Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 415

Member Details
Mem Expires: Thursday, December 31, 2020
Mem ID: 1076
Loan Details
PickUp: Wednesday, July 11, 2018
Return: Monday, July 11, 2022
Created: Wednesday, August 22, 2018
Notes: for The Backyard

2 Specimens

Specimen Item Number Shelf
Raccoon ED-100-0008 32D
Striped Skunk ED-100-0185 52A

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 |