HomeMy WebLinkAbout2543 SCHEDULE "A" SECURITY LIST Branch Address Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Col . , Medi . , Fr . P.
Describe appliance by sire and brand. ! Verbal List? ~
i
(^j Yes ~ =1 No '
t ~ _
Sofas # Style TV
Color Size ~ ~ Brand ~ f{-
~ Lounge Style r, TV
O Chairs # Color ~ ~ Size Brand -
O Occ. ~ i TV
~ Chairs # a Color (~llt;' I Size Brand___~-_-____
End ~ Stereo
u ~ Tables # 3 Style ~ vi Type Brand _
Z ~ Coffee W f Room-Air
~ Tables M ~ Style ~ cJ Conditioners # Size Brand
Rugs z Range
~ Size Color Q Brand - -
Carpet - Refrigerator
Size Color_ Brand _ _
- o_ Dishwasher
Lamps #
I Type ~ t-l.l~? ni a ~ Brand _
Dinette Set Q Freezer
~ z ~ # Pieces ~ St le m~Cl ; ~ Brand - _ - . _
O 0 End + ~ Washer
Tables # St le f Brand ~c 5 L~~ rr.3:r_~._ . _
a o : Chairs # / - Style ,~t,.~v ~ Dryer
W ~ iP Color ~'ipt,L` ~l l Brand `]>Z(•` r 5 n ~ ~ ~o-~=-~=-~
o ~ Sofa Style I Sewing MachineG
Z H ~ ~ Color C;p.~~ ~~Stx~r.4 + Brand _ )a n r- S - -
Z W Desk ~ Vacuum
` z ~ TYPe Brand l r - -
Power Type
~ o O ~ ~ Lawn Mower Brand
f ~ ~
E ~ Suite -Ctc.,C ! O Piano
# Pieces oZ. St le ~ ~ Type Brand _ _
~ Suite ~~,i Z I Organ
~ # Pieces oZ- St le Q Type Brand
i ~ -
Suite Major ~LLu ~
O # Pieces St !e ~ ! Power Tools( ~
I Suite f ~
W
~ # Pieces 5t le E t) ~l(~ ~~C~__.__-___
A Rugs or Size ~ h I
W Car is # Color i -7~-~
s ~ Chairs # ~ ~
Color ~ ~~9 .~`~:c
Lamps # t
I~CI>: ~'yjY. FLA.
- -
TYPe ~ ~ERf~~~45=
a When and Where was furniture purchased ? Costs t~ERI~ CIRCUIT C4U!~j~~_,,~~~-
p~C0i:0 Yrti'FIE7...~~~J~?~'-_~
~ Customer s estimate of value ~ LcT • )
With what company is the furniture insured: Name f______--__- _ (~~~-~L
Policy # Address: _ _ - _ - V _ - - - - -
Schedule "A" of curity Agreement dated the - day of 19
Orl inal No.
r ~I? _ _
( ss) - ~ iSeal
(Witness) (Date) (Sean
i ~ Hess a e ----~-an-- -
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N 3U9 2540
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