Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 503


Member Details
Stacy Circuit
Mem Expires: Thursday, October 31, 2019
Mem ID: 1120
Loan Details
PickUp: Friday, October 5, 2018
Return: Friday, October 19, 2018
Created: Friday, October 5, 2018

7 Specimens

Specimen Item Number Item Condition Shelf
Gopher Snake ED-100-0550 T - D S, (5+), L S, B - K, (5+), L S, F - TD, (2), L K, (5+), L S, R - (5+), L S, L - M S, (5+), L S, BA - fair 13D
Barn Owl with young ED-100-0046 T - S, K, M S, K, K, B - S, K, L S, L S, F - S, K, S, K, K, R - S, K, K, K, L - S, K, BA - Fair 21C
California gray whale model ED-100-0558 T - B - C, F - R - L - BA - is fair some paint damage & scuffs, but no chips. 32B
Gray Fox ED-100-0187 T - C, L S, K, B - C, Ch, M S, K, F - C, Ch, R - M C, Ch, L - D K, L S, BA - good 31D
Skate ED-100-0874 T - (2), Ch, D S, B - D S, F - R - L - BA - 31C
Snake Skeleton ED-100-1944 T - B - F - R - L - BA - Needs base 13C
Vase Sponge ED-200-0603 T - (5+), M S, B - (5+), L S, F - L S, R - L K, L - BA - Excellent 31C

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