Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 237


Member Details
Jeanne Burch
Mem Expires: Sunday, March 31, 2019
Mem ID: 1094
Loan Details
PickUp: Saturday, March 24, 2018
Return: Saturday, April 7, 2018
Created: Saturday, March 24, 2018

7 Specimens

Specimen Item Number Shelf
Mountain Lion Pelt ED-100-0443 Floor
Bicolored Leaf-nosed Bat ED-100-2028 42B
Mourning Cloak Butterfly ED-200-0115 R20
Pipe-vine Swallowtail Butterfly ED-200-0019 R19
Cedar Waxwings ED-100-0115 43C
Sidewinder Rattlesnake ED-100-1941 13C
Two-spotted Octopus model ED-200-0453 41B

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 Monday-Friday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 LoanProgram@sdnhm.org | sdnhm.org/specimensearch