Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 115

Member Details
School Programs
Mem Expires: Tuesday, June 30, 2020
Mem ID: 945
Loan Details
PickUp: Wednesday, May 23, 2018
Return: Thursday, May 24, 2018
Created: Thursday, January 25, 2018
Notes: Primetime

5 Specimens

Specimen Item Number Shelf
Barn Owl ED-100-0204 31A
Rufous Hummingbird ED-100-0135 53D
Belted KingFisher ED-100-0056 53B
Bufflehead ED-100-0083 22B
Acorn Woodpecker ED-100-2021 43B

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 |