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Page type: Entry form

Item number (top right of entry form): 338

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

Date of registration stamp:

Date form completed (next to signature): 30 March 1885

Description of work: A drawing of a device consisting of a pair of medals between the words International above and Velvetta beneath the whole within a fancy border.
(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): Robert C Law, 13 Albion Street, Manchester

Name and Place of Abode of Author of Work (use commas): Robert C Law, 13 Albion Street, Manchester

Approximate height of image sample (cm):

Approximate width of image sample (cm):