LIBRARY'S SYMBOL: (Circle one)

IAX/ILUILL IF6/ILUPEO

IF7/ILURSM IF8/ILUUIH

ADD
DELETE
REVISE

BIB Record Number:

ISSN NO.

OCLC No.

016 (or 069):

PRINT
CD ROM
OTHER (Specify):

Periodical/Serial Title:

Publisher:

(To indicate ongoing subscription, write the number of first volume owned followed by a dash. Eg.: v.25- 1999-)

ACQUISITIONS STATUS CODE:
Currently Recieved (on S.O.)
Not Currently Recieved (not on S.O.)
Ceased Publication (Title Changed or Title Died)

RETENTION:
Permanently Retained
Retained for limited time
Retained for the current year only
Retained for last (please enter the number and the word "years", e.g., 5 years)

Submitted by:

Work Completed: SERHOLD:      SILO: