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Date <br />Liability Release Form <br />I, , hereby release the Indian River <br />County Library System and Indian River County from any liability for loss or damage <br />to the items, listed on the attached record, which I have provided to be exhibited at the <br />Library from <br />to <br />Signature <br />Title <br />Organization <br />Address <br />Telephone <br />Signature, Library System Representative <br />Please keep original in library system file. <br />Please send copy to: <br />69 <br />