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HomeMy WebLinkAbout1387 ~ ` . ' ~ - . _ . - ~ - ' ~ . + - _ ~ . j ~ , SCHEDULE "A" SECURITY LIS7 y Branch Address Stamp ~ Describe furniture by color and style: _ - . - Abbreviations - Mod., Trad., Col., Medi., Fr.P. - ~ ~ Describe apaliance by size and brand. Verb 1 List? ~ ' _ - - I es No - - • Sofas # - Style ~ TV _ ' ~ Color .~rh4~~ Size ~ L~ Brand • - ~ Lounge - Style N - - O Chairs # Color Size Brand - O ~cc. _ - TV _ Chairs A ~ Color Size erand ' - End - - Stereo - V Tables A St le in T e • B~and z Coffee W Room Air ~ Tables # ~ St le V Conditioner5 # Size Brand ~ Rugs h, z Range _ ~ . ~ Size - - Color ~ ~ ~ Q Brand . Carpet _ - Refrigera or ~ r Size - Color J " Brand . ~ ~ ~ Lamps # ~ Dishwasher i - - T ~ e Brand . ~ Dinette Set ~ - - A Q Freezer , _ - ~ Pieces - St le Jf!~ ' Branc3 - W End - Washer ~ ~ Tables ~ St le Brand - - o Chairs # - Style Dryer _ . _ W Color Brand' ~ - - o F' Sofa ` Style Sewing Machine - • t F- ~ Color _ Brand ' W Desk • Vacuum . ~ - ` z - T e ~ ` Brand - . 5 _ ~ - - ~ Power TYPe - ~ ~ Lawn Mower Brand ~ ~ _ Suite ~ Piano ~ # Pieces c_ St le - fa-+~¢.. ~ T e Brand Suite - Z Organ - ~ # Pieces St le ~ - T e - Brand ~ Suite ~ Major . _ - a- # Pieces Style _ ~ Power Tools ~ - ~ Q Suite lLEQ Ayt~ R~1~O~DEQ W ST. IUC:E COUNTY p`~, °C # Pieces - St le U ~--c_.. ~ Rugs or Size N C~fnK Cl`:~UlT ~pU~j ~ ~ ~ ~ Car ets # Color _ P,ECO.r,;2',•i-:;~t1'~--.~~~^~~ ~ ~ 00 Chairs t - ~ ~ - Cotor - ~ ~ Lamps ~ _ ~ . • T e ~ ~ - f I • E 1~Vhen and Wher-e was furniture purchas~d ? Cost $ ~ ~ Customer's estimate oi valug '~~SQ _ - , ~ With what cvn~any is the furniture insured: Name -~~~-t- ~ Policy # Address: - - ~ - Scfiedule "A" of Security Agreement dated the S~~ day of 19 ~T; ~ _ _ rigina L _ _ = ' - 1~ _ 3-5 - t~. _ + ~ W ~ (Witness) ~ ~ _ ( e) - (Seai) (Wit~ess) - _ (Date) (Seal) . ~ _ t > - itr+ess ~~ate ea - L-48 - - _ 1 . - ~ = i ~ , - _ - ~~t~ ~