EXHIBIT LOAN RECEIPT
The material(s) described below has (have) been offered free of charge as an exhibit to the Jackson-
ville Public Library by: (To be completed by exhibitor.)
Name ___________________________________________________________________________
Date ___________________________________________________________________________
Telephone (Daytime) ___________________
(Evening) _______________________
Organization _________________________________________________________________
These materials have been accepted by the ___________________________________ Library,
subject to the conditions stated in the Library’s Exhibit Policy.
Description and inventory of items exhibited: (Use tab key to move to next line.)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please use extra pages if extra space is required or attach your prepared list of items.
Installation Date: ______________________________________
Time: ________________________________________________
Dismantling Date: ___________________
Time: _____________________________
Display Area or Case(s) Used: ______________________________________________
Branch/Department: ______________________________________________________
Exhibitor’s Signature: ______________________________________________________
To be completed at the end of the exhibit.
I certify that all of the items above have been returned to me following their exhibit in the Jacksonville
Public Library:
Exhibitor’s Signature: ______________________________________________________
Date: ______________________________
Last updated February 27, 2015