Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 100

Member Details
Floor Programming
Mem Expires: Wednesday, July 1, 2020
Mem ID: 1049
Loan Details
PickUp: Tuesday, January 23, 2018
Return: Tuesday, January 23, 2018
Created: Tuesday, January 23, 2018

4 Specimens

Specimen Item Number Shelf
Duckbill Dinosaur Tooth Row Cast ED-100-0710 R10
Tyrannosaurus Rex Brain Cast ED-100-0755 R10
Stegosaurus Tail Spike Cast ED-100-1951 R10
Megalodon Tooth Cast ED-100-2031 R10

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 |