Circulation Service II: Voicemail Retrieval

MORE REIMBURSEMENT TO OTHER MORE LIBRARY

COLLECTED AT (LIBRARY) : ______

SENT TO (LIBRARY) : ______

FROM (PATRON NAME) : ______

(PATRON BARCODE) : ______

Reimbursement for: (circle one)

(a) Item (b) Item part (c) Collection Agency fee (d) Pre-MORE fines

For (a) or (b):

Item barcode: ______Title: ______

Format : (circle one) Book DVD Video Audiobook CD or Cass

Other______

Reimbursement Amount: ______

______

Signature of Authorized Staff Member Date

MORE REIMBURSEMENT TO OTHER MORE LIBRARY

COLLECTED AT (LIBRARY) : ______

SENT TO (LIBRARY) : ______

FROM (PATRON NAME) : ______

(PATRON BARCODE) : ______

Reimbursement for: (circle one)

(a) Item (b) Item part (c) Collection Agency fee (d) Pre-MORE fines

For (a) or (b):

Item barcode: ______Title: ______

Format ; (circle one) Book DVD Video Audiobook CD or Cass

Other______

Reimbursement Amount: ______

______

Signature of Authorized Staff Member Date