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HomeMy WebLinkAbout0392 w- I T--------- - - • I SCHEDULE "A" SECURITY L15T. rlt,t,I,T?B~anCh`A~Idr~ss Stamp I Dsscrlbe furnituro by color and style: ~ P. 1 ~ ~ ` ti'"• Abbreviations -Mod., Trad., Col., Medi., Fr.P. j''.,:i?i:r~~`r ' Describe appliance by size and brand. ~ yeti :iii - `i~ _ , 1 X1=1 Yes 1=1 No - - .~v f Sofas # Style A~0 TV j ~ ColorM, Size 9 Brand Ov~T• WA ~ Lounge Style TV i O Chairs # Color ( Size Brand _ Q Occ. TV oc Chairs # Color Size _ Brand End Stereo u Tables # St le . u? T C0~54CE Brand }'L ~//9.Ni~9 z Coffee W Room Ai r - Tsbles # St le U Conditioners # Size Brand ~ Rugs z Range J Size Color Q Brand 5 EA/S _ Carpet - Refrigerator Size Wf/oL~ HooS~Color /Ow.r ~ Brand PH/L CO _ Lamps # ~ / rA/9L E a Dishwasher T C H L ,a tL Brand Dinette Set Q Freezer _ # Pieces St le f70~. Brand _ _ i ~ W End Washer ' ~ ~ O Tables # St le Brand wN/~L//dG ~ o Chairs # Style ~ Dryer W Color Brand _ _ _ f o f" ~ Sofa Style Sewing Machine ~ t- ~ Color ( Brand 5/iYG E i/ - Desk ~ Vacuum _ - ~ z T Brand ~~S D/Y i- _ Power / Type SELF P oP p C > Lawn Mower v Brand J/q CO/SS/~fi _ i Suite O Piano # Pieces ~ Style ~t90Q i T Brand 1 ! r Suite / ~ W Organ i a i # Pieces (O St le Z ~ Type Brand _ ~ Suite J r Major ~ # Pieces Style ~ Power Tools - _ ,gyp O Suite . LUCIf - - # Pieces Style _ ~ _ G r Rugs or Size V vi~~~ I RECOF' f ' ~ Car is # Color i _ ~ _ C° Chairs # _ Color i ~ o©C __9 4s a~! 79 Lamps # ~ i 45945__0 ~ T A/~C - - = - _ _ When and Where was furniture purchase PCA'Ai5 YL vA~/A ~ f Lv~j//J Cosl S ~ ~f~~ ~ _ _ _ - Customer's estimate of value rfs o U ~O ~ - - . With what company is the furniture insured: Name -~L S /ATE _ _ _ , . _ _ Policy # Address: _ _ Schedule "A" of Security Agreement dated the day of 19 Original n N n s) e) i I) ( Hess) (Date) ~ (eal) Hess a e eaTJ- - - - - ~-ve r~R ~M7