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The Moving & Storage Printing CO., N.Y.C.

Household Goods Inventory and Condition
HAHN BROS. FIREPROOF WAREHOUSES, INC.
108-120 West 107th Street, NEW YORK, N.Y. 10025

PICK UP DATE 11/24/64

[[2 column table]]
SHIPPER Stable Gallery | DESTINATION Nelson-Atkins Gallery of Art 
ADDRESS 33 E. 74th St. PHONE | ADDRESS 4425 Oak St. PHONE
CITY & STATE New York, N.Y. | CITY & STATE Kansas City, MO.

[[8 column table]]
|---| A | B | C | D | ARTICLE (List Each Article Separately) | Condition When Received at Origin | Condition When Delivered at Destination |
| 1 | 3 small paintings |---|---|---|---|---|---|
| 2 | by Indiana |---|---|---|---|---|---|
| 3 |---|---|---|---|---|---|---|
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[[4 column table]]
|---| Transfer Record |---| Transfer Record |
| A: Date | Delivering Agent | C: Date | Owner or Receiving Agent |
|---| Owner or Receiving Agent |---| Receiving Agent |
| B: Date | Delivering Agent | C: Date | Delivering Agent |
|---| Owner or Receiving Agent |---| Owner or Receiving Agent |

ORIGIN ACKNOWLEDGEMENT 
I have checked all the items listed and numbered 1 to ... inclusive, and I acknowledge that this is a true and complete list of the goods fendered for transportation and of the condition of the goods at time of loading.
SIGN HERE X
Shipper or Authorized Agent
DRIVER SIGN HERE X

DELIVERY ACKNOWLEDGEMENT
IMPORTANT NOTICE TO SHIPPER: READ CAREFULLY BEFORE SIGNING
I acknowledge receipt of all items listen, with exception as stated above
SIGN HERE X
Shipper (Consignee) or Authorized Agent  Driver 
 Delivery Date

[[right margin]]
[[2 column table]]
|---| CONDITION |
| BO | Bad Order |
| BE | Bent |
| BR | Broken |
| BU | Burned |
| CH | Chipped |
| CU | Contents and Condition Unknown |
| Z | Cracked |
| D | Dented |
| DU | Dug |
| FD | Faded |
| GD | Gouged |
| HO | Holes |
| L | Loose |
| M | Marred |
| MCU | Mechanical Condition Unknown |
| MI | Mildew |
| MO | Moth Eaten |
| NW | Normal Wear |
| NR | Not Responsible |
| NS | Not Serviced |
| OR | Owner's Risk |
| PBC | Packed by Carrier |
| PBO | Packed by Owner |
| PW | Padded, Wrapped |
| R | Rubbed |
| RU | Rusted |
| SR | Scarred |
| SP | Scraped |
| SC | Scratched |
| SH | Short |
| SN | Snagged |
| SO | Soiled |
| SP | Split |
| ST | Stained |
| T | Torn |
| UG | Unglued |
| VW | Very Worn |
| WO | Wrapped by Owner |
|---| LOCATION |
| 1 | Bottom |
| 2 | Corner |
| 3 | Front |
| 4 | Left Side |
| 5 | Rear |
| 6 | Right Side |
| 7 | Side |
| 8 | Top |
| 9 | Leg-Left Front |
| 10 | Veneer |
| 11 | Arm-Left |
| 12 | Arm-Right |
| 13 | Back |
| 14 | Cushion |
| 15 | Drawer |
| 16 | Edge |
| 17 | Frame |
| 18 | Leg-Left Back |
| 19 | Leg-Right Back |
| 20 | Leg-Right Front |
| 21 | Mirror |
| 22 | Tier |
| 23 | Seat |
| 24 | Inside |
| 25 | Outside |