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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): 506

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

Date of registration stamp: 21 January 1887

Date form completed (next to signature): 17 January 1887

Description of work: Drawing of an ornamental label with wording thereon "Celebrated Royal Dunbar Old Scotch Whisky" &c.
(Copy attached)

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): C F Marlow & Co, Digbeth, Birmingham

Name and Place of Abode of Author of Work (use commas): Kate Ashley, 20 Ashley Road, Hornsey Rise, N

Approximate height of image sample (cm): 12.5

Approximate width of image sample (cm): 9.5

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