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DEPARTMENT OF CIRCULATING EXHIBITIONS THE MUSEUM OF MODERN ART 11 WEST 53 STREET, NEW YORK 19, N.Y. LOAN AGREEMENT white copy to be retained by lender EXHIBITION: RECENT AMERICAN PAINTING (SP-ICE-30-62) Tokyo LOAN PERIOD(opening and closing dates of showing); Oct.15, 1966 - July 1967 LENDER: Mr. and Mrs. Burton G. Tremaine, Jr. ADDRESS: 99 Centre Street, Meriden, Connecticut Exact form in which lender's name should appear on exhibition label and in catalog; X ________________________________ NAME OF ARTIST: Roy Lichtenstein TITLE OF WORK: FEMME AU CHAPEAU DATE OF WORK: 1962 MEDIUM: magna on canvas SIZE: Painting, drawing or print (without frame or mat): Height 68 Width 56 Mat opening (of framed drawing or print); Height _________ Width _________ Sculpture (without pedestal): Height ____________ Length ____________ Approximate weight ______________ X INSURANCE (See conditions on reverse of this blank.); For what value shall we insure the work (U.S. currency); $________________________ (May not exceed selling price) Do you prefer to maintain your own insurance coverage? SELLING PRICE ( U.S. currency); $_________________ (The Selling Price indicated shall be understood to include a ten percent charge for The Museum of Modern Art.) SHIPPING: We are collecting loans on or before June 6, 1966 We have checked below the shipping instructions which apply to your loan [ ] Our Assembly Coordinator would be in touch with you to arrange collection of your loan. [X] Please have your loan packed and ship via RAILWAY EXPRESS COLLECT under a Fine-Arts contract, declaring a nominal valuation of $650. on each box. Please bill us separately for packing charges. [ ] Please have your loan packed and ship via AIR FREIGHT COLLECT (OCEAN FREIGHT COLLECT), declaring NO valuation to the carrier. Please bill us separately for packing charges. [ ] If you do not have your own agent or facilities, we would suggest that you contact _________________ for packing. [ ] Our forwarding agent __________ will contact you to arrange packing and shipment. We will supply the agent with packing and customs instructions and notify him that all packing and shipping charges should be billed to us. ADDRESS SHIPMENT TO: ___________________________________________ (Unless the Museum is notified to the contrary in writing before the close of the exhibition, the loan will be returned to the lender's address given above.) X FRAMING: Is the work framed? ____________ If necessary to meet the needs of the exhibition or to provide maximum protection, may we reframe or remat your loan?____. May we substitute plexiglas for glass? ______ (All works will of course be returned to the lenders in their original frames and mats unless other arrangements are made with the Museum in writing.) X CATALOG AND PUBLICITY: Where can the Museum obtain photographs of this work for catalog reproduction and publicity? ________________ May The Museum of Modern Art photograph this loan and reproduce it in its publications and for publicity purposes in connection with this exhibition? ______ May this loan be used for telecasts for publicity or educational purposes? _______ May slides of it be made and distributed by the Museum and its designees for educational use? _______ X SIGNED __________________ (name of lender or authorized agent) DATE: ______________
