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The Wilmington Society of the Fine Arts 
Delaware Art Center 
2301 Kentmere Parkway- Wilmington, Delaware 19806

We should appreciate your filling in this blank for our catalogue and loan records: one copy to be returned, one copy to be retained for your files.  
Loan Exhibition: 
Oct 13, 1965-Nov 7, 1965
Lender.....Stable Gallery....................
Address....33 East 74th St...................
Acknowledgment or Credit Line....Stable Gallery.

Artist's Name......Robert Indiana............
Exact Title of Work.....The Melville Triptych..
   Medium.....Oil on Canvas..................
   Date of work......[[?]] 1962.....Does date appear on work?...... back of each canvas
   Signature as it appears....Robert Indiana.....Location of Sign....Printed Back of each Canvas.....................................
   Size of picture (without frame or mat): Height 60'.... Width.... 144'...................
   Size of sculpture (height without pedestal, or length)......................................
Do you prefer to maintain your own insurance?..No..................................
If you wish us to insure, please state value.......$6,000,00...........................
Selling price if work is for sale.....$6,000,00.

If photographs are available, please send us....
    (permission to reproduce above is granted unless objection is noted here)
................................................
Shipping instructions...Truck from White's Transfer, Wilmington, will pick up Sept.28......
................................................................................................................................................
(Right side of paper) Signed (lender's name)...........................................

Date....September 23,1965