REGISTER OF CULTURAL PROPERTY
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File No.
Region: Municipality:
Owner:
(Name and address)
Custodian:
(Name and address)
Class of property:
Type of protection: Date of entry:
Deed(s) of transfer since entry:
References:
I - DESCRIPTION OF WORK OF ART
________________________________
File No.
Description or title:
Artist:
Material and process:
Date:
Size:
Signature or mark:
Note:
II - DESCRIPTION OF HISTORIC PROPERTY
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File No.
Audio-visual
Description:
Nature of document: Format:
original copy Duration:
Language:
Title:
Producer:
Director:
Adviser:
Distributor:
Year of production:
Note:
II - DESCRIPTION OF HISTORIC PROPERTY
________________________________
File No.
Ethnology
Description and code:
Author:
Material and process:
Period:
Size:
Marks or characteristics:
Note:
II - DESCRIPTION OF HISTORIC PROPERTY
________________________________
File No.
Archives
Description: Collection:
Series:
Funds:
Nature:
Dates:
Space occupied:
Number of articles (volumes, registers, bundles or cartons):
Number of documents (where applicable):
Note:
II - DESCRIPTION OF HISTORIC PROPERTY
________________________________
File No.
Printed matter
(A) Volumes:
Author:
Title:
Where published:
Publisher:
Date:
Volume or number of pages:
Illustrations, maps, etc.:
Format in em:
Collection (where applicable):
(B) Periodicals and newspapers:
Title:
Where published:
Publisher:
Founding year:
Periodicity:
Note:
III - DESCRIPTION OF HISTORIC MONUMENT
________________________________
File No.
Description:
Physical boundaries (street number and cadastral, geographical or other description):
Nature of use (where applicable):
Type of immovable:
Period of construction:
Physical characteristics:
Note:
Registered at the registry office of _________________________ at ________________________ this ______________________________ day of ______________________________ 20__________under registration number(s) ______________________________
IV - DESCRIPTION OF HISTORIC SITE
________________________________
File No.
Description:
Physical boundaries (street number and cadastral, geographic or other description):
Nature of events (where applicable):
Area:
— Type of immovable:
— Period of construction:
— Physical characteristics:
Note:
Registered at the registry office of _________________________ at ________________________ this ______________________________ day of ______________________________ 20__________under registration number(s) ______________________________
V - DESCRIPTION OF ARCHAEOLOGICAL PROPERTY
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File No.
Description and code:
Origin:
Characteristics:
Period:
Note:
Registered (where applicable) at the registry office of ___________________ at ___________________ this ____________________ day of ____________________ 20__________ under registration number(s) ____________________
VI - DESCRIPTION OF ARCHAEOLOGICAL SITE
________________________________
File No.
Common description and code:
Physical boundaries (street number and cadastral, geographical or other description):
Occupational content:
Period:
Material culture:
Note:
Registered at the registry office of _________________________ at ________________________ this ______________________________ day of ______________________________ 20__________under registration number(s) ______________________________