161
Facsimile
Transcription
If this page displays an entry form with no image sample visible, please categorise 'Entry form' and transcribe all fields except the height and width of the image sample.
If this page displays an image sample (the handwritten text in the form is partially or fully obscured or not present), please categorise 'Image sample' and enter ONLY the image number (if present) and the approx. height and width of the image sample.
If this page displays an entry form & an image sample (with ALL handwritten text & the image sample visible), please categorise ‘Entry form’ and transcribe all fields including the image number (if present) and the height and width of the image sample.
Page type: Entry form
Item number (top right of entry form): 222
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): 14 May1900
Description of work: Drawing in watercolour:lines black:flag tinted . Entitled "Only one Dog carries This". A dog with Union Jack other dogs follow(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): Frederick Lewis, 2a Tiber Street, Kingsley Road,Liverpool
Name and Place of Abode of Author of Work (use commas): Frederick Lewis, 2A Tiber Street, Kingsley Road,, Liverpool
Approximate height of image sample (cm):
Approximate width of image sample (cm):
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