I've now been able to access the picture. This photo appeared in a Fulham v Charlton match programme in August 1977 and showed Terry Bullivant in action v Chelsea. The game v Chelsea was played the previous April and the programme (via LF's v good Fulham programme thread) indicates that the referee was Tom Bune from Billingshurst, with linesmen D S Bone and R L Woolben. Not sure whether this is helpful or whether this could possibly be someone other than Tom, but over to you for comment.