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Insurance THE MARYLAND INSTITUTE, COLLEGE OF ART 1300 MOUNT ROYAL AVENUE/BALTIMORE, MARYLAND 21217 The agreed or declared value of this property is hereby specifically stated by the Shipper not to exceed $ _______ Date 12-13-82 [[9 column table]] GENE DAVIS: 4120 Harrison St. N.W. | Consignee Name and Address | Commodity | Bags | Envs | Boxes | Other | Weight | PCC USE Charges | Ins. Value | |---|---|---|---|---|---|---|---|---| | "Sherwood Forest" (rolled) 1979 | | | | | | | | $11,000. | | "Plank Painting" (Red) 1974 | | | | | | | | $5,000. | | "Plank Painting" (Green) 1978 | | | | | | | | $5,000. | | "Yukoo Sonata" 1981 | | | | | | | | $8,000. | | "Black Diamond" 1963 | | | | | | | | $20,000. | | "Crosshatch" 1959 | | | | | | | | $18,000. | | "Captain Midnight" (rolled) 1979 | | | | | | | | $8,000. | | "Night Window" (rolled) 1980 | | | | | | | | $8,000. | SHIPPER SIGNATURE DATE TIME COURIER SIGNATURE [[?]] DATE 12/13/82 TIME 1 PM CONSIGNEE SIGNATURE DATE TIME AM PM DAVID [[GERI??]] [[?]]