
(Librarian
use only)
| Requesting Library (Ship to): |
| Library Name | |
| Dept/Div | |
| Institution | |
| Street | |
| PO Box |
| City | State Abbrev | Zip Code |
| Email Address |
| Item to Photocopy |
| Copyright Compliance? | CCG | CCL | Today's Date | Need before date |
| Journal Title |
| Vol / No | Issue Date |
| Article Author: | ||
| Article Title |
| Pages | ISSN |
| Verified in |
| Patron Name (optional) |
| Note |
12/4/02