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This fresco is located in the 5th bay on the east wall of the Pellegrinaio in the Spedale di Santa Maria della Scala. The Pellegrinaio, situated on the ground floor of the hospital, is a fourteenth-century room which took the form of a long vaulted hall.
The fresco shows Pope Celestine III granting privileges to the hospital in 1193. In this scene the loggias and windows of the imposing architecture are enlivened with gesticulating onlookers. Arrayed in the nave of the church, paved with rich intarsia designs, are a large number of ecclesiastical worthies and an especially prominent grouping of richly costumed patricians.
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