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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