Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 399

Member Details
Jeanne Burch
Mem Expires: Sunday, March 31, 2019
Mem ID: 1094
Loan Details
PickUp: Saturday, June 2, 2018
Return: Saturday, June 9, 2018
Created: Saturday, June 2, 2018

5 Specimens

Specimen Item Number Shelf
Male African Lion Skin ED-100-0495 Floor
Belted KingFisher ED-100-0056 53B
Bicolored Leaf-nosed Bat ED-100-2028 42B
Yellow-Margined Box Turtle ED-100-0002 13B
Owl Butterfly ED-200-0150 R20

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 |