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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.

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): 117

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

Date of registration stamp: 8 January 1901

Date form completed (next to signature): 8 January 1901

Description of work: Oil Painting representing Loch Awe, rocks trees, mountains (Copy annexed)

Date of Agreement or Assignment: February 14 1898

Names of Parties to Agreement or Assignment: Samuel John Barnes and Charles William Faulkner (trading as C.W.Faulkner & Co)

Name and Place of Abode of Proprietor of Copyright (use commas): Charles William Faulkner, 79 Golden Lane,London EC

Name and Place of Abode of Author of Work (use commas): Samuel John Barnes, Mayfield, Moseley, Worcestershire

Approximate height of image sample (cm):

Approximate width of image sample (cm):

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