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Page type: Entry form
Item number (top right of entry form): 223
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: Painting; in oil, on canvas 36 x 2 inches in size, Entitled : "A Gipsy's Captive", Female with horse (Rough sketch attached) (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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