Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 72

Member Details
Debra Butler
Mem Expires: Thursday, September 30, 1999
Mem ID: 25
Loan Details
PickUp: Wednesday, August 16, 2017
Return: Tuesday, August 15, 2017
Created: Tuesday, August 1, 2017
Notes: dsfdsdf

1 Specimens

Specimen Item Number Shelf
Domestic Dog Skull ED-100-0524 11D

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 |