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HomeMy WebLinkAbout1111 v • SCHEDULE "A" SECURITY LIST Brandy Address Stamp Describe furniture by color and style: I Abbreviations -Mod. , Trad. , Col . , Medi . , Fr. P. Describe appliance by size and. brand. Verbal List? ' I Yes ~=1 No Sofas # Style T TV C,(.J / Color r Size Brand Z - ~ Lounge Style TV O Chairs # Color Size Brand O Occ. u TV a Chairs # z Color Size Brand End Stereo E V Tables # St le v~ T / Brand _ z Coffee Room Ai r - Tables # I St le V Conditioners / Size Brand ~ Rugs _ ~ Range . J ~ Size i'? i Color ..r.~ _ Brand C - + Carpet Refriger or v Size Color Brand ~ temps # a Dishwasher ' Z T d Brand Dinette Set ~ Q Freezer z # Pieces St ie . i~ ~ Brand W End ' Washer ~ Tables # 5 le ~ Brand ~ ; Lam!- J - . a o Chairs # Style Dryer W Color Brand c7 a H Sofa Style Sewing Machin- ~ - 2 H Color Brand ! r- W Desk Vacuum ~ ~ z T Brand ~ Power Type o . z - ' ~ Lawn Mower Brand L ! Suite v Piano I # Pieces S le W T Brand t Suite _ ~ Organ `n ' # Pieces ~ ' -r T Brand ~ ~ Suite ~ Major O I # Pieces ,e St le _ J Power Tools a O ! Suite ~ ~ W # Pieces St le V - O Rugs or Size ~ w Car is # Color _ - F m Chairs # ~ ail +ECOUNTY.FIA. ± Color ~ •I-~ 17RAg Lamps # CLE T _ When and Where was furniture purchased ? Cost S Customer's estimate of value 44'73.3 With what company is the furniture insured: Name policy # Address: Schedule "A" of Security Agreement dated the day of 19 Origin n No. ~ ~~5.~~~ d _ / t~G' l /I / ,u_ yam- ~ 'tress) (Dat) v/ Seai) (Witness) (Date) (Seal) i ess _ a e ~ L-all gpkc 310 F~~:E 1~.1i