Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 441


Member Details
Jill Blackwell
Mem Expires: Monday, September 30, 2019
Mem ID: 1024
Loan Details
PickUp: Saturday, September 29, 2018
Return: Saturday, October 13, 2018
Created: Wednesday, September 12, 2018

3 Specimens

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.

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