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Page type: Entry form

Item number (top right of entry form): 120

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

Date of registration stamp: 26 September 1885

Date form completed (next to signature): 24 September 1885

Description of work: "Death" (oil painting).
Female figure seated on a rock with a piece of drapery blown away from the face & over the head & in front of it, the head leaning on the left hand, the left arm leaning on a rock, the right arm hanging by the side, the right hand resting on the rock the figure sits upon. The face almost profile.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): Emily Susan Ford, Adel Grange, Leeds

Name and Place of Abode of Author of Work (use commas): Emily Susan Ford, Adel Grange, Leeds

Approximate height of image sample (cm):

Approximate width of image sample (cm):