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(UPPER LEFT HAND CORNER)
Art Lending Service of the museum of modern art
21 west 53rd street (This copy is for your files; please sign and return the white copy.)
New York 19, N. Y.  
Hahn Brothers trucking
231 east 55th st. 

Delivered the following items on: Tuesday, Feb. 5, 1953  
to: (????????)
Hayes Warehouse
305 East 61st street
(UPPER RIGHT HAND CORNER)
(3) GALLERY COPY
Date: 
Order No: 58705

The undersigned acknowledges receipt of the following items heretofore delivered and/ or consigned to the art lending service of the museum of modern art:

(COLUMS READING FROM LEFT TO RIGHT)
ALS NO.    ARTIST            TITLE    MEDIUM    VALUE
523- 142 - ROGER ANLIKER  -THE POET - CASEIN - 200.
523- 173- ROGER ANLIKER - NABOR -    CASEIN -  250.
523- 174- CLEVE GRAY- EIFFEL TOWER-   OIL -     375.
523- 176- CLEVE GRAY- MONT ST. MICHEL   OIL-     350.
523- 174- CLEVE GRAY  -  EIFFEL TOWER-  OIL-    375.


(BOTTOM OF THE PAGE) 
The undersigned reserves the right to inspect the returned articles and to make claim for damages in writing within ten days of the date of the receipt by the undersigned of the aforementioned articles if they are found not to have been returned in the satisfactory condition, it being understood and agreed that if such a claim is not made within such period the art lending service of the museum of modern art is released from any and all responsibility with respect to such articles.

Date Received: _______ (Signed)___________ for______ Gallery