HomeMy WebLinkAbout2170 _ . _ _ ~
. ~
~
~ . F
- ~
,
SCHEDULE SECURITY LIST ~ Branch Address Stamp ~
Oescribe furniture by color and style: .
Abbreviations - Mod., Trad., Col., Medi., Fr.P.
Describe appliance by size and brand. I Ve I List? -
Yes r'~ No ~
Sotas # Style TV
j Color Size ~ Brand
~ ~ Lounge Style N
d Chairs t Color Size Brand
O Occ, N
~ Chairs # Color Size Brand
' End Stereo
V Tables i S le v~ T ~ Brand
z Coffee Room Air
- Tables # St le V Conditioners # Size Brartd
~ Rugs , z Range
~ Size Cotor bi ~ Brar~d ~
Carpet - Refrigerator
Size Color J Brand
; Lamps # ^ d Dishwashe~
, a~ T ~ Brand
Dinette Set ~ Q Freezer ~
~ Z # Pieces St le Brand
p W End Washer
~ Tables • 5 le Brand
a o Chairs t Style Dryer
Color Brand
U o E'- Sofa Style Sewing Machine
r~ F- • Color Brand
~ Uesk Vacuum
~ ~ z T ' B rand
~ ~ - ~ Power Type :
~ ~ Lawn Mower Brand t
~ j Suite . a Piano
, ; # Pieces 5 le W T Brand
` Suite _ Organ
~ ~ ~ # Pieces St le ~ T Brand ~
~ ~ Suite J Major
~ ! # Pieces S fe ~ Power Tools
~ Suite W
~ ~ Pieces St le V E AM!~ M
0
, Rugs or ' Size ~ ~ ~ Y ,
Ot,i:~ -..iTIIA~
Ca ts # Color _ . ~ + • •
i m
Chairs # ~ 4~P^F ~ ~i -'~lP~
~w.
~ Color
~ ; ~~5 ~ T ~ I ~ i ~8 PH '75 '
~ When a~d Where was furniture purchased' Cost S
~
Customer's estimate of value ~8~0
~ With what company is the furniWre insured: Name
€ Poliry • Address:
" Schedule "A" of Security Agreeme~t dated the day of ~ , 19 Z
~ 'ginal Lo n No.
~
~ S c,~~ ~ • ~~~~s-.~G'~-~
,Y
~ (Witness) (Date) (Seai)
~
~ (Witness) (Date) (Seal)
~
~ i ness a e '
Y
~
~ L-48 f
~ aooK24z P~~E2171
r
~
,
~ ~,~~~~=€~~~„f~~»,~ ~ : ~ -
-i4. ` f 7 '«tH i~ X
-t~ ~.~~°'~~,y : ~
~
. _ - . . _ _ ~ = . _ _ . . _ . a