HomeMy WebLinkAbout2217 SCHEDULE "A" SECURITY_LIST Branch Ac(dress Stamp
Describe furniture by color and style:
Abbreviations -Mod. , Trad. , Cot . , Medi . , Fr. P. '
Describe appliance by size and brand- ~ Verbal List? '
_ i Yes i No ~
Sofas # Style ~ TV ' - -7 ~
Color ~Q/1- j Sire brand ~ /(^C
~
~ Lounge Style ~TV -
O Chairs # ~ Color ~Q~~ ~ j Size Brand
O ; Ott. ~ TV -
~ ! Chairs # Yb~n~~~_ Color I Size _ - Brand
End ! Stereo - - - - - -
J ~ Tables # _St~le - jry~
a~ ~ v~ ~ -T~__-------- Brand
Z ~ Coffee -j w ~ Room Air ( /b -
- Tables rs Style - ~ ! Conditioners # ~~ze Brand
g z Range
~ ~ Size j/y U Color ¢ ~ Brand 7
r I ~ _ Gr^ - -
Carpel ~ ~ ~ Li.'9// ~ Refrigerator - - _
i Size ~.4.~.t ~ ~ -tC- Color ~t ~ Brand. L,i~ ~1.
~(t~ -
-Lamps # ~ ~ ~ ; Dishwasher
_ TYPe ~~L` 7rr'i't tl i Brand
Dinette Set ~ `t ! Freezer
~ z t. # Pieces f St~ie ~ Brand
~ w ; End - - -
Washer
C ~ ~ Tables # `-1 Style ~ ! _ Brand ]lp 7~, ~
~ o' Chairs # Style f i ~ i ~ Dryer - -
! Color ~ _ f Brand ~n/ T~ _ _ _
o` ! So/a Style ~ .Sewing Machine -
Z ~ Color Brand
w; Desk ~ Vacuum
- z ! Type Brand - -
Z _ ~ L>'r P
G p ; ! ~n f Power YPe j--f -
_ O i Lawn Mower ~ - Brand- - - -
Suite ?iano
# Pieces Style y~{
G- ~ ~ .~-Type Brand _ _ - _
Suite Organ -
n ~ # Pieces Style i z ~ Type Brand
~ ~ Suite ¢ r ~lalor - - - -
O _ # Pieces Style _ ~ J y Power Tools _
O Suite ~ .;i tit --Ir,----~. -
~ W !
# Pieces She
~ c V -
Rugs or Size Lug fI~EO i`~G r; ~ ~r_~:
~ Car ets # Color - 'n S~. it1~tE i f :
~ s~rf~r
~ Chairs # ~ i ; tLERY. LI~L~~' ^ -
I Color p~'j/~
~ _
When and Where was furnit re purchased ? ~ c`~'~_~-`~~~~ ost 5 - ~~9'3~/_
Customer's estimate of valu~ ~ ~ ~ - O C7 ~
With what company is the furniture insured: Name
- _
Policy N Address: - - - -
Schedule "A" of Security Agreement dated the' day of 19
Or final No. ~ 1
C1'Zc,'~ - t ~ l ` ~ ~ L, -ALE'
2t - -l 1----~ - - - - ~
(Witness) (Datcl ISeal) -
(Witness) -_-(Date)--- - ~~~Il - - - - - - -
- - - -
i Hess -~a-iP7----- j~a1T -
L- 48
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