Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 504

Member Details
Mem Expires: Thursday, December 31, 2020
Mem ID: 1043
Loan Details
PickUp: Friday, October 5, 2018
Return: Friday, November 2, 2018
Created: Friday, October 5, 2018

7 Specimens

Specimen Item Number Shelf
Leach's Storm-Petrel ED-100-0061 23B
American Robin ED-100-0120 43B
Western Scrub Jay ED-100-0245 43C
Gopher Snake ED-100-0880 13D
Gray Fox ED-100-0182 41D
Spotted Skunk ED-100-0261 52B
American Badger ED-100-0731 32D

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 |