HomeMy WebLinkAbout2187 i ~
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SCHEDULE "A° SEGURITY UST - + Branch Address Stamp
_ Describe furniiure by color and style: - ~ ~
Abbreviations - h1od. , Trad. , Col. , A1edi Fr. P. ~
. Describe appliance by size and brand. Verj~al List? ` I-
~ - ~ I~Yes No
; - Sofas ~ ( Style TV ~ . ~Q J... .
E ~ . ~ Color - Size / ~j ~~~'`'~~'B~nd ~
Lounge Style TV
± .
0 Chairs ~ Color Size Srand
~ ~ 0 Occ. , TV
: ~ Chairs ~ ~ Color' Size Brand - ~
End r~ ' Stereo - - t
V Tables # .9~ St le ~n T e Brand
~ Z Coffee W Room Air
s~ - Tables ~ ~ St le U Conditioners ~ Size Brand -
_ ~ Rugs z Range
~ Sizs - Color Q Brand ~2~~., ~
: Carpet ~ - ~l - Refrigerator
' Size Gl;~'~« Color --i Brand
' ~ Lamps # Dishwasher
' T e a Brand ,
; - Dinette Set 1~ Q Freezer
? Z # Pieces _ ;J : St le . ~
Brand
~ W
~ End - Washer ~
Tables # St le erand ?
o Chairs # _ Style Dryer .
W Color Brand
o F'i Sofa Siyle Sewing Machine
_ 1 Color Brand ~
- W.j Desk - Vacuum ~ ~ . -
Z ~ - T e Brand ~
` Power - Type
- - Lawn Alower rand
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~ Suite ~ Piano -
, z, # Pieces '~,62.G . St le T e Brand ~
Suite 7 w - n
~ Z Organ'' ' .
~ ~ Pieces _ Style Q -T e Brand /~if~Q~Cc6~y.
Suite Major
~ # Pieces ' St le J Power Tools - ~
- ~ ~ Suite - ~
' ~ x Pieces St le V ~'~%p`~ ~ ~ - ~
W Rugs or ~ Size - N ST.lJC•; ;,;,t~~F~q j
~ Car ets # Color f;~G; : s
- ` ?Ti;AS j
Chairs ~ - ~ ..~..:.J;T COURT - 1,. ;
Color " . . °F'C(~~_, v~•:~r:`~
i Lamps ~ - ~ J MA~ u 45 (1 ~
T e ~ •
' When and Where was furniture purcha~ed ? Cost $
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• Customer's estimate of value OQPj -
With what company is the furniture insured: Name
_ Policy ~ ~ Address:
. ' Schedule "A" of Security Agreement daterl the day of ~
Original L _
.~/(r ~ ~ t~- ~
(Witness) (Date) - j (Seal) ~
- ~~.ts~,v/ . .
( ds) _ (Date) (Seal) ~
rtness a e - - ea
L-48 ~ -
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