Lorain Public Library System - Gift Acceptance
Date _________________
Name of Donor ____________________________
Address __________________________________
City _____________________ Zip Code ________________
Number of items donated ____________
Books (hardback) ____________
Paperbacks
_______________
Magazines
________________
Records
__________________
Other Material _____________
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Library Use:
Received by
_____________________
Branch
_________________________
Acknowledged
__________________
Date _____________