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Page type: Entry form

Item number (top right of entry form): 292

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

Date of registration stamp: 15 January 1901

Date form completed (next to signature): 7 January 1900

Description of work: Drawing of Floral Basket Design & on either side thereof a Bouquet enclosed in ornamental tablet -above same to the left and the right being a floral spay with the wording "Orders taken here for T A Dickson & Co, Court Florists, Covent Garden, London" between - beneath to the left a floral anchor and to the right a floral harp with the words "Baskets and other floral designs from 7/6 to £10.00, between (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): T.A.Dickson & Co Ltd, Covent Garden, London WC

Name and Place of Abode of Author of Work (use commas): Joseph Schneider, 13 St German's Rd, Forest Hill, London SE

Approximate height of image sample (cm):

Approximate width of image sample (cm):