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[[blank form, all text preprinted]]

BIOGRAPHICAL DATA FOR CATALOGUE

Artist's name [[blank line]] 

Address [[blank line]] 

Born at [[blank line]]  Date [[blank line]] 

Studied [[blank line]] 

Honors [[blank line]] 

Represented in the following collections [[blank line]] 

Bibliography [[blank line]] 

Unless this form is filled out the Department of Fine Arts will not be responsible for errors or omissions which may occur in the catalogue.