Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 77

Member Details
Linda Rasmussen
Mem Expires: Monday, August 31, 2020
Mem ID: 937
Loan Details
PickUp: Tuesday, September 26, 2017
Return: Tuesday, October 10, 2017
Created: Tuesday, October 3, 2017

4 Specimens

Specimen Item Number Shelf
Blue Morpho Butterfly ED-200-0616 R18
Cooper's hawk ED-100-0037 11C
Anna's Hummingbird ED-100-0159 53D
Crinoid Stem (fossil) ED-200-0436 12B

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 |