Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 185

Member Details
Kimberly Niehans
Mem Expires: Tuesday, March 31, 2020
Mem ID: 846
Loan Details
PickUp: Wednesday, February 7, 2018
Return: Wednesday, February 21, 2018
Created: Thursday, February 8, 2018

3 Specimens

Specimen Item Number Shelf
Common Raven ED-100-2019 43A
Desert Cottontail ED-100-0556 42C
Western Rattlesnake ED-100-0217 13C

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 |