There are markings with a pen. There is creasing at the top. k "Employment Support Handbook: For those working on employment support for people with disabilities 2009 Edition" Written by the Vocational Rehabilitation Department, Japan Organization for Employment of the Elderly, Persons with Disabilities and Job Seekers, Vocational Rehabilitation Center Price: ¥1600 #Japan Organization for Employment of the Elderly, Persons with Disabilities and Job Seekers, Vocational Rehabilitation Center, Vocational Rehabilitation Department #book #society/social welfare