HomeMy WebLinkAbout1168 .
.
.
{
4
: .
j :Y
(;1
'
.Z f
• _
SCHEDULE "A" SECURITY LIST ' Branch Address. Stamp
Describe furniture by odor and style:.
Abbreviations -Mod.. Trad. , Cot . , Medi . , Fr. P.
Describe appliance by size and brand. Verbal List?
Yes No
_ .Sofas # U Style TV
j Color Size Brand
~ Lounge Style TV
O Chairs # Color Size Brand
O Occ. TV -
~ Chairs # Color Size Brand
~ End Stereo -
~ t~ Tables # St le ~n T Brand
z Coffee _ -W - Room Air 4
I - Tables # St le V Conditioners # Siie Brand !
i > Riggs z Range .
~ - Sise Color < Brand
J Carpet - Refrigerator
i Sise Color -i Brand '
Lamps # Dishwasher
T n' Brand
~ Dinette Set ~ Freezer
W # Pieces S to Brand
p E~ Washer. tICIE CpUN Y_.ff~A.
f o O Tables # St le Brand P01 RAs _
o Chairs # Styte ~ Dryer
w Color Brand -
` ~ o f' Sofa Style Sewing Machine
t- Color Brand
f ~ u~ peak Vacuum 12
f z T Brand
Power TYPe
~ 1 O ~ I~wn Mower Brand
Suf to Piano
# Pieces S le W T Brand
~ Suite Z Organ
j # Pieces S le ~ T Brand
f o Sulta ~ Major
~I # Pieces St to ~ Power Toois -
f ~ SYtte W
~ i Places S le -
G U
Rugs or Size m
1 Ca is # Color
1 °D Chairs # ~ _
Color
f Lamps #
WMn and Where was furniture pur ? Cost + ~~UG _
Customer's estimate of value ~~~)~l
With what company is the furniture insured: Name _
. Poifcy # Address: _ - -
Schedule 'A" of Security Agreement dated the -day of ; 19
O groat No.
i (Dat Seal - - -
(Witness) (Date) (Sea11
ass a e ~a~-~--
L-~' °K3~6 Pa~Eli6?
Bohr, • -