Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 909

Member Details
Steve Cornell
Mem Expires: Thursday, December 31, 2020
Mem ID: 357
Loan Details
PickUp: Tuesday, May 14, 2019
Return: Tuesday, May 28, 2019
Created: Tuesday, May 14, 2019

7 Specimens

Specimen Item Number Shelf
Merriams Chipmunk ED-100-0201 42C
Coast Horned Lizard ED-100-0213 13D
Anna's Hummingbird, Sphinx Moth ED-100-0255 53D
Bullock's Oriole ED-100-0137 53B
Nuttall's Woodpecker ED-100-0117 43C
Mountain Lion Skull ED-100-0787 11D
Kangaroo Pelt ED-100-2048 pelts

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 |