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Page type: Entry form

Item number (top right of entry form): 163

Date of registration stamp: ?

Date form completed (next to signature): 16 November 1892

Description of work: Drawing of Border for surrounding advertisements to be used in periodicals. (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): Sell's Advertising Agency Ltd, Registered Office, 167 Fleet Street, London E.C.

Name and Place of Abode of Author of Work (use commas): William Jeffrey Wedgefield, The Chase, Clapham S.W.

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