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The object(s) described below has (have) been [[strikethrough]] released [[/strikethrough]] received by:

BYRON GALLERY, INC.
1018 Madison Avenue
New York 21, N.Y.

[[strikethrough]] To [[/strikethrough]] /From:
Name: SAM GILLIAM
Telephone: 
Address: 1752 LAMONT STREET N.W.
WASHINGTON, D.C.

For (purpose): On consignment

[[2 columns]]
| Artist | Description |
|---|---|
| Sam Gilliam | "Sock It To Me" oil on canvas 360 x 110" 1968 |
| Sam Gilliam | "Restore" 1968 110 x 155" oil on canvas |
| Sam Gilliam | "Snake Bite" oil on canvas 114 x 42 1/2" 1968 |
| Sam Gilliam | "More", oil on canvas 65 1/2' x 53" 1968 |
| "May 7th", "Feb 22", "Aug 21", 4 Degree 15 x 27 1/2 _____ _____ _____" (all) "LIKE"

(in show)

Signed:  B. Culman [?]
Signed: _______________
Date: May 10, 1968