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 Item Condition Shelf
Barn Owl ED-100-0205 T - D S, (2), K, (5+), L S, B - Ch, (5+), D S, F - D C, (3), D K, (5+), D S, R - (2), Ch, (5+), D S, (5+), D K, L - C, Ch, (5+), D K, (2), S, BA - Poor 21C
Ring-necked Parakeet ED-100-0134 T - M S, B - D S, (2), C, F - S, K, R - M S, K, L - C, S, K, BA - Old 33E
Coyote ED-100-0029 T - K, (5+), L S, B - (5+), L K, F - TD, (2), K, (5+), L S, R - (5+), L S, (5+), L K, L - (2), L K, (5+), L S, BA - front right corner chipped off FLOOR
Membraneous-winged Insects ED-200-0178 T - B - F - R - L - BA - R8
Desert Horned Lizard Gecko Sidewind ED-100-1942 T - (5+), L S, B - F - R - L - BA - needs a base 13D
Giant Desert Hairy Scorpion & Emper ED-200-0621 T - B - F - R - L - BA - 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 LoanProgram@sdnhm.org | sdnhm.org/specimensearch