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CARLEN GALLERIES, Inc.

323 South 16th Street/ Philadelphia, PA 19102/ KI 5-1723
Robert Carlen, President

August 31, 1971

RECEIVED OF SAMUEL KAPLAN, Esq., on consignment for sale, the following described paintings:

signed burnt wood panel painting "Snow Scene"
by Horace Pippin, panel 16" x 9" (1941)$4,500.00 less 15% commission, the net figure to be paid of $3,825.00

S.T. Kaplan