Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 487


Member Details
David Kiser
Mem Expires: Monday, September 30, 2019
Mem ID: 1114
Loan Details
PickUp: Saturday, September 29, 2018
Return: Saturday, October 13, 2018
Created: Saturday, September 29, 2018

3 Specimens

Specimen Item Number Item Condition Shelf
Great Horned Owl ED-100-0629 T - B - S, K, F - K, S, R - L - K, BA - Floor
Frogs and Salamanders ED-100-1975 T - B - F - R - L - BA - 12C
Desert Horned Lizard ED-100-1980 T - B - F - R - L - BA - 13D

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