There are a few stain marks, scuffs, and tape residues in places on the verso. There are adhesive tapes affixed at signature.
Signed and dated on the lower left of the verso, numbered and with a publisher stamp on the lower right of the verso.
Publisher: Bruno Bischofberger, Zurich
"Andy Warhol Prints: A Catalogue Raisonne 1962-1987" Distributed Art Pub Inc; Revised, Expanded edition, 2003, p. 78, II.75