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HomeMy WebLinkAbout2567 e ~ f~ • • • • - , . - i } SCHEDULE "A" SECURITY LIST Branch Address Stamp Describe furniture by color and style: , E. vLr FITT1lT++::F: Abbreviations -Mod. , Trad. , Coi . Medi . , Fr. P. - - t Describe appliance by size and brand. Vernal List? ~ Y 31~A 3 405 - Lj Yes ? No 51 IMF Li~ i::...lC,i'~, 1~ i.<:~ Sofas # Style ~ Tv \\r~- ~G p 1 Color C.ll Size Brand ~"'1~ ~ Lounge Style {r~0 ~ TV ~ ~ O Chairs # Color 4 e Size ~ ~ v~,Brand C.. ~e,rv ~ 5 O Occ. TV sr Chairs # Color Size Brand ~ - End Stereo L'«SS Q Brand ~ o~ O V Tables # S le v~ T Z ~f{~ rnO,Q w Room Air i ~ Tables # ~ S le c~. ~r1 V Conditioners # Size Brand Rugs " ~ Range Size Color < Brand ~ t - Refrigerator ~ i Size Color ~ Brand Lamps # ~ - ~ChO ~ Dishwasher T R.OW tJ. ~ Brand Dinette Set < Freezer ~ z # Pieces S le ~ ~ Brand 0 End Washer Tables # S le Brand - ~ ~ o Chairs # Style i Dryer w Color Brand o I- Sofa Style Sewing Machine H Color Brand w Desk Vacuum l z T Brand ~ 1~~~~e~ a• p - m Power Type ~ ° Lawn Mower - Brand ~ Piano i Suite j ~ # Pieces St le ~ O W T Brand Suite Z Organ ~ ;Pieces S le < T Brand ~ Suite J Major Q833 ' ~ # Pieces St le J Power Toots ~ Suite ~ ~ # Pieces St le C 28 AEI ~ 09 ' ° Rugs or Size U ' Ca is # Color N - ?NO RECOItDEO C° Chairs # ~ ~ RA Color T COURT Lamps # ~ MO S7 1<EC~ VERIFIED T V.~ -1 ~ 'Q ~ ) When and Where was furniture purchased ? ~ 6~te'QSoN~. PeNN ys Cost S \~d ~ Customer's estimate of value ~ ~~n . OC.~ With what company is the furniture insured: Name ; ( Policy # Address: Schedule "A' of Security Agreement dated the day of 19 Ori ! O~Q ~ Date) _ (Seal (Date) (Seal) • (Witness ) ess a e ea . • u