HomeMy WebLinkAbout2121 .
f
. T _ _ - I
SCHEDULE "A" SECURITY LIST Brandh Address Stamp ?
Describe furniture by color and style:
Abbravlations -Mod. , Trad. , Col . , Medi . , Fr. P. ~ }
Describe appliance by size and brand. t Verbal List?
[J Yes I t No
i -
Sofas # Style TV
Color Size Brand
' ~ Lounge /J ~~~~~t (I~ ~ TV
O ~ Chairs # ~I ~/`v"`eof6~ Size Brand
O Occ. TV
oc Chairs # Color Size Brand _
End Stereo
V ~abtes # St le vt T Brand _
z Coffee ui Room Air
- Tables # St le U Conditioners # Size Brand
~ Rugs z Range
~ Size Color Q ~ Brand S
Carpet ? - Refrigerator
Size Color ~ ~ Brand _
Lamps # a Dishwasher
T a Brand ~ ~ ~ ~ /
Dlnetie Set ff - . . Q Freezer C.ttIJCIJC
~ z # Pieces fi~i St I` Brand _ _
p W End Washer
O ° Tables # St le I Brand _ _
~ o , Chairs # Style ~ Dryer
! w ~ Color Brand -
4 o ~ Sofa Style Sewing Machine
7 I•- Color Brand _ _
~ z Desk Vacuum _ f _ -
~ z Type Brand
r Power TYPe
~ ° j ~ ~ lawn Mower Brand _ _
O
uite Piano _
Pieces St le W T Brand _
Suite z Organ.
# Pieces St le ~ T Brand _
~ Suite J Major
O ~ # Pieces Style ___-j ~ ` Power Tools _
O t _1' ::'1~E~-- -
I Suite ~ W { _ ,LUCIE ~{:,,y' ~ f~1~.
oC # Pieces St le !F Y
° Rugs or _ Size ~ ~ CLEiIr L`N
Car is # Color _ ~ RECOR!'
m Chairs # ~ to
Color ! ( ~11! 1 ~4Q_~M _J~
Lamps # ~
When and Where was furniture purchased ? Cost S _ _ _ _
Customer's estimate of value ~j~~ ~
With what company is the furniture inured: Name - _ _ _ - _ _
Policy # Address: _ _
Schedule "A" of Security Agreement dated the day of 19
Or ina Loa o. ~ •
-
~I iL~-~Lp.~ (Date) - • (Seal • ~ - -
s`~
(Witness) (Dote) IS )
Hess a e TS-a1I-_~_- - - -
L-46
t<f>nr321 Pa~2i18