Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1212

Member Details
Tex Kubacki
Mem Expires: Sunday, May 31, 2020
Mem ID: 1164
Loan Details
PickUp: Monday, September 30, 2019
Return: Monday, October 14, 2019
Created: Monday, September 30, 2019

7 Specimens

Specimen Item Number Shelf
Cuban Tree Snail ED-200-0339 R1
Bat ED-100-1994 32B
Skate ED-100-0874 31C
Speckeled Scallop ED-200-0333 R26
Seahorse ED-200-0660 R26
Marbled Godwit ED-100-0051 33C
Fossilized Corals Ed-200-0599 Bookshelf

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 Monday-Friday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 |