Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 85

Member Details
Brian Swanson
Mem Expires: Saturday, September 8, 2018
Mem ID: 917
Loan Details
PickUp: Thursday, January 4, 2018
Return: Tuesday, January 9, 2018
Created: Thursday, January 4, 2018
Notes: will bring back in morning, 10am-12pm

2 Specimens

Specimen Item Number Shelf
Eastern Screech Owl ED-100-0207 31B
Barn Owl ED-100-0204 31A

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 |