Etching, on wove paper, with full margins.

1965

I. 21 x 15.1 cm (8 1/4 x 5 7/8 in.)
S. 29.8 x 25.2 cm (11 3/4 x 9 7/8 in.)

Signed with initials and annotated 'Sample OK' in pencil, a unique artist's proof, there was no published edition, framed.