Professional Documents
Culture Documents
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Cdigo Postal _________- _____ Localidade /Pas_____________________________________________
Tipo de Reproduo
Digitalizao
Gravao CD-ROM
Gravao DVD
Fotocpia
Preto e Branco
Cores
Microfilme
Duplicao
Digitalizao
Alta Resoluo
Alta Resoluo
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Entrega da Reproduo
Presencial
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Ass.: _____________________________________________
Funcionrio: ________________________________
E-mail:
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Autor__________________________________________________________________________________
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Ano de Edio __________________ Ms _____________________ Dia___________________________
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N total de pginas: ______________________________________________________________________
Identificao do Pedido
Titulo__________________________________________________________________________________
Autor__________________________________________________________________________________
Cota da Obra ________________________Volume/Tomo________________________________________
Ano de Edio __________________ Ms _____________________ Dia___________________________
Pginas/Flio a reproduzir_________________________________________________________________
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N total de pginas: ______________________________________________________________________
Identificao do Pedido
Titulo__________________________________________________________________________________
Autor__________________________________________________________________________________
Cota da Obra ________________________Volume/Tomo________________________________________
Ano de Edio __________________ Ms _____________________ Dia___________________________
Pginas/Flio a reproduzir_________________________________________________________________
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N total de pginas: ______________________________________________________________________
Identificao do Pedido
Titulo__________________________________________________________________________________
Autor__________________________________________________________________________________
Cota da Obra ________________________Volume/Tomo________________________________________
Ano de Edio __________________ Ms _____________________ Dia___________________________
Pginas/Flio a reproduzir_________________________________________________________________
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N total de pginas: ______________________________________________________________________