~,~ Tv .
a Chairs ~ ~ Color Size Brand
End ~ py7', Stereo
v Tables * ~ St le v~ T - Brand
z Cotfee ~0 W Room Ai r
- Tables t ~ St le U Conditioners ~ Size Brand
~ ~++95 C-~ ~ r~, o•N z Range
~ Size I,~/ - W Color Q Brand
_ - Refrigerator
Size ~ Color Brand
Lamps ~ TABie Dishwasher
~ T a Brand
Dinette Set / ~ ~,~~.y a Freezer
~ Z~ # Pieces S le Brand
~ W End Washer '
~ Tables # S le Brand ~~7~~^'S~ ~ ~iSe ~ ~
FY o, Chairs # Style Dryer ;
W ~ Color Brend -
' ~ o t- Sofa Style Sewing Machine i
~ z F- S Co1or Brand _ #
~ ~ W ~ Desk Vacuum
Z z T Brand
~ - Power TYPe
~ ~ 0 ~
~ L ] Lawn Mower Brand ,
~ 1 ' Suite O~~c.- 0 Piano
+ # Pieces ~ St le ~-7 ~p-9t W T Brand
~ Suite /11v PR-~t. Z Organ ST lUC~E U'~ECp~DEp
`r ~ Pieces ~ St le ~,~.~i~- Qe T Brand ~OL N
~ ~ Suite J Major R CLERK ~;;~~UftR~s
~ ~ 0 Pieces Style j ~ Power Tools FCC~F,n y-,,,r COURT
~ Suite '
~ W
~ • Pieces St le ~ U
~ ~ Rugs or Size ~
W Car ts ~k Color _
~ Chairs A ~
Color
Lamps i
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~ When and Where was furniture purchased ~~"~T ~ d[.vn~~P/L..! Cost S ~ UU` G G
~ Customer's estimate of value ~ gUll- O U
~ With what company is the furniture insured: Name /L 1v~Q
~ policy ; Address:
~ Schedule "A" of Security Agreement dated the ~ day of . 197~ :
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(Witness) (Date) ( al)
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