16. Checked to indicate by NUC symbol libraries believed to
have needed item, on the basis of the _Nassau-Suffolk Union
List of Serials_.

17. Records date due of book to be returned. Left blank in
cases where photocopy has been supplied; photocopy becomes
the property of the user.

INSTRUCTIONS FOR COMPLETING BOOK REQUEST FORM

------------------------------------------------------------------------
DATE OF REQUEST: (1) YOUR REQUEST #: (2) DEWEY NO.: (3)| LILRC USE ONLY
REQUESTING LIBRARY: (4) USER: (5) |DATE DUE (16)
STATUS: (6) |----------------
AUTHOR: (7) |NBELS |NHEMH
|NBETG |NHUHI
TITLE: (8) |NCSHB |NHUI (15)
|NEAH |NKIPM
PLACE: (9) |NEMMC |NMELA
|NFARUA |NMON
PUBLISHER, DATE: |NGCA |NNHPJ
(10) & (11) |NGCCC |NNOPOVA
VERIFICATION/ |NGCE |NOWNI
SOURCE OF REFERENCE: (12) |NGCG |NOWU
-------------------------------------------------------|NGCNLS |NSBSU
LONG ISLAND LIBRARY | LILRC USE ONLY |NGLCM | -H
RESOURCES COUNCIL | |NGLCW |NSELC
|TRANSMITTED: (13) |NGLH |NSM
BOX 31, BELLPORT, N.Y. | |NGRNS |NSOAS
11713 |FINAL STATUS: (14) |NGVP |NUPB
| |NHAPSA |NWEBE
(516) 286-0400 | |----------------
|
BOOK-1 |

PLEASE TYPE ALL INFORMATION

1. _Date of request._ Fill in date you are submitting your
request to LILRC.

2. _Your request #._ Libraries submitting many interlibrary
loan requests often number the requests consecutively each
month. Thus, "10-59" would indicate the fifty-ninth request
Library X submitted to LILRC during October. Libraries
making fewer requests may number consecutively through the
year or may choose to omit a number.