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All articles moved, packed, shipped, crated, stored, serviced and transported subject to the terms and conditions appearing on the back hereof.

W.S. BUDWORTH & SON, Inc., 424 West 52nd Street, New York 19, N.Y.

Call at  ^[[Jacques Seligmann  N/o
5 E 57]] Driver ^[[J]]
for ^[[2455
[[??]]& Delancey]]
and deliver to ^[[old f [[[??]]]]
Chgs. on above $ [[blank line]] 
Excess value or additional             
insurance chg. $ [[blank line]] 
Chgs. owing $ [[blank line]]
C.O.D. - Chg. $ [[blank line]]     

[[signature line]]
Signature of Customer or Authorized Agent
Received in good order

[[signature line]]
For W. S. BUDWORTH & SON, INC.
[[/preprinted]]