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2. **LIBRARY STAFF ONLY**
   For items that have been paid for and/or will never return to the library.
4. Type of Item*

   1. Adult Fiction
   2. Adult Non-Fiction
   3. Youth/Teen Items
   4. DVD
   5. Audiobook
   6. Reference Titles/Magazines
   7. Large Print Book

   Select the type of item that has been lost or damaged.

5. Date*
   Date
6. Staff Initials*
8. Item Barcode*
10. Title*
12. Author*
14. Additional Notes (optional)
Leave This Blank:


16. Submit

* indicates a required field