Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 226

Member Details
Sarah-Beth Mullick
Mem Expires: Tuesday, May 8, 2018
Mem ID: 1068
Loan Details
PickUp: Thursday, March 15, 2018
Return: Thursday, March 29, 2018
Created: Saturday, March 24, 2018

7 Specimens

Specimen Item Number Shelf
American Alligator ED-100-0696 12E
Frog Skeleton ED-100-1945 11A
Burmese Python Skin ED-100-1967 FLOOR
Rattlesnake: Fang/Species Profile ED-100-0586 Bookshelf
Long-nosed Snake ED-100-0683 13C
Lowland Leopard Frog ED-100-0407 12C
Eastern Indigo Snake Eggs ED-100-0785 Jar Shelf

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 |