HomeMy WebLinkAbout0841 . - ~ '
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SCHEDULE "A" SECURITY LIST = Branch Address Stamp ~
D~scribe furniture by color and style: - ~
Abbreviations - Mod. Trad. , Col . , Medi . , Fr. P. ~ ~
Describe appliance by size and brand. Verbal List? _ -
- . . ,~yYes i_I No ~ _ -
Sofas # ~ Style TV '
Color Size " Brand
~ Lounge Style TV _ L- ~,'-K.c.C~..
O Chairs # Cotor Size ( C~f Brand -
O. Occ. _ TV
~ Chairs S Color Size Brand .
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End Stereo . : _
' V Tables # St le in T ~ Brand -
z Coffee W Room Air ~
Tables # St le V Gonditioners ~ ~ize • Srand
> Rugs . ~ 2 Range_ , .
Size ' Cclor Q Brand
. Carpet - Refriserator • _ _ _
- Size " Color J Brand ~
Lamps # _ ~ a Dishwasher . - ~ _
T e Brand -
Dinette Set = ~ Q Freezer .
Z # Pieces c_,J St le - Brand
W End - Washer
~ Tables # St le Brand ~
o Chairs ~ Style Dryer - ~
W Color-- Srand ' -
~ o f- Sofa _ Style 5ewing Machine ' ~
F- - Color - Brand - ~i /1/ ~ ~
F
w ' Desk - - Vacuum . ;
z - T e ~ . Brand - - . ~
~ N Power~ _ Type _
o Lawn Mower~~4'~y Brand ~
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Suite Piano ~ ~ }
~ ~ieces ~ St le • ~ T Brand :
Suite ~ z Organ ~ F~~ED Ahv tltWnvi~? ?
N ~ Pieces St le T e BraBA. LUCIE COUWTY
~ Suite Q Major - IT AS ;
~ ~ # Pieces St le ~ Power Tools _ CLERK CI~CUIT COURT
~ Suite ' - ~
, w /n
Q' # Pieces St le V f~~'L-~.L ' l,u•
~ Rugs or Size N i
~ Car ets # Color ~
~ 0° Chairs ~ - . ~
j Co(or V1.~~V :
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Lamps ~
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. When and VYhere was furniture purchased ? '~l( ~ Cost $ CQ~O~ O _
. Customer's estimate of value - - ' ~ _
. With what company is the furniture insured: Name -
- Policy # _ Address: -
Schedule "A" of Security Agreerr?znt dated the day of , 19 - - .
Original Loa~No. ~ -
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(Witne (Date) / 1 _ .
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. -(Witness) • (Date) . _ { at) ~
~tness a e - - ea -
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. - BOUK /r~Q PAGE .
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