HomeMy WebLinkAbout2569 •
t~ ~ ~
r,
I
t 1
1
,
i
'
r .
T- - i
SCHEDULE "A" SECURITY LIST Branch Address Stamp I
Describe furniture by color and style: ~
Abbravlstions -Mod. , Trad. , Col . , Medi . , Fr. P. '
Describe appliance by. size and brand. Verbal List?
Yes No
Sofas • ~ Style /'N TV _
~ Color CO(.d Size ~ Ofi /ffQpf, Brand d M'1 ~R/~} L
~ Lounye Style TV
~ O Chairs • Color Size Brand
O Occ. ~ TV
OC Chairs / Color Size Brand _
End Stereo
V Tables ! S le V N T Brand
z Coffee W Room Air
Tables R ~ St le 0 U Conditioners # Size Brand
~ Rugs z Range
J Size Color a Brand _
Carpet - Refrigerator
Si:e Color ~ Brand _ _
Lamps # ~ n' Dishwasher
T n' Brand
Dinette Set < Freezer
z # Places St le M O ~ Brand _ _ _ _
p W End Washer
~ Tables t St le Brand _ _ _ _
'i rx c Chairs t Style ~ Dryer ^
W Color Brand _ _
U o I- Sofa Style Sewing Machine
~ ~ Color Brand
i ~ -
t Desk Vacuum
I ~ z T Brand C R L- ~A
s7 - Power Type
N
O O Lawn Mower Brand _
Suite Piano
t Pieces St le ?'Vr p O T Brand _
Sufte W Organ
`n • Pieces St le ~ z T Brand _ _
~ Suite ~ Major
O tt Pieces St le J Power Tools
~ W V"
O Suite
! Pieces St to ~
O Rugs or Size u F(~E0 A '0 R~0?i0~-
Ca is i Color i- ~ _
m Chairs ! ~ I RCl11T
~ ~ Color _ _
Lamps • ~ Q34
~ ~ T
~ ~
When and Where was furniture pur ase~?~ ~
~ ~ r~/ti Cost 5 Qd ~~Q____ _
Customer's estimate of value b Ot7 , ~
With what company is the furniture insured: Name
3 Policy # Address: _ _ _ _ _ _ _
schedule "A" of Security Agreement dated theday of 19 ;
~ Or gl I No.
~ '
'
Hess) ~ (Da lN~l. !
~ Q r~ .
- - ~ -
itness) (Date) (Seal
Hess a e ~ ea
L-q• r
nR~7~ -