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Domeniul  CARTE VECHE ŞI MANUSCRIS                  
Tip fişă:  Individuală  
Fişa analitică de evidenţă nr.______________
Deţinător_______________________________________________________________________________________

Cod deţinător _________________ Nr. inv.: _______________  Nr. inv. vechi: ___________  Cota______________
Colecţie: _______________________________________________ Nr. inv. colecţie:_________________________
Clasat:     Tezaur        Fond        Ordin Nr.: _______________ Data: ___________________ Poziţia: __________

Titlu, informaţie la titlu  _________________________________________________________________________
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Menţiunea de responsabilitate  (autor, traducător)  ___________________________________________________
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Titlul uniform  _________________________________________________________________________________
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Titlul tradus  __________________________________________________________________________________
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Ediţia: ____________________________________________________________________________________________________________________________________
Loc  publicare/tipărire. ________________________________________________________________________________________________________________________
Editură/Tipografie /Tipograf/Copist:  _____________________________________________________________________________________________________________
Data: _________________________________________________________________________________________________ An început: ________ An sfârşit: _________
Volum: _______________Paginaţia:  ___________________________________________________________________________________________________________
Dimensiuni:________________________________ Oglinda paginii etalon: _____________________________________________________________________________ 
Ilustraţii/ornamente tipografice: ______________________________________________________________________________________________________________
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Alfabet: ____________________________ Limba: __________________________ Suport text: _____________________________________________________________

Note generale: ______________________________________________________________________________________________________________________________
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Cuprins: ___________________________________________________________________________________________________________________________________
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Legătura şi starea de conservare: _______________________________________________________________________________________________________________
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Starea de conservare (descriptiv): ______________________________________________________________________________________________________________
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Ex-libris: ___________________________________________________________________________________________________________________________________
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Ornamente manuale: _________________________________________________________________________________________________________________________
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Însemnări: _________________________________________________________________________________________________________________________________
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Note de exemplar (altele):_____________________________________________________________________________________________________________________
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Criterii bibliofilie: ____________________________________________________________________________________________________________________________
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*Se completează în cazul manuscriselor

Proprietari anteriori:__________________
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Data intrării: ________________________
Preţ achiziţie: _______________________
Val. nom.: _________________________

Mod deţinere:
achiziţie 	cercetare  
donaţie  	custodie   
transfer  	altele:
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Surse bibliografice: __________________________________________________________________________________________________________________________
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Vedetă responsabilitate: ______________________________________________________________________________________________________________________
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Descriptori: ________________________________________________________________________________________________________________________________
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Oglinda paginii de titlu/ Incipit şi Explicit*: _________________________________________________________________________________________________________
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Loc de păstrare: ____________________
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Stare conservare (eval.): _____________
Bun de expus   
Fişă cons. / rest.: ___________________

Foto: ______________________________
Diap.: _____________________________
Clişeu: ____________________________
Desen: ____________ Schiţă: __________
Digitală: __________ Video: ___________

Expertizat / Verificat: __________________________
Data / Semnătura: _____________  ______________

Întocmit: ____________________________________
Data / Semnătura: _____________  ______________

Achiziţionat de: _____________________________
Data: _____________________________________