Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 835

Member Details
Mem Expires: Thursday, December 31, 2020
Mem ID: 1043
Loan Details
PickUp: Tuesday, April 16, 2019
Return: Wednesday, July 10, 2019
Created: Tuesday, April 16, 2019

7 Specimens

Specimen Item Number Shelf
American Badger ED-100-0731 32D
Lesser Prairie Chicken ED-100-0160 53B
Yellow-footed Gull ED-100-0053 22C
Green Heron ED-100-0082 22A
Gray Fox ED-100-0182 41D
Grizzly Bear Skull ED-100-0765 11D
Black-tailed jackrabbit ED-100-0728 42D

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 |