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Based on images from the NYPL Digital Gallery:
http://digitalgallery.nypl.org/nypldigital/id?55550
Source: Obraztsy starinnago narodnoe uzornago shit'ia i kruzhev iz kollektsii K. Dalmatova.
Image ID: 55550
Tkanye kontsy ot polotenets i podolok zhenskikh rubashek raboty i uzora krest'ianok Gzhatskago uezda Smolenskoi guber.
[Woven towel ends and hems of women's blouses, works and patterns by Russian women from Gzhatsk district of Smolensk province.] (1893-94)
The sample is done in cross stitch as a bookmark.