Crowell Public Library, City of San Marino Inter-Library Loan Request Form
Print out this form and take to library or fax it to 626 300-0121

Author                                                                          
(Last name first)		 Date                     Staff                   
Full Title                                                                       

                                                                                       

 Where Did You Hear
Of Item?                                             
Publisher                                                                       Last Date Patron
Can Use                                             
Vol. or
Edition                           		Copyright
Date                                      
Adult ( ) Children's ( )
Per ( ) Cass ( ) Other (Play, Short Story, Score, Etc.) ( )

ISBN Number                                                                		 Verified In                                                 
Patron Library
Card Number                                                                 		 Special Notes                                            
Patron
Name                                                                               		 ILL #                                                          

Address                                                                          		 Res. If In Circ.      Yes       No

City                                                       Zip                       		Rec'd From                                               

Phone: Home                                                                 

              Work                                                                 
Date
Rec'd.                       		Date
Ret'd.                      

Not Available