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Page type: Entry form

Item number (top right of entry form): 321

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

Date of registration stamp: 3 May 00

Date form completed (next to signature): 19th April 1900

Description of work: Oil Painting. Old man and girl seated on the steps up of a church porch the old man with drooped head and vacant gaze holds a war special newspaper in his hand the girl is weeping with face buried in her hands

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): Louisa Starr Canziani, 3 Palace Green, Kensington, London W.

Name and Place of Abode of Author of Work (use commas): Louisa Starr Canziani, 3 Palace Green, Kensington, London W.

Approximate height of image sample (cm):

Approximate width of image sample (cm):