This voucher, properly filled in, entitles the reader to a General Ticket, and, if desired, a Non-Fiction Ticket, which are valid for two years from date of issue.
I, the undersigned, being a Burgess of the Borough of Liberton, hereby make application to the Public Libraries Committee for a Ticket, entitling me to Borrow Books from a Lending Library, and I hereby undertake to replace, or pay the value of any Book belonging to the Corporation of Liberton, which shall be lost or injured by me, also to pay all Fines, and all expenses of recovering same, in accordance with the Rules, by which I agree to be bound.
Name in full
If a Lady, state if Mrs or Miss.
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Residence
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Date ........................................
No. on Electors’ Roll ...............................
If the Applicant requires the second Ticket (on which only works that are not Fiction may be drawn), the following should be signed::