Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 87

Member Details
Alysia Shaw-Smith
Mem Expires: Saturday, November 30, 2019
Mem ID: 1031
Loan Details
PickUp: Wednesday, January 3, 2018
Return: Wednesday, January 17, 2018
Created: Thursday, January 4, 2018

7 Specimens

Specimen Item Number Shelf
Striped Skunk Pelt ED-100-0773 Floor
Raccoon ED-100-0898 52D
Anna's Hummingbird, Sphinx Moth ED-100-0255 53D
Owl Pellets ED-100-0338 R12
Red-tailed Hawk ED-100-0600 21C
Desert Tortoise ED-100-0891 13B
Scats of North American Wildlife ED-100-1992 R24

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 |