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Referred to herein as Seller does hereby sell to (City, County, State, Zip Code) , of (Name of Purchaser) , (Street Address, City, County, State, Zip Code) referred to herein as the Purchaser, the following described art work: Title: Date: Size: Edition: Medium: Copyright and Reproduction Rights Reserved by the Artist. Witness my signature this the day of , 20 . (Signature of Artist) (Printed Name of Artist) The undersigned Purchaser acknowledges that the Artwork was received in good con.

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