Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 94

Member Details
Samantha Yellen
Mem Expires: Friday, November 30, 2018
Mem ID: 1034
Loan Details
PickUp: Saturday, January 6, 2018
Return: Saturday, January 20, 2018
Created: Thursday, January 4, 2018

2 Specimens

Specimen Item Number Shelf
American Badger ED-100-0023 52C
Great Horned Owl ED-100-0203 21C

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 |