Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 208

Member Details
James Smith
Mem Expires: Wednesday, November 30, -0001
Mem ID: 645
Loan Details
PickUp: Tuesday, March 13, 2018
Return: Tuesday, March 27, 2018
Created: Saturday, March 24, 2018

7 Specimens

Specimen Item Number Shelf
Desert Metalmark Butterfly ED-200-0002 R21
Giant desert hairy scorpion ED-200-0546 51C
Desert Cottontail ED-100-0199 42C
Red Diamond Rattlesnake ED-100-0214 13C
Gopher Snake ED-100-0552 13D
Burrowing Owl ED-100-0044 31B
Greater Roadrunner ED-100-0005 33C

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 |