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REA EXPRESS
680 (9-62)
PRTD. IN U.S.A.

UNIFORM BLANK FOR PRESENTATION OF LOSS AND DAMAGE CLAIMS
Claimants are requested to make use of this form for filing claims with REA Express. Please type or print.

Date March 23 1967

Supt's Div. No. 1A Office Code No. 31-284 Claimant's Claim Number

LEO CASTELLI GALLERY (Claimant) 4E. 77th (Local Address of Claimant) New York, NY (City & State)
This claim for $341.58 is made against REA EXPRESS for Loss (Loss or Damage) to shipment.

Addressed to ROBERT MORRIS (Consignee) No. 137 Greene Street 

At New York City Express to (If destination not an express office)

Shipped by WALKER ART CENTER, 1710 Lyndale Ave. S Minneapolis. 

From: SKELLET VAN & STORAGE CO. (Shipper) No. Minneapolis, Minn Street.  Shipped JAN 27 1967

Receipt No. #39707 ARTICLE Sculptures (Shipping cont.) Pieces 4 Weight 460
Date of advice from Consignee of non-delivery, shortage or damage, if any, copy attached phone call

DETAILED STATEMENT SHOWING HOW AMOUNT CLAIMED IS DETERMINED
(Number and description of articles, nature and extent of loss or damage, invoice price of articles, amount of claim, etc.)

Expense of building 4 mirrored sculptures :165.00
Drayage of shipment : 21.25
Packing of shipment : 86.10
REA Express charges : 69.23
TOTAL AMOUNT CLAIMED : 341.58

IN ADDITION TO THE INFORMATION GIVEN ABOVE, THE FOLLOWING DOCUMENTS SHOULD BE SUBMITTED IN SUPPORT OF THIS CLAIM*

(X) 1. The, original photostat or exact copy of the Express receipt issued to the shipper.
(X) 2. Original invoice or certified copy.
(X) 3. In case of loss give complete description by which articles can be identified. If castings or parts submit catalog cut or sketch. See photo & label

[[note]]by phone [[/note]]( ) 4. Complaint received from consignee which claim is filled by shipper.
(X) 5. Copy of Joint Inspection Report furnished consignee in case of damage.

REMARKS: UNTITLED Sculpture 1965-1966 4 cubes each 24" x 24" x 24" wood, glass mirror
I have read the information appearing on the reverse side of this form and the foregoing statement of facts is hereby certified as correct.

Signature of Claimant)
By Kay Bearman

*Claimant will please place check (x) before such of the documents mentioned as have been attached and explain under "Remarks" the absence of any of the documents called for in connection with this claim.
NOTE: If claim is to be settled with another party, so authorize under "Remarks."