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HomeMy WebLinkAbout0396 r.- r...------- - i SCHEDULE "A" SECURITY LIST Branch Address Stamp Describe furniture by color and style: r.1 S'?''~~ , Abbrovistions -Mod., Trad., Col., Medi., Fr.P. i : . "'i Describe aooliance by size and brand. ~ v.;~t ~;~~s ~ i ~ "s~:; ~~~n~•~! I U Yes 1 I No ~ ~ 1 • ~ ~ i ~ -•~a ~ Sofas i ~ St le . TV / / ! C for ~~ifl ~ Size l4 / Brand ~ Lounge Style TV O Chsirs # Color Size Brand ~ Chairs # ~ Color ~i fF~~~ t ~ I Size Brand _ End ~ n ~ Stereo f ^ 1 V Tables # ~ Style /Y t~~ v? Type ~(Kt L ~yOT Brand z Coffee ..nq,~, Room Air - Tables tt St le /rN/~ V Conditioners t Size _ Brand_ z Range ~ Rugs ~ Size l~ Color W~ Q ~ Brand I1I71~-Q. Csrpet ~ - Refrigerator - Size ~ _ Color ' ~ ~ Brand 'e~I'1 /»G _ tamps # ~ n' Dishwasher - T U~ Brand Dinette Set Q Freezer ~ Z # Pieces ~ St le G ~ Brand - _ _ _ p W End Washer ~ Tables # St le Brand ~'e' _ a o ~ Chairs • Style ~ Dryer W ~ Color Brand - _ _ o F' 1 Sofa St le Sewin Machine - H ~ C for ~ I Brand ~ u+ Desk ' ! Vacuum ~ F.. Z T ~ i Brand - Power TYPe ~ C ! N Lawn Mower Brand j Suite ~ O Piano # Pieces -i Style L! ~ O T Brand _ _ _ Suite i W Organ ~ y /Y1U~ ~ a ~ Type Brand ~ i # Pieces ~ St le _ . O Suite ~ Major LEp #N. , F1.1~. I • Pieces 3 Style t~ J Power Tools - ~~l_~IF - _ _ _ O Suite W pb6t.!~~ - ~ # Pieces St le GLE*~ ~ _ ~ :"'URT ' o R s or Size ~ REC ~ ~ w Car is # cT Color i~t~N ~~~.t~Q m Chairs # ~ g i _ _ a`, ( j-j _ Color L- sue' _ Lamps # ~ - _~~~IE1 T _ u P.~ ciC~st s ~i Q a When and Where was Furniture purchas ? (,t.f. _ t_ Customer's estimate of value L~ U With what company is the furniture insured: Name _ _ _ _ . _ Policy # Address: _ . _ - Schedule "A" of Security Agreement dated the _ day of 9 Original n N ~ - (W Hess (Date) (Seal) (Witness) (Date) (Seal) - _ - _ - Hess ---tea e - ISea~ - _ - L-40 an(nY 3~ PACG '