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THE MUSEUM OF FINE ARTS OF HOUSTON
Main Street and Montrose Boulevard
Houston 5, Texas

We would greatly appreciate your filling in this form.

EXHIBITIONS and DATES: HOUSE OF ART Oct. 17 - Nov. 28, 1954
LENDER: Jacques Seligmann & Co., Inc.
ADDRESS: 5 East 57th Street, New York, N.Y.

ARTIST: French
TITLE: "Head of a Saint"
MEDIUM: Limestone
DIMENSIONS: Height 4" (head)
SIGNED, DATED & LOCATION:  
DATE OF EXECUTION, IF KNOWN: end of XIV - early XV century (the bronze crown is of a later period).

FORMER COLLECTIONS: 

OTHER EXHIBITIONS:

IF PUBLISHED OR REPRODUCED:

Will you permit use of your name as lender in the catalogue?  Yes
If not, what acknowledgement is desired?

INSURANCE: Do you prefer to carry your own wall to wall insurance Yes X No __
If not, for what value shall we insure the work?

REMARKS OR SPECIAL RESTRICTIONS:

VALUATION: $1,200
If for sale, for what price? $1,200

SHIPMENT DATES: 

ADDRESS TO WHICH OBJECT IS TO BE RETURNED: Above

OTHER INFORMATION:

SIGNATURE OF LENDER: