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the museum of art / UNIVERSITY OF MICHIGAN
/ ALUMNI MEMORIAL HALL - ANN ARBOR

INFORMATION CONCERNING OBJECT TO BE RECEIVED ON LOAN

Title of exhibition A Generation of Draughtsmen
                    
Dates of exhibition April 22-May 29,1962; object should arrive April 13 1962. 
Name of lender J. Seligman Galleries
               
Address of lender 5 East 57th Street, New York, New York.
                 
Artist's name Claude Monet
              
Title of work Chaumière à Gueneville
              
Medium 
Dimensions--height width
                   
Signed, dated, initialed or inscribed as follows 
Date of execution, if known
                          
May we reproduce the work for catalogue or publicity purposes?

If photographed, will you please send us 
glossy prints (8"x10")?
If not, may we photograph the object?
                                     
Is insurance being placed by owner?
Is insurance to be placed by us?
If the latter, at what valuation?
                                  
Sales price, if object is for sale?
                                   
Please ship to us at the following address   Shipment through Budworth --                   
Detailed instructions to follow

Date shipment is to be made
                          
Address to which object is to be returned
                                         
Remarks

Signature of lender

Please return white copy and retain blue copy for your files.
Form 7129 8-50 1M