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Atlanta EXHIBITION LOAN FORM RUDER & FINN INCORPORATED 130 EAST 59TH STREET NEW YORK, N.Y. 10022 Exhibition Dates: 12/1/68-12/31/69 Name of Lender: Byron Gallery, 1018 Madison Ave., New York Artist's Name: Sam Gilliam Title of Work: "Shift Again" Year: 1968 Dimensions (Height first): 104" x 45" Medium: Acrylics| Insurance Valuation: $1,700.00 ______________________ Lender's Signature: _____________________ Title: ________________ Date: Ruder & Finn Incorporated will insure the work at the value listed above, covering it not only during the exhibition period, but during transit to and from the gallery. Nina Kaiden/Caroline Lerner Ruder & Finn, Inc. 130 East 59th Street New York, N.Y. 10022 212- Plaza 9-1800 ---Please return two copies and retain one for your files ---