Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 82

Member Details
John Knox
Mem Expires: Sunday, October 31, 2021
Mem ID: 732
Loan Details
PickUp: Monday, October 2, 2017
Return: Monday, October 16, 2017
Created: Tuesday, October 3, 2017

7 Specimens

Specimen Item Number Shelf
Lesser Bird of Paradise ED-100-0145 33B
Lowland Leopard Frog ED-100-0407 12C
Mako Shark Jaw ED-100-0432 41C
Mountain Lion Pelt ED-100-0443 Floor
Ostrich Egg ED-100-1977 11C
Mexican Garter Snake ED-100-0399 JAR
Mastodon Molar ED-100-0421 11C

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 |