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Page type: Entry form

Item number (top right of entry form): 502

Date of registration stamp: [?]

Date form completed (next to signature): 8 December 1893

Description of work: Drawing to illustrate story entitled "The Yorkshireman and the Irish Ghost" Farmer sitting [?] with supplied table with a jug in his hand, talking to a waiter – little dog sitting up to 'beg' behind the chair. Photograph annexed.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): James Bamforth, Station Road, Holmfirth

Name and Place of Abode of Author of Work (use commas): Frank Frederic Weeks, 21 Thorpe Road, Forest Gate, London

Approximate height of image sample (cm): 8

Approximate width of image sample (cm): 8