107
Facsimile
Transcription
If this page displays an entry form with no image sample visible, please categorise as 'Entry form' and transcribe all fields except the height and width of the image sample.
If the page displays an image sample only (the text in the form is obscured or not present at all), please categorise as 'Image sample' and enter the image number (if present) and the approximate height and width of the image sample in the relevant field
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Page type: Entry form
Item number (top right of entry form): 57
Image number (top right of image sample if visible):
Date of registration stamp: 15 January 1885
Date form completed (next to signature): 15 January 1885
Description of work: A drawing of a screen with ornamental border, centre consisting of conventional roses, grasses & bluetits.
(Copy annexed)
Date of Agreement or Assignment:
Names of Parties to Agreement or Assignment:
Name and Place of Abode of Proprietor of Copyright (use commas): Joseph Mansell, 35 Red Lion Square, London WC
Name and Place of Abode of Author of Work (use commas): C Johnston, 21 Palatine Road, Stoke Newington
Approximate height of image sample (cm):
Approximate width of image sample (cm):
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