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[[preprinted]] THE AMERICAN FEDERATION OF ARTS
[[image: AFA large letters superimposed over organization title, utilizing that title lead line for typeface crossbars]]

1262 NEW HAMPSHIRE AVENUE, N.W., WASHINGTON 6, D.C. • National 8178 [[/preprinted]]

RECEIPT for works of art loaned to The American Federation of Arts for inclusion in a traveling exhibition entitled:

"London Ruins, Spiral Staircase" by Cleve Gray


The works listed above have been received from:

W.S. Budworth and Son
in satisfactory condition.

Date received: ____________

SIGNED: ___________________
Jacques Seligmann Galleries