|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.