Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 204

Member Details
Chris Axtmann
Mem Expires: Friday, January 31, 2020
Mem ID: 1014
Loan Details
PickUp: Wednesday, March 7, 2018
Return: Wednesday, March 14, 2018
Created: Thursday, February 15, 2018

3 Specimens

Specimen Item Number Shelf
Black Phoebe ED-100-0900 43E
Mourning Dove ED-100-0257 53B
Northern Mockingbird ED-100-0153 53C

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 |