Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1313

Member Details
Raychel Long
Mem Expires: Saturday, October 31, 2020
Mem ID: 1183
Loan Details
PickUp: Friday, November 1, 2019
Return: Friday, November 15, 2019
Created: Friday, November 1, 2019

7 Specimens

Specimen Item Number Shelf
Anna's Hummingbird, Sphinx Moth ED-100-0255 53D
Desert Cottontail ED-100-0020 42C
Garden Spider ED-200-0194 R6
Bat ED-100-1994 32B
Butterfly Mix ED-200-0505 R16
Insect Mix ED-200-0518 R4
Insect Mix ED-200-0612 R4

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 |