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Exhibit 4 <br /> THE CITY OF <br /> �u�� <br /> 01"ai.i <br /> PLEASANTON, <br /> Request for Reconsideration of Material Form <br /> The Pleasanton Public Library has established a procedure for gathering input about a specific <br /> material. Completion of this form is the first step in that procedure. If you wish to request <br /> reconsideration of a material, please return the completed form to the library. <br /> Pleasanton Public Library 1 400 Old Bernal Ave. Pleasanton, CA 94566 <br /> Date <br /> Name <br /> Address <br /> City State/Zip <br /> Phone Email <br /> Do you represent self? Or an organization? Name of Organization <br /> 1. Material on which you are commenting: <br /> Book (e-book) Magazine Digital Resource _Newspaper <br /> Movie Audio Recording Game Other <br /> Title <br /> Author <br /> Have you examined the entire material? Yes No <br /> 2. What brought this material to your attention? <br /> 3. What concerns you about the material? <br /> 4. Are there material(s) you suggest providing for additional information and/or other <br /> viewpoints on thistopic? <br />