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Page type: Entry form

Item number (top right of entry form): 505

Date of registration stamp: 8 December 1893

Date form completed (next to signature): 8 December 1983

Description of work: Drawing to illustrate story entitled "The Yorkshireman and the Irish Ghost". Man & dog standing looking earnestly at some object across the house – an interior room door open - wood fire burning - plate on mantle piece. Photograph annexed.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): James Bamforth, Station Road, Holmfirth

Name and Place of Abode of Author of Work (use commas): Frank Frederic Weeks, 21 Thorpe Road, Forest Gate, London

Approximate height of image sample (cm): 9

Approximate width of image sample (cm): 9