Periodical+reference+sheet

LIBRARY MEDIA SERVICES CONCORD SCHOOL DISTRICT

PERIODICAL __REFERENCE SHEET__ Please note  that not all lines will be used

Your Name: ______________________________________ Reference number: _____

Author/s (if known): ____________________________________________________ (last name, first name and middle name/initial if given)

“Title of article”: _______________________________________________________

__Title of periodical__: _____________________________________________________

Date of issue: _________________________________________________________

Page numbers: _________________________________________________________

(rev. 12/05)


 * LIBRARY MEDIA SERVICES** **CONCORD** **SCHOOL DISTRICT**


 * PERIODICAL**
 * __REFERENCE SHEET__**  **Please note that not all lines will be used**

Your Name: ______________________________________ Reference number: _____

Author/s (if known): ____________________________________________________ (last name, first name and middle name/initial if given)

“Title of article”: _______________________________________________________

__Title of periodical__: _____________________________________________________

Date of issue: _________________________________________________________

Page numbers: ___________________________________________________

(rev. 12/05)