Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 73

Member Details
Irene Akiyama
Mem Expires: Monday, November 13, 2000
Mem ID: 5
Loan Details
PickUp: Saturday, August 19, 2017
Return: Wednesday, August 16, 2017
Created: Thursday, August 3, 2017
Notes: please return at 2:30pm

2 Specimens

Specimen Item Number Shelf
Darwin's Dangerous Idea ED-900-0092 Bookshelf
Sunflower Star ED-200-0301 R26

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 |