|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.