Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 937

Member Details
Docent Active
Mem Expires: Wednesday, June 3, 2020
Mem ID: 909
Loan Details
PickUp: Saturday, June 8, 2019
Return: Saturday, June 8, 2019
Created: Friday, May 24, 2019
Notes: Debbie Bushong

7 Specimens

Specimen Item Number Shelf
Seal Skin ED-100-0441 Floor
California gray whale model ED-100-0558 42B
Two-spotted Octopus model ED-200-0453 41B
Brown Pelican ED-100-0079 32B
Western Gull ED-100-0225 32C
Dolphin Vertebrae ED-100-0782 11D
Gray whale vertebra ED-100-0725 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 |