Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 74

Member Details
Christine Smith
Mem Expires: Friday, September 8, 2000
Mem ID: 139
Loan Details
PickUp: Friday, September 22, 2017
Return: Friday, September 29, 2017
Created: Friday, September 22, 2017
Notes: Will need to renew next time

3 Specimens

Specimen Item Number Shelf
Classifying Animals ED-100-1988 R2
Leach's Storm-Petrel ED-100-0061 23B
Forelimb Bone Set ED-100-0389

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 |