Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 78

Member Details
Kjerstie Bourne
Mem Expires: Monday, September 30, 2019
Mem ID: 919
Loan Details
PickUp: Friday, October 27, 2017
Return: Wednesday, October 11, 2017
Created: Tuesday, October 3, 2017

4 Specimens

Specimen Item Number Shelf
Western Rattlesnake ED-100-0790 13C
Allen's Hummingbird ED-100-0151 33D
Harp Seal ED-100-0192 51A
Merriams Chipmunk ED-100-0201 42C

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 |