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ADULT

JUV

PAY

COURTESY

DO NOT WRITE ABOVE THIS LINE NAME Last ADDRESS _ Include Apt. # CITY. PHONE EMAIL First

M.

NJ.

I apply for the right to use the Library and promise to abide by all its rules & policies, to take good care of all materials I borrow, to pay all fines or damages charged to me, and to give prompt notice of change in address. Signature Date

MV SON/DAUGHTER HAS PtRMiSSlON TO BORROW LIBRARY MATERIALS FROM THE PUBLIC LIBRARY
H DATE: SCHOOL. GRADE Parents Slgnatur* Date

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