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HomeMy WebLinkAbout2794 -.....y a ~t a : iy1^ ~~1 . . ~ , r - _ L7 • ~ iF~ ~ { ~ . . ~ }j~ JffJ~' I,~ ~ - s . _ ,!fi • _ SCHEDULE "A" SECURITY LIST ~ Branch Addwss. Stamp Describe furnltuw by color and style: Abbwvlations - AI<od., Trad., Col., Medi., Fr.P. ' Describe appliance by size and brand. I Verbal List? [j Yes ~=1 No Sofas # - Style ~ Color Si:e ~ Brand i Lounge Style TV O Chslrs # Cobr Size Brand O Occ. TV oG Chairs # t Color Size Brand End ~ Stereo 2 V Tkblas # Si le v? T Brand Z w Room Ai r - Tables # S le v Coii.iitirnars # Size Brand ~ Ruys z Range `(,d ~ Slze Color < Brsnd Grpet Refrigerator Si:e Color - Brand temps # ~ Dishwasher T ~ Brand Dinette Set < reezer _ # Piaas S le Brand ~ ~ W End Washer ~ Tables # S to Brand o Chairs # Styta ~ Dryer j W Color .Brand ~ F- Soy Style Sewing Mad~ine F- Color Brand Desk Vacuum = T Brand - - Power TYPe . O ~ Lawn Mower Brsnd uita ~ Piano S le "7~LJ1{fL~jl~ W T Brand _ _r N Su Z Organ # Pieces . S le < T Brand ~ Suite J Major O i Places S la Power Tools - O '7 J rp 1 p~ o: #uPieces 3 S le W ! ~r i9 Tn ~ _ O Rugs or Sire N ~ Ca is # Color °D Chairs # ~ _ Color lamps # C~,~ _ Q ~ vEtl>~~ T ~ ~~pp~~r~~ When and Whew was furniture purchased T Cost S 4a~1~_-- Customer's estimate of value - .With what company is the furniture insured: Name Pbllcy # Address: Sdh~ule "A" of Security Agreement dated the day of I9 f 1 No. (Wi s) e) (Seal) (Witness) Date) o ~ i~l) L;Ct ~ ^ Ii i°.H ~ ss a e L-4~ 8316 ~~~~'94