7

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Page type: Entry form

Item number (top right of entry form): 7

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

Date of registration stamp: May 28 1900

Date form completed (next to signature):

Description of work: Drawing of Tin Box for [ 40 or 4lb] lozenges illustrating basket work with portraits as follows :- Queen on lid - front Lord Roberts - Back Lord Kitchener - End Sir Redvers Buller and Sir Geo [White?]

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): W . Carruthers Smith trading as Fryer & Co , Nelson , Lancashire

Name and Place of Abode of Author of Work (use commas): Daniel Pilmore Bedford Kings Norton , Birmingham

Approximate height of image sample (cm):

Approximate width of image sample (cm):