Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 454


Member Details
Gjon Hazard
Mem Expires: Wednesday, October 31, 2018
Mem ID: 700
Loan Details
PickUp: Friday, October 12, 2018
Return: Friday, October 26, 2018
Created: Friday, September 14, 2018

6 Specimens

Specimen Item Number Item Condition Shelf
Tyrannosaurus Rex Tooth Cast, Jaw ED-100-0707 T - B - F - R - L - BA - R10
Coyote skull ED-100-0633 T - L S, B - F - R - L - BA - New 11D
TRICERATOPS HUMERUS Cast ED-100-1954 T - B - F - R - L - BA - 23D
Mastodon Molar (cast) ED-100-2029 T - B - F - R - L - BA - 12C
Dire Wolf Skull (Cast) ED-100-2032 T - B - F - R - L - BA - 12C
Wooly Mammoth Tooth (cast) ED-100-2033 T - B - F - R - L - BA - 12C

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