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2. First Name*
3. Last Name*
5. Street Address*
6. Apt/Suite Number
8. City*
9. State*
10. Zip Code*
12. Email address
14. Library Agenda Information

    Please indicate the date of the Library Board Meeting your comment relates to, the agenda item, and title as it appears on the published agenda. 

16. Library Board date*
    Library Board date
17. My comment applies to:
    -- Select One --Specific agenda itemPublic comment (item not listed on agenda)
18. Agenda Item Title
20. Public Comment**

    Please provide a short summary of the topic you with to address with the Indianola Public Library Board of Trustees.

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22. 1. Receive an email copy of this form.
23. Email address

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