[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 33.6, "t": 756.96, "r": 257.04, "b": 689.04 }, "text": "Paul G. Blazer Library\nKentucky State University\nCollection Management Services", "reading_order": 0, "level": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 328.5638, "t": 731.9142, "r": 414.3697, "b": 700.1342 }, "text": "RESET", "field_kind": "button", "label": "RESET", "pdf_field_name": "reset", "pdf_field_type": "Button", "reading_order": 1 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 450.5988, "t": 731.2786, "r": 536.4047, "b": 699.4987 }, "text": "SUBMIT", "field_kind": "button", "label": "SUBMIT", "pdf_field_name": "submit", "pdf_field_type": "Button", "reading_order": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 33.6, "t": 675.6, "r": 313.92, "b": 660.48 }, "text": "Request to Order an Item Form (Acquisitions Unit)", "reading_order": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 647.76, "r": 524.88, "b": 632.64 }, "text": "To request an item to order for the Library's collections, please fill out the description below:", "reading_order": 4 }, { "page": 1, "type": "TITLE", "location": { "l": 33.6, "t": 620.88, "r": 532.32, "b": 605.52 }, "text": "DESCRIPTION OF ITEM TO ORDER (or attached a publisher brochure or other information):", "reading_order": 5, "level": 3 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.7946, "t": 602.8875, "r": 578.0364, "b": 586.9975 }, "text": "Title:", "field_kind": "text", "label": "Title:", "pdf_field_name": "Title", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 34.56, "t": 599.76, "r": 64.08, "b": 586.08 }, "text": "Title:", "reading_order": 7 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 579.36, "r": 577.44, "b": 564 }, "text": "Author (Last name, first name): ___", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 206.8465, "t": 581.9127, "r": 577.4008, "b": 566.0227 }, "text": "Author (Last name, first name):", "field_kind": "text", "label": "Author (Last name, first name):", "pdf_field_name": "Author", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 100.0658, "t": 562.2091, "r": 573.5872, "b": 546.3192 }, "text": "Publisher:", "field_kind": "text", "label": "Publisher:", "pdf_field_name": "publisher", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 559.44, "r": 91.2, "b": 545.52 }, "text": "Publisher:", "reading_order": 11 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 538.56, "r": 577.2, "b": 523.44 }, "text": "Edition:", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.1591, "t": 540.5988, "r": 577.4011, "b": 524.7088 }, "text": "Edition:", "field_kind": "text", "label": "Edition:", "pdf_field_name": "edition", "pdf_field_type": "Text", "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 517.44, "r": 577.2, "b": 502.32 }, "text": "Date:", "reading_order": 14 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.1591, "t": 520.8952, "r": 578.0365, "b": 505.0052 }, "text": "Date:", "field_kind": "text", "label": "Date:", "pdf_field_name": "date", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.1591, "t": 501.1916, "r": 574.8585, "b": 485.3016 }, "text": "Price:", "field_kind": "text", "label": "Price:", "pdf_field_name": "price", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 34.56, "t": 498.24, "r": 68.16, "b": 484.08 }, "text": "Price:", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 34.56, "t": 478.32, "r": 577.2, "b": 462.48 }, "text": "ISBN or ISSN: ___", "reading_order": 18 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 128.6678, "t": 480.2168, "r": 579.9432, "b": 464.3269 }, "text": "ISBN or ISSN:", "field_kind": "text", "label": "ISBN or ISSN:", "pdf_field_name": "isbn or issn", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 34.8, "t": 459.12, "r": 431.76, "b": 441.84 }, "text": "Please check : ☐ Book ☐ Serial/Journal ☐ Audiovisual", "reading_order": 20 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 436.32, "r": 576.72, "b": 421.44 }, "text": "No. of copies: ___", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 112.7779, "t": 438.9029, "r": 577.4009, "b": 423.0129 }, "text": "No. of copies:", "field_kind": "text", "label": "No. of copies:", "pdf_field_name": "no of copies", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 1, "type": "TEXT", "location": { "l": 31.44, "t": 416.64, "r": 575.52, "b": 400.56 }, "text": "Other: ___", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 116.5915, "t": 419.8349, "r": 576.1297, "b": 403.9449 }, "text": "Other:", "field_kind": "text", "label": "Other:", "pdf_field_name": "other", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "TITLE", "location": { "l": 33.36, "t": 376.08, "r": 253.92, "b": 360.24 }, "text": "REQUESTOR (the following is required):", "reading_order": 25, "level": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 33.6, "t": 354.24, "r": 576.96, "b": 339.12 }, "text": "Name: ___", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 127.3967, "t": 357.5462, "r": 577.4009, "b": 341.6562 }, "text": "Name:", "field_kind": "text", "label": "Name:", "pdf_field_name": "name", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 126.761, "t": 337.8427, "r": 575.494, "b": 321.9527 }, "text": "Dept.:", "field_kind": "text", "label": "Dept.:", "pdf_field_name": "department", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 334.56, "r": 69.84, "b": 319.92 }, "text": "Dept.:", "reading_order": 29 }, { "page": 1, "type": "TEXT", "location": { "l": 33.6, "t": 313.92, "r": 576.24, "b": 298.56 }, "text": "Phone Number: ___", "reading_order": 30 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 126.761, "t": 316.2323, "r": 575.4941, "b": 300.3423 }, "text": "Phone Number:", "field_kind": "text", "label": "Phone Number:", "pdf_field_name": "phone number", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 124.2186, "t": 294.6219, "r": 575.494, "b": 281.2744 }, "text": "Email Address:", "field_kind": "text", "label": "Email Address:", "pdf_field_name": "email", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 294, "r": 118.56, "b": 279.84 }, "text": "Email Address:", "reading_order": 33 }, { "page": 1, "type": "TEXT", "location": { "l": 34.8, "t": 267.36, "r": 239.52, "b": 250.56 }, "text": "Is This Item an Priority? ☐Yes ☐No", "reading_order": 34 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 266.88, "r": 556.56, "b": 250.8 }, "text": "If yes, please state date needed:_____", "reading_order": 35 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 435.6623, "t": 269.1979, "r": 556.4261, "b": 253.308 }, "text": "Is This Item an Priority? Yes No If yes, please state date needed:__________________", "field_kind": "text", "label": "Is This Item an Priority? Yes No If yes, please state date needed:__________________", "pdf_field_name": "item date", "pdf_field_type": "Text", "reading_order": 36 }, { "page": 1, "type": "TEXT", "location": { "l": 259.92, "t": 240.48, "r": 413.04, "b": 223.68 }, "text": "For Reserve? ☐ Yes ☐ No", "reading_order": 37 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 339.0511, "t": 239.3248, "r": 354.3055, "b": 225.9772 }, "text": "state", "field_kind": "checkbox", "label": "state", "pdf_field_name": "Item priority reserve", "pdf_field_type": "CheckBox", "reading_order": 38 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 379.7295, "t": 238.6892, "r": 394.9839, "b": 225.3416 }, "text": "date", "field_kind": "checkbox", "label": "date", "pdf_field_name": "Item priority reserve", "pdf_field_type": "CheckBox", "reading_order": 39 }, { "page": 1, "type": "TEXT", "location": { "l": 260.16, "t": 211.44, "r": 561.36, "b": 196.08 }, "text": "For Specific Collection? ___", "reading_order": 40 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 392.4415, "t": 213.9009, "r": 557.6973, "b": 199.282 }, "text": "For Specific Collection? _________________________", "field_kind": "text", "label": "For Specific Collection? _________________________", "pdf_field_name": "specific collection", "pdf_field_type": "Text", "reading_order": 41 }, { "page": 1, "type": "TEXT", "location": { "l": 33.6, "t": 183.36, "r": 162, "b": 168.24 }, "text": "Notify when cataloged?", "reading_order": 42 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 161.0834, "t": 185.2988, "r": 326.9748, "b": 171.9513 }, "text": "Notify when cataloged?_________________________", "field_kind": "text", "label": "Notify when cataloged?_________________________", "pdf_field_name": "notify when cataloged", "pdf_field_type": "Text", "reading_order": 43 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 142.08, "r": 575.76, "b": 112.8 }, "text": "You may complete this form on-line or print it out and give it to a staff member at the Reference Desk, who will then forward this form to the Head of Collection Management Services.", "reading_order": 44 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 100.8, "r": 440.16, "b": 85.44 }, "text": "To call regarding the status of a requested item, please call (502) 597-6881.", "reading_order": 45 } ] } ]