Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 890

Member Details
Tracy Ebba
Mem Expires: Monday, September 30, 2019
Mem ID: 747
Loan Details
PickUp: Wednesday, May 8, 2019
Return: Wednesday, May 22, 2019
Created: Wednesday, May 8, 2019

6 Specimens

Specimen Item Number Shelf
Gopher Snake ED-100-0552 13D
California quail ED-100-0131 53C
Gray Fox Pelt ED-100-2047 pelts
mule deer antler ED-100-0690 11E
Moth Mix ED-200-0620 R22
Impala Skull ED-100-1927 11E

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 |