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HomeMy WebLinkAbout0755 _ . ' _ ~ ~ f . . . t . . ~ .f _ ~ : • . • ~ SCHEDULE "A" SECURITY UST ~ Branch Address. Stamp ~ D~scribe furniturs by ootor and style: ~ ` /lbbnvlations - Mod. , Tr~d. , Col . , Medi . , -Fr. P. • ascriba appHsnce by size ~nd brand. Verbal List? ~ . [J Yes No i So/ss ~ Style - _ TV ' Color Size Brand ` ~ ~ L,~unge Style N / ~ 0 Chairs i Color Size l Brand _ O Occ. TV ~ oC Chsi~s ~ Color Size Brand ! End Stereo ' V Tables f 5 le ~ T Brand ~ i z Coffee i++ Room Ai r ~ a I - Tsbles ~ ~ St le v Conditioners / ~ Size ~B~a 1 > Rugs z Range - - . i ~ 54tc Cu:ur Q Brar.d - . Carpet / n~ J / - Refrigarator i Si:e oG 7j Golur ~ Brand ~ _ Lamps • ~ Dishwasher T a Brand Dinette Set a Freezer ~ - - ~ Z ~ Pleces ~ 5 le - Brand _ W End / Washer p ~ Tsbles • ` St le Brand a o Chafrs # Style ~ Dryer ' i W Color Brand ~ - ~ -e~~.A- _ ! ; ~ o~ Sofa Style Sewing Machine ~ j L H Color Brand _ Desk Vacuum f ~ z T Brand ~ _ ~ - Power TYPe P ~ - _ = l~wn Mower ~ ~ Brand . , Suite _ Piano ~ 'i ~ Pleces ~ 5 le ~ T Brand 1 Suite W Organ ; N ; Pieces S le 2 T Brand ~ Sulte _ ~ Major ~ ~ i Pieces ~ St le GYC~ ~ Power Tools ~ Suite - . - . W t . ~ ( O ~ Pieces St Ic ~ ! R or Si ze V t IL! Ca ts i Color ~ SLLUCiECOUNTY.AF~A. ~ ~ i 00 Chsirs ~ (,~l~ n ~ ~(,~RK C~C~ i ~ Colorsd.~.v~a-4' - ~ _ i Lamps ~ ` ~~.7~ ~ T _ - ~ ~ When and Where was furniture purchased? Cost 5,_ ~ Gustomer's estimate ot value ~~d~ ~ j,~ ; With what company is the furniture insured: Name _ _ _ _ _ _ ~ Policy t Address: - _ - - - - _ _ ~ Schedule "'A• of Security Agreement dated the day of , 19 6 ~ fnsl No. ~ ~ ~ ~ '2 ~ - - ~ - - - ~ ~ ~:~c (s l. ~ , , ss) (Date) (Seal) ~~G~~ ss a e " eal~-- ~ I L-4• ~ BOOK ~.~~2 PaG~ ~ Jc~ ~ . ~