Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1632

Member Details
Kealy Fox
Mem Expires: Sunday, October 31, 2021
Mem ID: 1228
Loan Details
PickUp: Thursday, November 5, 2020
Return: Tuesday, November 17, 2020
Created: Thursday, November 5, 2020

3 Specimens

Specimen Item Number Shelf
Myotis Bats ED-100-0194 42B
Red Diamond Rattlesnake ED-100-0215 13C
Western Rattlesnake ED-100-1948 13C

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 |