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Page type: Entry form

Item number (top right of entry form): 102

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

Date of registration stamp:

Date form completed (next to signature): 4 January 1886

Description of work: Painting of the Diploma of the International Inventions Exhibition 1885 (copy annexed)

Date of Agreement or Assignment: 11 December 1885

Names of Parties to Agreement or Assignment: Edward Cunliffe-Owen & Thomas Riley

Name and Place of Abode of Proprietor of Copyright (use commas): Edward Cunliffe-Owen, International Inventions Exhibition, South Kensington, SW

Name and Place of Abode of Author of Work (use commas): Thomas Riley, 1 Manresa Road, Cheslea, SW

Approximate height of image sample (cm):

Approximate width of image sample (cm):