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COMBINED CONTRACT, ORDER, RECEIPT FORM
CIRKER'S HAYES STORAGE WAREHOUSE, Inc.
305 EAST 61ST. STREET  *  NEW YORK, N.Y. 10021  *  TE 8-5570
...affiliates...
CIRKERS moving & storage CO., INC.
316-322 east 46th STREET, N.Y.C. 10017 - MU 6-5200
CIRKERS gramercy storage whse.co., inc.
316-322 east 46th street, N.Y.C. 10017 - MU 6-5200
CIRKERS flushing storage whse.CO., inc.
135-28 39th AVE, Flushing, N.Y. 11354-FL3-3700
Date: May 18, 1972  Job No. Cu.Ft.
[[Line box]]
Name Parsons Gallery   Phone No.
From: 25 West 56th Street (Service) NYC  3rd Floor Apt.No. 306
To:Warehouse - Storage  Phone No. Apt. No.
MATERIAL AND PACKING | ESTIMATED | SUPPLIED | PACKED
Barrels   
Boxes, Wood
Over 10 C.F. not over 15 C.F.
Over 15 C.F. not over 25 C.F.
Cartons 3 C.F. or less
over 6 C.F.
S.MATT [] S.BOX []
D.MATT [] D.BOX []
WARDROBES
CRATES
NOTE: HAD TO DISMANTLE LARGE SCULPTURE FROM STEEL BASE

Extra Labor Hrs.
_________________
FU:  SPECIAL INSTRUCTIONS

One large and one small Riboud sculpture
(3) PIECES (AS IS)

VANS __1___ MEN___4___ [[Strikethrough]]3[[Strikethrough]] PLUS ........HOUR
START       FINISH           TRAVEL TIME
RATE        PER HR.          TOTAL HOURS
RATE(Overtime)PER HR.        TOTAL HOURS

CARTAGE @$

STORAGE
PER MO.
WAREHOUSE LABOR IN
WAREHOUSE LABOR OUT
PACKING
MATERIAL

ADVANCES
SHIPPER DECLARES VALUE OF ENTIRE SHIPMENT to be $
INSURANCE @
TOTAL
DEPOSIT
BALANCE C.O.D.
It is agreed that this contract which includes terms and conditions printed on the reverse side hereof, shall constitute the entire agreement between the parties and no statement or promise not contained herein shall be binding or valid.
NOTICE -- Unless a greater value is declared liability is limited to 30[[Cents]] per lb. of and for each article lost or damaged. I have read this contract and the terms and conditions on the reverse side hereof and agree to all said terms and conditions and acknowledge receipt of copy herewith.
FOR STORAGE ACCOUNT ONLY
All rates are in accordance with metropolitan New York Movers Tariff.
TERMS:CASH.DRIVER WILL COLLECT.
Signed (X) [[?]](For Betty Parsons Gallery)
Permanent address_______________________
Accepted by___________________CIRKER HAYES STORAGE WAREHOUSE, inc
RECEIVED ALL ARTICLES IN GOOD CONDITION Signed ______________

MILEAGE RECORD
(For driver's use only)
LEFT WHSE_____
RET. WHSE_____

CUSTOMER COPY