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DELAWARE ART MUSEUM 
The Wilmington Society of the Fine Arts 
2301 Kentmere Parkway           
Wilmington, Delaware 19806              
302-655-6288

LOAN AGREEMENT

EXHIBITION: Three Delaware Valley Primitives 
DATE OF EXHIBITION: February 22 through March 24, 1974
LENDER: Robert Carlen
ADDRESS: 323 South 16th St, Philadelphia, PA. 19102    
TELEPHONE: 1 215 KI5 1723
CREDIT LINE (Exact form in which lender's name should appear on label and catalogue): 
Robert Carlen 

NAME OF ARTIST: HORACE PIPPIN
EXACT TITLE OF WORK: (Photograph. See reverse} PHOTOGRAPH. 
MEDIUM AND SUPPORT:
DATE OF WORK:           
Does date appear on work?        
If so, where:         
If not dated, do you know evidence of attributed date:
SIGNATURE: Is this work signed?     
If so, where?: 
DIMENSIONS:
HEIGHT in.; 
WIDTH in. (without frame or mat)
DEPTH in.; (where relevant) (sculpture without base) 

INSURANCE: If you wish the Museum to insure the object, please state value 180 00/100 
Do you prefer to maintain your own insurance?  yes ; no. 
If yes, do you have an all-risk insurance policy including coverage while on exhibit?  yes; no no.

SALES: Selling price if work is for sale 
In the event a work is sold, a 10% commission is charged by the Museum.

PHOTOGRAPHS: Are photographs available?  yes; no no. If yes, please mail us  8 x 10" glossy prints. Unless we are notified in writing to the contrary, it is understood that this loan may be photographed in the Museum's publications and reproduced for publicity purposes connected with this exhibition and that slides of it may be made by the Museum for educational use.

Shipping Instructions: The object should arrive to later than ____ Via we will notify your concerning transportation arrangements in early February. 

Signature of Lender _________Date_____________

Please complete, sign and return the original form; retain copy for your records.   
 

Transcription Notes:
this sentence is incorrect: t is understood that this loan may be photographed in the Museum's publications and reproduced for publicity purposes connected with this exhibition and that slides of it may be made by the Museum for educational use. Should be: Unless we are notified in writing to the contrary, it is understood that this loan may be photographed in the Museum's publications and reproduced for publicity purposes connected with this exhibition and that slides of it may be made by the Museum for educational use:Unless we are notified in writing to the contrary, it is understood that this loan may be photographed and reproduced in the Museum's publications and for publicity purposes connected with this exhibition and that slides of it may be made by the Museum for educational use. Missing: SHIPPING INSTRUCTIONS: The object should arrive no later than _______ Via We will notify you concerning transportation arrangements in early February SIGNATURE OF LENDER ________________ DATE ____________________________ Please complete, sign, and return the original form; retain copy for your records.