Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 436

Member Details
Courtney Daly-Pavone
Mem Expires: Wednesday, July 31, 2019
Mem ID: 1108
Loan Details
PickUp: Tuesday, September 11, 2018
Return: Tuesday, September 25, 2018
Created: Wednesday, September 12, 2018

7 Specimens

Specimen Item Number Shelf
Great Horned Owl ED-100-0907 31A
Young Desert Tortoise ED-100-0553 13B
Lazuli Bunting ED-100-0252 33E
Mourning Dove ED-100-0161 53B
Stegosaurus Skull Cast ED-100-1953 11C
Bicolored Leaf-nosed Bat ED-100-2028 42B
Bobcat Cubs ED-100-0022 52D

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 |