Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 110


Member Details
School Programs
Mem Expires: Tuesday, June 30, 2020
Mem ID: 945
Loan Details
PickUp: Wednesday, May 16, 2018
Return: Thursday, May 17, 2018
Created: Thursday, January 25, 2018
Notes: Primetime

5 Specimens

Specimen Item Number Item Condition Shelf
Ringtail ED-100-0169 T - (5+), D S, B - (3), M S, F - R - L - BA - good condition. 32C
Kangaroo Rat ED-100-0884 T - (5+), L S, B - TD, (5+), L S, F - (2), K, (5+), L K, (5+), L S, R - K, S, (5+), L S, L - (5+), K, S, BA - Good 32C
Giant desert hairy scorpion ED-200-0546 T - (5+), D S, B - F - L S, R - L - BA - Good 31B
Burrowing Owl ED-100-0044 T - S, K, (5+), L S, B - (5+), L S, F - (3), M S, (5+), L S, R - (2), C, K, (5+), M S, L - (2), D S, (5+), L S, BA - Good 21B
Sidewinder Rattlesnake ED-100-1941 T - B - F - R - L - BA - need a base. 13C

I, as a member of the Nature to You Loan Program, accept full responsability for all materials described above, while in my possesion, I agree with and accept all pre-existing damage reports as noted on this form. I have received, reviewed, and agree to comply with the Loan Program's "Membership Policy".

Late fee: $2 per specimen, per day.

Signature: __________________________

Released by: __________________________

Returned: __________________________

Received by: __________________________

Nature to You Loan
School Year Hours: 2:30-5:30 PM Tuesday-Friday, 9:00 AM – 12:00 PM Saturday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 LoanProgram@sdnhm.org | sdnhm.org/specimensearch