|Specimen||Item Number||Item Condition||Shelf|
|Allen's Hummingbird||ED-100-0151||T - M S, K, B - F - D S, R - L S, K, L - L S, K, BA - fair||33D|
|Western Rattlesnake||ED-100-0790||T - S, K, (5+), B - D C, (5+), S, F - (5+), S, R - K, M S, (5+), L S, L - (5+), S, BA - fair||13C|
|Merriams Chipmunk||ED-100-0201||T - K, S, B - F - S, D K, R - D S, C, L - S, BA - Fair - chipped||32C|
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.