Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1598

Member Details
Patrick Ballesteros
Mem Expires: Tuesday, June 30, 2020
Mem ID: 993
Loan Details
PickUp: Thursday, March 12, 2020
Return: Thursday, March 26, 2020
Created: Thursday, March 12, 2020

1 Specimens

Specimen Item Number Shelf
Insect Mix ED-200-0440 R4

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 |