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(1219, Jan., 1911.)

12/9/12  191

M Freer   33 Ferry

To AMERICAN EXPRESS COMPANY, Dr.

For PREPAID charges on the following shipments made on date as above.

[[3 Columned Table]]
| CONSIGNEE | DESTINATION | AMOUNT |
| --- | --- | --- |

| 2 Bx New York, NY | Montross Gallery |   |

| From Montross Gallery 120 # Two Cases Containing 8 pieces of Stone Sculptures |   | 2 40 |

| 174 # |   | 3 48 | 

|   | Total | 5.88 | 
  
Received payment for the Company
O. N. Winngler[[guess]]
OK. J S. Warring

Chief [[?]]