HomeMy WebLinkAbout2180 _ _ _ . _ _ r
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SCHEDULE •A" SECURITY LIST i Sranch Address Stamp
Describe furniture by color and style:
/lbbreviations - Mod. , Trad. , Col . , Medi . , Fr. .
Describe applisnce by size and brand. rbal List? '
I Yes ~=1 No
~ Sofas ~ ~ Style - - ~ ~y /
Color j Size / Brand
~ t~ounge / Style D N ~
o Chairs ~ / Color Size ~ Z ~ Brand ~
~ O Occ. TV ^ .
~ Chairs ~ Color Size Brand
End / / Stereo /
i t~ Tables S le ~+f ~ T Brand
' z Cotfee 1 ! W Room Ai ~~e ~
TableS # S le C~ Conditioners Size Brand
j ~ Rugs z Range ~
i ~ Size Color Brand
~~t - Refrigerator ~ ~
j Size Color -i Brand
I ~~s ~ d Dishwasher
~ 1' Brand
i Dinette Set l ~ Freezer
t~ Z # Pieces J S le ~ Branc!
Q W E~ Washer ~Q~ ,~Q
I~ ~ Tables # S le Brand eJ~~4' -
~ o Chairs # Style ~ Dryer _
w Cotor B rand
~ a F- Sofa Style Sewing Machine
~ f- Color Brand
' ~ Desk Vacuum ~ ~
z T Brand '~s^" i
~ ~ - Power Type
~ ~ - ~ Lawn Mower Brand
i
Suite ' P~a^~
~ # Pieces ~ S le W T Brand
j Suite Z Organ
I ~ # Pieces St le Q T Brand
~ ~ Suite ~ / ~ Major
# Pieces Z S te ~'a~ J Pawer Tools
1 ~ Suite `
# Pieces St le V •
i ~ W ,
~ Rugs or Size ~ ~°~l~tt FLA•
v~ ST.. L+.~~ ~ `'.1qA~
"i Ca ts # Color _ ~ • :
~ °D Chairs / ~ _ ~ _ 4~ ~ y
Color h f - ' " : G
~ Lamps #
T a aH~zS
When and Where was furniture purchased ~ ~t $
~ 6C
Customer's estirt?ate of value 3~ D d t -
~ With what company is the iurniture insured: Name ~L3.+!~-
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~ po~i~y ; Address:
~ Schedule "A' of Security Ag~eement dated the day of , i9?~_:
ig~nal No
~ ~ •
3i-~.~
(Witness) (Date) (Seal)
(Witness) (Date) ~ (Seal)
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`-"a BOGK243 P~2180
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