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Page type: Entry form

Item number (top right of entry form): 250

Image number (corner of image sample itself - leave blank if not visible):

Date of registration stamp:

Date form completed (next to signature): 11 February 1885

Description of work: Drawing for theatre programme border with scene from comic opera at left hand bottom corner. At opposite corner a small tablet containing snow scene with old English street, and figure lying in snow. At right hand side figure of Hamlet, holding skull. Elves drawing back curtain and exposing tables for letterpress. Sundry other elves. (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): Robert Tyeth Stevens, of, 15 the Parade, Plymouth, Devon , and 10 Saltram Place, Plymouth, Devon

Name and Place of Abode of Author of Work (use commas): Harold Furniss, 4 Salem Street, Bradford

Approximate height of image sample (cm):

Approximate width of image sample (cm):