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Page type: Entry form

Item number (top right of entry form): 504

Date of registration stamp: 8 December 1893

Date form completed (next to signature): 8 December 1983

Description of work: Drawing to illustrate story entitled "The Yorkshire man and the Irish Ghost". Two men on a road approaching a bridge, with cottage on the right – the leafless arms of a tree extending over the road. 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