Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 70

Member Details
Kit Bassett
Mem Expires: Saturday, November 13, 2004
Mem ID: 10
Loan Details
PickUp: Thursday, June 29, 2017
Return: Thursday, July 13, 2017
Created: Thursday, June 29, 2017
Notes: Will not be open 4/14

3 Specimens

Specimen Item Number Shelf
Raccoon skull ED-100-0526 11D
American Crow ED-100-0101 43C
Raccoon Track replica ED-100-2016

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 |