Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 848

Member Details
Chris Axtmann Mission Trails 2
Mem Expires: Friday, January 31, 2020
Mem ID: 1014
Loan Details
PickUp: Tuesday, May 21, 2019
Return: Tuesday, June 4, 2019
Created: Tuesday, April 23, 2019

5 Specimens

Specimen Item Number Shelf
Black Phoebe ED-100-0900 43E
White-Crowned Sparrow ED-100-0122 53E
Yellow-rumped Warbler ED-100-0110 43D
Northern Mockingbird ED-100-0153 53C
House Wren ED-100-0248 43E

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 Monday-Friday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 |