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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: Seurat, Georges (1859-1891)
TITLE: "Le Pont de Courbevoie"
MEDIUM: Conte crayon
DIMENSIONS: 9-1/2 x 12-3/8"
SIGNED, DATED & LOCATION: 
DATE OF EXECUTION, IF KNOWN: 

FORMER COLLECTIONS: Hodebert

OTHER EXHIBITIONS: "Seurat Exhibition", Renaissance Society of the Univ. of Chicago, Feb. 1935; "Seurat, His Drawings", Buchholz Gallery, N.Y., March 4-29, 1947, No. 10; "Artists on Architecture", Akron Art Inst., Akron, Ohio, Feb. 1-Mar. 16, 1952.

IF PUBLISHED OR REPRODUCED: "Drawings of Georges Seurat, Germain Seligman, 1947, p.56; reproduced P1. 14, catal. no. 17.

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: $4,000
If for sale, for what price? 

SHIPMENT DATES: 
ADDRESS TO WHICH OBJECT IS TO BE RETURNED: Above
OTHER INFORMATION:
SIGNATURE OF LENDER: