Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1596

Member Details
Bianca Baquirin
Mem Expires: Wednesday, March 31, 2021
Mem ID: 1200
Loan Details
PickUp: Tuesday, March 10, 2020
Return: Tuesday, March 24, 2020
Created: Tuesday, March 10, 2020

6 Specimens

Specimen Item Number Shelf
Mammal Adaptations ED-600-0032 Kits
Coyote skull ED-100-0633 11D
Gray Wolf Skull ED-100-2013
Domestic Dog Skull ED-100-0524 11D
Lesser Prairie Chicken ED-100-0160 53B
Stegosaurus Skull Cast ED-100-1953 11C

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 |