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Arq Bras Oftalmol. 2009;72(5):741

CARTAS AO EDITOR

Our ref: Nussenblatt fig 4e/tab no. [Please quote on all correspondence]

Tuesday, 10 November 2009

Conselho Brasileiro de Oftalmologia Alameda Santos, 1.343 - 11º andar - cj. 1.110 CEP 01419-001 - São Paulo (SP) - Brazil Tel: 11 - 3266-4000 - Fax: 11 - 3171-0953 E-mail: [email protected]

Dear Sir/Madam:

PERMISSIONS REQUEST AND RETURN PROFORMA

Resposta da “Carta ao Editor” - solicitação do Dr. Nussenblatt

We are pleased to annex you the authorization form re-lative to the permission request you have sent to us, about the article "A case of anterior internal ophthalmomyiasis: case report". Arq Bras Oftalmol. 2006;69. Vinicius da Silveira

Saraiva, Miguel Hage Amaro, Rubens Belfort Jr., Miguel Noel Burnier Jr.

Faithfully yours,

Harley E. A. Bicas Editor-in-Chief Arquivos Brasileiros de Oftalmologia We are preparing a book to be published by Elsevier Inc.

provisionally entitled:

Nussenblatt & Whitcup, Uveitis 4th Edition.

We should like to include the below material (Elsevier Inc. Fig 17.7) from:

A case of anterior internal ophthalmomyiasis: case report Arq Bras Ofthalmol. 2006;69, Vinicius da Silveira Saraiva, Mi-guel Hage Amaro, Rubens Belfort Jr., MiMi-guel Noel Burnier Jr.

I request your permission to reproduce this material world-wide in this book, in all subsequent editions, revisions and translations of it in print and in all other forms of media, now or hereafter known (including journals, CD-ROMs, online and internet), derivative works based on this book, and other publi-cations published by Elsevier, Inc.

SPECIFICALLY, I REQUEST PERMISSION TO REPRO-DUCE THIS MATERIAL IN ELECTRONIC AS WELL AS PRINT VERSIONS OF THIS BOOK.

Unless you indicate otherwise, a suitable acknowledge-ment will be given to the author, including the complete re-ference listed above.

Please indicate your agreement by signing and returning a copy of this letter as well as or instead of your own invoice.

If you do not control the rights to this material, please let me know whom I should contact. PLEASE ENSURE THAT ANY INVOICE IS ADDRESSED TO ELSEVIER, INC.

I should be grateful if you would deal with this request at your earliest convenience.

Yours faithfully,

Poppy Garraway* Editorial Assistant

*Poppy Garraway Elsevier Inc.

Correspondence address: 32 Jamestown Road - London, NW1 7BY

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