Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 258

Member Details
Samantha Yellen
Mem Expires: Friday, November 30, 2018
Mem ID: 1034
Loan Details
PickUp: Wednesday, May 2, 2018
Return: Wednesday, May 16, 2018
Created: Wednesday, March 28, 2018

6 Specimens

Specimen Item Number Shelf
Barn Owl ED-100-0205 21C
Ring-necked Parakeet ED-100-0134 43E
Coyote ED-100-0029 52D
Membraneous-winged Insects ED-200-0178 R8
Desert Horned Lizard Gecko Sidewind ED-100-1942 13D
Giant Desert Hairy Scorpion & Emper ED-200-0621 R6

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 |