The Latin American Library

Tulane University
7001 Freret St.
New Orleans, LA 70118/5645
(504) 865-5681; Fax: (504) 862-8970
lal@tulane.edu

Reproduction Service Request Form

03/03/23
Date of request _______________
Please print, fill out and email to LAL@tulane.edu.
All requests for copying must be made through The Latin American Library

Mr Reales Hernan
___________________________________________________________________ _____________________________________________
Name (last) (first) Affiliation with Tulane (if any)
Calle 4 # 1 - 73 Barrio La Concepcion
___________________________________________________________________ +57-3165340235
_____________________________________________
Permanent Address Telephone Number
Cartagena de Indias Bolivar 130001 Colombia
___________________________________________________________________ hdrealesv@gmail.com
_____________________________________________
City State Zip Country E-mail Address

Material to be requested:

 Rare Book: Call Nº ________________________________ Title __________________________________________________________

 Manuscript Collection: Call Nº _______________________ Title __________________________________________________________


✔ Box: 44, Album: 067 - Image Archive-Collection 59
Photographic Collection: Call Nº ______________________ Title __________________________________________________________

 Newspaper Collection: Title __________________________  Map Collection: Map Nº _____________________________

Sailor's Album of the Caribbean and Colombia, 1902-1906 (Colombia)

Page Number(s), date(s), identifying name or as marked ____________________________________________________
Pál and Elisabeth Zulauf Kelemen Photograph Collection (Image Archive-Collection 59) (Cartagena)
_____________________________________________________________________________________________
Description of Project

Please explain exactly how the requested reproductions will be used

*This section must be filled out in order to be considered*
busco consultar los albums mencionados, porque estoy trabajando en una
_____________________________________________________________________________________________
_____________________________________________________________________________________________
investigacion de historia urbana sobre la ciudad de cartagena y sus procesos de
_____________________________________________________________________________________________
modenizacion en el siglo XX. la consulta es con fines academicos y no para
_____________________________________________________________________________________________
publicacion sino fase de consulta de archivo visual.
_____________________________________________________________________________________________
Type of Reproduction

Please select a format for the reproduction: photocopy ✔ scan photograph

Please choose how you will receive your request: office pick-up mail ✔ e-mail
If choosing a digital format, do you need the file burned onto a CD-ROM? Yes ✔ No N/A
Patron must sign below
“I hereby certify that the accompanying is an engagement of copying service for the purpose of relieving me of the task of
transcription, and that the duplicate being made is for personal use only and is desired solely for the purpose of research. I
assume all copyright responsibility for the items requested and will hold Tulane University, its agents, representatives and
employees harmless from any liability to the copyright owners for any misuse of such material.”

__________________________________________
03/03/23 _______________________________________
Patron Signature Date Authorizing LAL Staff Signature Date

For Office Use:

Number of Copies/Scans, etc __________ Cost per copy/scan: __________ Total Cost: ___________
Amount Paid: __________ Cash ___ Check # __________ LAL Staff Initials: _____