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Harlan J. Berk, Ltd.

31 N. Clark Street

Chicago, IL 60602

Phone: (312) 609-0018

Fax: (312) 609-1309

Email:

[email protected]

Please execute the above bid(s) on my behalf. I agree to the Terms of Sale as stated in the Gemini XIII catalog

and understand that bids below 80% of estimate cannot be accepted. I agree to pay the buyer’s fee (see #2 in

Terms of Sale for fees), as well as

postage, packing, insurance

and

wire charges

, if applicable, on all successful

bids. I also agree to remit funds promptly on receipt of invoice or notification of successful bidding. I authorize

my bids to be increased by the percentage which I have indicated above, if necessary, to obtain the lot(s). Tied

book bids will go to the first bidder received.

Method of payment: Check

Wire Transfer

Visa

MasterCard

AmEx

Discover

Credit Card No.:

Expiration Date: Security Code

Name as it Appears on Card:

Signature:

Billing address for Card:

Lot #

Bid

% Bid Increase Lot #

Bid

% Bid Increase Lot #

Bid

% Bid Increase

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Please print

Name:

Phone:

Address:

Fax:

E-mail:

For Office Use Only:

Date Received:

Bidder #:

www.geminiauction.com

Auction XIII April, 2017