Loan Form


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University ot Hloridu
FLORIDA STATE MUSEUM
Department of Social Sciences
Gainesville, Florida 32601


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The following items from the collections of the D.epartment of Sqcial Sciences, Florida State Museum, are
loaned to s. Kate Dupes, Special Projects Coordinktor
San Agust-n Antiguo Foundation, Inc. (Hospltal Militar)
P.O.Box 1987, St. Augustine, FL 32085 (904) 825-5033
for the purpose of exhibit at Military Hospital


This loan is for the period specified below, and is subject to the conditions
this sheet.


listed on the reverse side of


Loan authorized and approved by

Date of loan 2 April 1990
To be returned 2 April 1991
Method of shipment hand carried
Name of carrier Kate Dupes
Aggregate value no greater than $
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FSM Catalog # Description Value


H 165 US field Surgical Kit
H 724 Drug Box WWII
H- 2158 Homeopathic Vials
H- 2174 Blowpipe
H- 2208 Herbal Book (no more than 50 lumens br 5 foot
candles)
H- 2165 Pharmacists Recipe Book (no more than 50 lumens)
H-751 2 wooden microscopes
H-2542 2 Invalids
H-2577 Pill or drug box
H-2576 Pill box
H-2660 graduAted beaker
H-2643 Spatual/pestle, glass
H-2534' Mortar & Iestle, black cast irer
H-2630 poo Apothecary bottle, clear green glass
H-2617 Alcohol lamp
H-2646 Balance scale
90956 Lexicon-Biblical Terms (no nore than 50 lumens)
No # Copper pot (sifter Shaped)






All of the items described above (and on the attached pages) were RECEIVED in good condition, except as
noted, and the conditions listed on the reverse side of this page are hereby accepted.


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The listed items were RETURNED i good condition/,exept ss noted.
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