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Page type: Entry form

Item number (top right of entry form): 129

Image number (top right of image sample if visible):

Date of registration stamp: 13 January 1885

Date form completed (next to signature): 13 January 1885

Description of work: Drawing of an artist's palette representing black wood with gold framing, with brushes through thumb-hole; on the palette is depicted a bunch of roses, buds & leaves.
(Copy attached)

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 Johnstone, 21 Palatine Road, Stoke Newington

Approximate height of image sample (cm):

Approximate width of image sample (cm):