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Mesa County Libraries CITIZEN S REQUEST FOR RECONSIDERATION OF MATERIAL Name of person filling out form Address City State Zip Phone Complainant represents Her/Himself Other Individuals Organization Title of Material Author Publisher Type of Material e.g. book DVD etc. Use back side of form if necessary to complete the following What do you object to in the material Please be specific citing pages or location. What do you feel might be the result of exposing people to this material For what...
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