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Page type: Entry form

Item number (top right of entry form): 218

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

Date of registration stamp: 16 May 1900

Date form completed (next to signature): 16 May 1900

Description of work: Drawing of a yellow fancy shape Tablet with red border bearing words "Hallmark Boot Cream" in red letters below which is further wording "The Best for cleaning and polishing Boots, Shoes & other Leather Goods", the whole upon a green & yellow background. 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): Nathaniel Lloyd & Company, 81 Queen Victoria Street, London E C

Name and Place of Abode of Author of Work (use commas): Edward John Ellerton c/o Nathaniel Lloyd & Co, 81 Queen Victoria Street, E C

Approximate height of image sample (cm): 8

Approximate width of image sample (cm): 7