Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 106

Member Details
Mem Expires: Thursday, December 31, 2020
Mem ID: 1076
Loan Details
PickUp: Tuesday, September 5, 2017
Return: Saturday, January 1, 2022
Created: Thursday, January 25, 2018
Notes: loan to Unshelved

6 Specimens

Specimen Item Number Shelf
Western Scrub Jay ED-100-2044
Painted Snake Model ED-100-2042
Red-tailed Hawk ED-100-2043
Mourning Dove Eggs ED-100-0800
Western Nighthawk Egg ED-100-0801
Virginia Rail Egg ED-100-0802

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 |