Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1296

Member Details
Elena Chirkova
Mem Expires: Wednesday, September 30, 2020
Mem ID: 1181
Loan Details
PickUp: Wednesday, October 30, 2019
Return: Tuesday, November 12, 2019
Created: Wednesday, October 30, 2019

6 Specimens

Specimen Item Number Shelf
Bobcat and Cub ED-100-0262 Floor
Gopher Snake ED-100-0552 13D
Nuttall's Woodpecker and nest ED-100-0142 43A
Desert Cottontail ED-100-0556 42C
Desert Cottontail ED-100-0199 42C
Young Desert Tortoise ED-100-0553 13B

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 |