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Page type: Entry form
Item number (top right of entry form): 219
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 an oblong green Tablet bearing words "Harness Polish" in white letters surrounded by an ornamental black border, he whole upon a red 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 EC
Name and Place of Abode of Author of Work (use commas): Ernest Robert Bertram c/o Nathaniel Lloyd & Company, 81 Queen Victoria Street, London EC
Approximate height of image sample (cm): 21
Approximate width of image sample (cm): 33
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