Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 84

Member Details
Salome Rincon
Mem Expires: Sunday, March 31, 2019
Mem ID: 790
Loan Details
PickUp: Thursday, November 16, 2017
Return: Thursday, December 7, 2017
Created: Tuesday, November 28, 2017

7 Specimens

Specimen Item Number Shelf
American Alligator ED-100-0696 12E
Frog Development ED-100-1986 R14
White-eared Marmoset ED-100-0019 52B
Anna's Hummingbird ED-100-0256 53D
Silkworm Life Cycle ED-200-0629 R22
Barn Owl with young ED-100-0046 31C
Frog Skeleton ED-100-1945 11A

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 |