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HOUSEHOLD GOODS DESCRIPTIVE INVENTORY CONTRACTOR OR CARRIER United Van Lines FENTON, MISSOURI TAG COLOR NOS THRU PAGE NO. NO. OF PAGES AGENT CARRIER'S REFERENCE NO. OWNER'S GRADE OR RATING AND NAME DETROIT INSTITUTE OF ARTS CONTRACT OR GBL. NO. ORIGIN LOADING ADDRESS 5200 Woodward Avenue CITY Detroit STATE Michigan GOVT. SERVICE ORDER NO. DESTINATION Castelli Whse. 141 Greene Street New York City VAN NUMBER EXCEPTION SYMBOLS BE-BENT BR-BROKEN BU-BURNED CH-CHIPPED CU-CONTENTS & CONDITION UNKNOWN D-DENTED F-FADED G-GOUGED L-LOOSE M-MARRED MI-MILDEW MO-MOTHEATEN PBC-PACKED BY CARRIER PBO-PACKED BY OWNER R-RUBBED RU-RUSTED SC-SCRATCHED SH-SHORT SO-SOILED T-TORN W-BADLY WORN Z-CRACKED NOTE: THE OMISSION OF THESE SYMBOLS INDICATES GOOD CONDITION EXCEPT FOR NORMAL WEAR. LOCATION SYMBOLS 1. ARM 2. BOTTOM 3. CORNER 4. FRONT 5. LEFT 6. LEG 7. REAR 8. RIGHT 9. SIDE 10. TOP 11. VENEER [[5 columned table]] | ITEM NO. | CR REF. | ARTICLES | CONDITION AT ORIGIN | EXCEPTIONS (IF ANY) AT DESTINATION | | --- | --- | --- | --- | --- | | /1 | 121 | D-71 UNTITLED by D. Judd | | | | /2 | 122 | a | | | | | /3 | 123 | b | | | | | /4 | 124 | c | | | | | /5 | 125 | d | | | | | /6 | 126 | e | | | | | /7 | 127 | f | | | | | /8 | 130 | D-69 UNTITLED by D. Judd | 40 x 190 x 40 | | | /9 | 131 | a | | | | | /0 | 132 | b | | | | | /1 | 133 | c | | | | | /2 | 134 | d BAK | | | | | 3 | | [[strikethrough]]D-76 UNTITLED by R. Morris[[/strikethrough]] | SECOND VAN ___ HAMILTON | | | 4 | | [[strikethrough]]a[[/strikethrough]] | | | | 5 | | [[strikethrough]]b[[/strikethrough]] | | | | 6 | | [[strikethrough]]c[[/strikethrough]] | | | | 7 | | [[strikethrough]]d[[/strikethrough]] | | | | 8 | | [[strikethrough]]e[[/strikethrough]] | | | | 9 | | [[strikethrough]]f[[/strikethrough]] | | | | 0 | | [[strikethrough]]g[[/strikethrough]] | | | | 1 | | [[strikethrough]]D-75 UNTITLED by R. Morris[[/strikethrough]] | | | | 2 | | [[strikethrough]]a[[/strikethrough]] | | | | 3 | | [[strikethrough]]b[[/strikethrough]] | | | | 4 | | [[strikethrough]]c[[/strikethrough]] | | | | 5 | | [[strikethrough]]D-72 FLOWERS by A. Warhol[[/strikethrough]] | | | | 6 | | | | | | /7 | 128 | D-71g | | | | /8 | 129 | D-71f Bundle | Brackets | 5/ | | 9 | | | | | | 0 | | | | | [[2 columned table]] | ITEM NO. | REMARKS/EXCEPTIONS | | --- | --- | | | | | | | "WE HAVE CHECKED ALL THE ITEMS LISTED AND NUMBERED 1 TO ___ INCLUSIVE AND ACKNOWLEDGE THAT THIS IS A TRUE AND COMPLETE LIST OF THE GOODS TENDERED AND OF THE STATE OF THE GOODS RECEIVED." AT ORIGIN CONTRACTOR, CARRIER OR REPRESENTATIVE (DRIVER) SIGNATURE: Charles Miller DATE TIME 5-25-67 OWNER OR AUTHORIZED AGENT SIGNATURE: Robt E. Springer DATE TIME 5-25-67 AT DESTINATION CONTRACTOR, CARRIER OR REPRESENTATIVE (DRIVER) SIGNATURE: Charles Miller DATE TIME 5-26-67 OWNER OR AUTHORIZED AGENT SIGNATURE: X ? K. Junior DATE TIME 5-26-67 PRINTED IN U.S.A. FORM NO. C-10-65 4 U. V. L. COPY - FOR NATIONAL ACCOUNT BILLING
Transcription Notes:
SECOND VAN HAMILTON refers to inventory for D-76, D-75, and D-72.
X is the signature of the authorized agent at destination; the written name is cut off.