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Brief description of object with measurements ............................................................ ........................................
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When did the object come into your possession? ............................................................ ....................................
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How did the object come into your possession? ............................................................ .....................................
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Full name and address of finder ............................................................ ............................................................ ...
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Full name and address of person for whom you acquired the object ............................................................ .......
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Has the object been in possession of any other person since its discovery?
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If object has been in possession of any other person since its discovery,
Please provide full names and addresses of such persons ............................................................ ........................
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| When was object found? ............................................................ ............................................................ .............. |
| Where was object found? ............................................................ ............................................................ ............. |
| Name of townland ............................................................ ............................................................ ........................ |
| Civil Parish |
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Barony |
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| County |
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Give local name of findplace(if any) |
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| Is there any monument in the vicinity? |
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| (e.g. church, castle, fort, mound or ancient roadway) |
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Full name and address of owner and/or occupier of land on which the find was made .........................................
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| Under what circumstances was the find made? ............................................................ ......................................... |
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If buried underground state approximately how deep was the object found?
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| Nature of soil in which find was made ............................................................ ..................................................... |
| Estimated depth of bog removed above present surface (if any) ............................................................ .............. |
| Full name: ............................................................ ............................................................ ..................................... |
| Full address: ............................................................ ............................................................ ................................. |
| Telephone Number: |
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Date: |
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| Signature: |
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