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Page type: Entry form

Item number (top right of entry form): 164

Date of registration stamp: Nov.17,1893

Date form completed (next to signature): Nov. 17, 1893

Description of work: Water color drawing of 3 Ladies & child wearing waterproofs, with background of River scene, 2 men in boat . The figures stand out from the river scene.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): George Macaine , 194 Tufnell Park Road . N.

Name and Place of Abode of Author of Work (use commas): George Macaine , 41 Charterhouse Square E6. & 194 Tufnell Park Road

Approximate height of image sample (cm): 4 cm

Approximate width of image sample (cm): 8cm