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33 Quai Voltaire
Paris, France

Gentlemen:
By these lines I consign to you for sale my 
painting by Picasso "The Standing Nude" 
for a period of [[blank space]], and for a net
price to me of [[blank space]].

Please insure this picture while it remains
out of my home for the sum of [[blank space]].

Yours very truly,
[[blank space for signature]]
Mrs. Mary Callary

Date: [[blank space for date]]

Jacques Seligmann & Co., Inc.
5 East 57th Street
New York 22, N.Y.
U.S.A