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? ............................................................ ............................................................ ..............
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Where was object found? ............................................................ ............................................................ .............
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Name of townland ............................................................ ............................................................ ........................
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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 ............................................................ .....................................................
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Estimated depth of bog removed above present surface (if any) ............................................................ ..............
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Full name: ............................................................ ............................................................ .....................................
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Full address: ............................................................ ............................................................ .................................
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Telephone Number:
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Date:
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Signature:
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