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If this page displays an entry form with no image sample visible, please categorise 'Entry form' and transcribe all fields except the height and width of the image sample.

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Page type: Entry form

Item number (top right of entry form): 400

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

Date of registration stamp: 16 March 1885

Date form completed (next to signature): 15 March 1885

Description of work: [crossed out: "French coffee label right hand panel"] Drawing of Top & Bottom French Coffee in Artistic scroll work with Sprigs of Coffee plant in the centre French shield with Eagle surrounded with Ermine Crown on top & two Sceptres on each side surmounted with Eagles (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): Lewis & Sons, 55 Eastcheap, City, London EC

Name and Place of Abode of Author of Work (use commas): Edward Henry Bott in the employ of White & Pike, Moor Street, Birmingham

Approximate height of image sample (cm):

Approximate width of image sample (cm):

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