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HomeMy WebLinkAbout2884 ~ : • 1 a SCHEDULE A SECURITY LIST Branch Address Stamp Describe furniture by color and style: r. ~N~~:Fi ! Abbreviations -Mod. , Trad. , Col . , Medi . , Fr . P. F,.~LE Describe appliance by size and brand. Verbal List? - • ~~x 7, G~~B~ • ~,jr ; 1LL. j Yes - I-~ No - Sofas # Style TV ~~Y ~ 2 fNl Color Size Gb/or Brand ~r ~ - ~ Lounge Style TV O Chairs # Color Size Brand t O Occ. TV ' a Chairs # Qa~w4as- Color Size Brand End - Stereo - i u Tables # _ St le a T Brand z Coffee Room Air - Tables # ~ St le U Conditioners # Size Brand ~ Rugs z Range - Size Color Q Brand J Refri rotor Carpet. ~b~C iy! - - 9e Size Color -i Brand . lamps # ~ a Dishwasher _ _ T a Srand ~ Dinette Set - Q Freezer z # Pieces ~ St le Brand W End Washer 'o ~ Tables # St 1e Brand a o Chairs # Style Dryer w Color Brand o F' Sofa Style Sewing Machine z F- ~ Color Brand w Desk Vacuum I Z z T Brand b I i Power TYPe ~ O i j lawn Mower Brand Suite piano ~ # Pieces St le w T Brand E Suite z Organ ~o, 1 # Pieces 3 ~ St le ~ Q T ~ Brand ~ ~ Suite J Major T O # Pieces 1~' St le ~ Power Tools O ( Suite I i;i ~ W d # PIeCeS St le j ~ Rugs or Size U ~n(g ii_ • - 3 Car is # Color W N J °D Chairs # ~ FItEU :,NC h' l:U~'t'~. Color ST.LUCIf £G'~~TY.i~_h- ~mPs # ~ CLERit CIRCUIT ftlUP.I • T - - When and Where was furniture pur ased ? Cost $ ~ Customer's estimate of value Q p D 1~rITr~ With what company is the furniture insured: Name ~ Ajs policy # Address: Schedule "A" of Security Agreement dated the X17 day of ~ 19 j 1 Ori 'nal n ~ f ~ - ~ (Witness) (D ) (Seal) (Witness) (Date) (Seal) fitness a e ea L-48 nK '