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Incoming Receipt 
No._____________

William Hayes Ackland Memorial Art Center
Chapel Hill, North Carolina

(Please keep this form: If material is returned this must be presented)

From: Jacques Seligmann & Co., Inc.
Address: 5 East 57th Street New York, New York 10022
Owner: ______________________
Date: December 16, 1969
Via __________________ Express 
______________________ Motor Freight
______________________ Air Express

This form acknowledges the receipt of the objects listed below subject to the conditions printed on the back. objects are offered to the Center as a loan [ ]; as a gift [ ]; for purchase [X];  for examination [ ]' or other:

Quantity - 1
object - 1 Drawing-Payron, Socrate detachant Aleibiade des charmes de la volupte
Insurance Value - $1,000

Signed: Wanda C. Calhoon
(Mrs.) Wanda C. Calhoon, Registrar 

Insured by: ________________________
Condition: good
Received by: W. Calhoon
Date: 12-16-69
Unpacked by: W. Calhoon
Date 12-16-69
Waybill No: AE 39-51-23
Box No: _____________
Remarks: ____________

Form NO. 5038

Transcription Notes:
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