Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 178

Member Details
Christine Ogden
Mem Expires: Wednesday, October 31, 2018
Mem ID: 126
Loan Details
PickUp: Tuesday, February 6, 2018
Return: Tuesday, February 20, 2018
Created: Tuesday, February 6, 2018

1 Specimens

Specimen Item Number Item Condition Shelf
Kit Fox ED-100-0176 T - M S, K, B - M S, K, D S, F - D S, K, R - L K, S, D S, L - L K, S, BA - Fair 31D

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 |