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Page type: Entry form

Item number (top right of entry form): 28

Date of registration stamp: 23 June 83

Date form completed (next to signature): 23 June

Description of work: Drawing of a man holding a rifle with branches of trees, by which is formed the head of a deer close to the left arm (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): Taylor, Winterbottom and Company, 157 Aldersgate Street, London

Name and Place of Abode of Author of Work (use commas): Taylor, Winterbottom and Company, 157 Aldersgate Street, London

Approximate height of image sample (cm): 21

Approximate width of image sample (cm): 36