KILGORE MEMORIAL LIBRARY
STATEMENT OF RESPONSIBILITY FOR EQUIPMENT
STATEMENT OF RESPONSIBILITY FOR EQUIPMENT
I understand the proper use of the [equipment | projector | computer ] indicated below.
I accept responsibility for loss or damage which may occur while the [ equipment | projector | computer ] is loaned to me. I understand this responsibility includes reimbursing the library for the cost of repair or replacement.
The following checklist of loanable [ equipment | projector(s) | computer(s) ] includes estimated replacement values.
| Check Item(s) loaned | | Estimated replacement |
| Apollo AI 1000 overhead projector | $250.00 | |
| Dell Latitude D610 laptop computer (includes carrying bag; power cord, interchangeable 2nd battery pack, floppy drive, and DVD/CD ROM modules, product info guide, Windows XP booklet | $1,784.00 | |
| ViewSonic PJ650 projector includes carrying bag; power cord, computer to projector connecting cord, USB cord, remote control, instruction manual, software to run projector as USB device | $1,408.00 |
| Date: | | Signature: | |
| Address / Organization: | | Telephone Number | |
The remainder of ths sheet has multiple lines of “sign-out” for recurring users.
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |
| Date: | | Signature: | |