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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.

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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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