olje/platno, 1969, dim.: 110 x 141 cm, sig. in dat. sr. d.: Bernik 965, na hrbtni strani slike sta dve galerijski nalepki s pripadajočimi podatki – Carnegie Museum of Art (Pittsburgh) in The American Federation of Arts (New York)
Sliki so pridani sledeči dokumenti: 
- galerijski popisni listek: Museum of Art; Carnegie Institute, Pittsburgh, PA., U. S. A. (Janez Bernik, Notation III.)
- listek z napisom: Please call Bill Daubner of building operations, ext. 3753 before removing and/or storing this painting.
- listek z napisom: Hahn Bros. New York City
- galerijski popisni listek: The American Federation of Arts, Bernik Janez, Letter III, exhibition title: Contemporary Art in Yugoslavia, circulation dates: September 1969 – September 1971
- natipkani povzetki kataložnih omemb Bernika in njegovih del