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[[pre-printed]]
Form No. 253
FOREIGN SERVICE
(Amended March 1944)

FOREIGN SERVICE OF THE UNITED STATES OF AMERICA
[[line]]
DECLARATION IN CONNECTION WITH PAINTINGS, ETC., AND SCULPTURES
To be entered under Paragraph 1807 of the Tariff Act of 1930
[[line]]

^[[Geneva, september 5th 1950.]]
(Place and date)

I,* ^[[Joseph ALTOUNIAN]] do hereby declare that I am the [[strikethrough]]painter or producer[[/strikethrough]] ^[[seller]] of certain works of art, viz:

^[[one small wooden statue(Angel)XVth C. 
one polychromatic stone crowned head end XVth Cent. 
one miniature on vellum "Virgin and Child" end XVth Cent
with ancient frame & glass of the XVIth Cemt. ]]

covered by consular invoice No. ^[[657]] , certified by the American Consul at ^[[GENEVA, SWITZERLAND]]

on the ^[[5th]] day of ^[[September]], 19 ^[[50]]; that the said paintings, [[strikethrough]]pastels, drawings, and sketches[[/strikethrough]] are originals; that the said sculptures or statuary are originals [[strikethrough]]or the first or second replicas; and that the said etchings, engravings, or woodcuts were printed by hand from hand-etched or hand-engraved plates or blocks and are artists' proofs [[/strikethrough]]

^[[Joseph ALTOUNIAN]]
^[[signature]]
^[[Hotel Cornavin - GENEVA]]

[[stamped]]
CONFEDERATION OF SWITZERLAND}
CITY AND CANTON OF GENEVA}
CONSULATE OF THE UNITED STATES}
OF AMERICA}
} SS
[[/stamped]]
} SS:

[[line]]

I, ^[[Charles W, Thomas]], ^[[Vice]] Consul of the United States of America at ^[[GENEVA, SWITZERLAND]], do hereby certify that the above declaration was subscribed and sworn to (or affirmed) before me by ^[[Joseph Altounian]] on this ^[[5th]] day of ^[[September]], 19 __, and that the statements therein contained are true to the best of my knowledge and belief.

[[signed]]Charles W Thomas[[/signed]]
^[[Charles W. Thomas]]
^[[Vice]] Consul of the United States of America.

[[image: seal of the AMERICAN CONSULATE GENEVA, SWITZERLAND]]

No fee when issued with a consular invoice.
[[line]]
*If declared to by the foreign shipper the form should be changed to conform thereto, and a statement embodied therein showing why it was impracticable to obtain the declaration of the artist.

U. S. GOVERNMENT PRINTING OFFICE 16-10608-2[[/pre-printed]]