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Railway Express Agency Incorporated (Printed in the U.S.A.) This triplicate is to be used by Express Agency TRIPLICATE (Form 5076-A) UNIFORM EXPRESS RECEIPT From New York, N.Y (952-A) PREPAID receipt number (5076-A) PREPAID M 48-167 a/c of Madelon Maremont 281 Harvard St Cambridge Mass New York, N.Y (952-A) Date - March 25, 1964 Received from- Hahn Bros Fireproof Whses Address (Subject to the Classification and Tariffs in Effect on Date of Issue) - 112 West 107th St NY NY Article (Nature of Contents) - Two Boxes- Works Of Art Weight - 547# Consigned to - Humboldt Fireproof Whse At - 144 Humboldt St Boston Mass Attn of Morris Goldman Value herein declared by Shipper to be - Fifty ((Which the Company agrees to carry upon the terms and conditions printed on the back hereof, to which the shipper agrees, and as evidence hereof, accepts this receipt - ((signature)) (For the Company) Number Pieces - 2 Date - 3-25-1964 Hour - 5PM Express Charges - $42.12 ac .25 Value Charges - Total- $42.37 C.O.D - x - C.O.D Service Charge Date - March 25, 64 [[3 columned table]] | --- | --- | --- | | No. Pieces - 2 | Weight - 547# | Express Chgs - $42.12 ac .25 | | C.O.D - x - C.O.D. Service Charge | Declared Value - $50.- | Value Charges - | Article (Nature of Contents) - 2 Boxes- Works of Art Railway Express Agency. Inc.