This is possibly the impression from the Henri Guérard collection (Wilson 1978, 36) subsequently Siemens Collection, and sale Kornfeld, 1987, part 2, lot 762. If so, it is one of two Guérard impressions cited by Guérin (the other being on Japan).
A very rare proof before any of the editions, of which, from 1862 on, were in the second state; other impressions of the first state are in the British Museum (formerly Burty), NYPL, MMA, Paris BNF and Saint Louis Art Museum.