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[[horizontal in left margin]] This work is entered for the United States/ International Section [[/margin]]

[[box in upper right corner]] Leave this Space Blank [[/box]]

PANAMA-PACIFIC INTERNATIONAL EXPOSITION
DEPARTMENT OF FINE ARTS

OFFICIAL LABEL
(AN OFFICIAL LABEL PROPERLY FILLED OUT MUST BE ATTACHED TO EACH WORK ENTERED)

Artist's Name ........
Artist's Address ........
Title of Work ..............
Date of Production of Work ..... (Note: Unless this date is given this work will not be eligible for award. No work produced prior to 1904 is eligible for award.)
Price ......... Classification of Work.....
(State here the group and class in accordance with the Official Classification; or if this is not known state the character of the work.)
Collection Center to which work will be sent ........ (Collection Centers are: London, Paris, Boston, New York, Philadelphia, Chicago, St. Louis and San Francisco)
Owner's Name ........
Return Address in case of Acceptance .......
Return Address in case of Declination .....
Permission for Reproduction for catalogue illustration or publicity is granted unless noted here .....

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[[horizontal in left margin]] This work is entered for the United States/International Section [[/margin]]

[[box in upper right corner]] Leave this Space Blank [[/box]]

PANAMA-PACIFIC INTERNATIONAL EXPOSITION
DEPARTMENT OF FINE ARTS
NOTICE TO AGENT
(A NOTICE TO AGENT FOR EACH WORK ENTERED MUST BE SENT TO THE AGENT AT THE COLLECTION CENTER TO WHICH THE WORK IS TO BE FORWARDED. SEE OVER)

The following work has been entered and will be sent to the agent at ..... (Insert name of City. SEE OVER)

Artist's Name ........
Artist's Address ........
Title of Work ..............
Date of Production of Work ..... (Note: Unless this date is given this work will not be eligible for award. No work produced prior to 1904 is eligible for award.)
Price ......... Classification of Work.....
State here the group and class in accordance with the Official Classification; or if this is not known state the character of the work.)
Collection Center to which work will be sent ........ (Collection Centers are: London, Paris, Boston, New York, Philadelphia, Chicago, St. Louis and San Francisco)
Owner's Name ........
Return Address in case of Acceptance .......
Return Address in case of Declination .....
Permission for Reproduction for catalogue illustration or publicity is granted unless noted here .....