LOAN AGREEMENT
SMuseum of Florida History Mr. Tracy Spikes
Divisionof Historical Resources Historic St. Augustine Preservation Board
Florida Department of State Post Office Box 1987
V W R., A. Gry Buding Post Office Box 1987
R. A. Gray Building
Tallahassee, Florida 32399-0250 St. Augustine, Florida 32085
(904)488-1484- FAX (904)488-3353 Phone ( 904 ) 825-6830
Purpose of Loan: Exhibition Loan Period: to
Method of Shipment / Delivery: Number of Cartons:


Accession No.

/* H-165

H-724

H-751

H-324

SH-725

80207

97958

C H-741

25760

H-2297

S H-2646

/" H-2504


Quantity

lb


Description / Condition


U.S. WW I small surgical kit

drug box WW II (German)

2 wooden tube stethoscopes

small pocket microscope & box

field doctor's case (German)

instrument kit (surgeon's) & wood case

pill bottles (12)

dried plasma canister

scarifer (small brass cube) w/16 blade slots

Civil War surgical kit w/box

balance scales

wheel chairontnues on attached sheets
Ir continues on attached sheets


Terms and Conditions of Agreement on reverse
Authorized and approved by


Signature/TifteofAuthoredDivisionEmployee Date
All of the above items were RECEIVED in good condition except as noted. I hereby agreeto theterms and conditions on the reverse.

Bormrowefsignature Date
All of the above itemswere RETURNED in good condition except as noted.

SIgnatura/TtleofAthor*edDMsbonErployee Date
IRE789Set1o


HR2E270889


Sheet 1 of 3







CONDITIONS FOR OUTGOING LOANS
1. PROTECTION
a) The borrower agrees to assume full responsibility for the safety of the borrowed objects during the period of the loan and
to return the objects in the same condition as received.
b) Objects must be exhibited in an adequately guardedspace and protected from handling, damage, and theft with appro-
priate railings, display cases, and/or other means.
c) Any damage, loss, or theft must be reported immediately to the lender. No cleaning, repairwork, refraining, or other physical
treatment will be done without permission of the lender.
d) All artifacts must remain in the possession of the borrower until returned to the lender. No artifacts should be relocated
without written consent of the lender.
2. TRANSPORTATION AND PACKING
Delivery and return of the borrowed artifacts are subject to prior approval by the lender. Packing and transportation costs will
be billed to the borrower. Original packing will be retained by the borrower and used when returning the artifacts.
3. INSURANCE
Insurance in the amount of the value determined by the Division of Historical Resources must be placed on all loans and carried
in force by the borrower from the time the artifacts are removed from the Division until the artifacts are returned in satisfactory
condition. Coverage must be approved by the lender, and the borrower will be required to show written proof of coverage for
loans whose total value is over $500.
4. EXTENSION, TERMINATION, OR CANCELLATION
a) Any extension of the loan period should be requested at least two weeks prior to the termination date of the loan.
b) If the borrower ceases to use the artifacts prior to the ending date of the loan, the lender should be notified, and the artifacts
returned as soon as possible.
c) The Division reserves the right to withdraw the loan at any time in the case of negligent handling by the borrower.
5. PHOTOGRAPHY
A loan approval does not automatically grant or confer rights to publish in any medium (including photography) the artifacts
involved. Publication of photographs of loaned artifacts is prohibited unless authorized in writing by the lender. Photography
of loaned artifacts is permitted unless prohibited in writing by the lender.
6. REPRODUCTION
Reproduction of loaned artifacts is prohibited unless authorized in writing by the lender.
7. CREDITS AND PUBLICITY
The lender will be credited for each loan in labels, catalogs, and publicity as follows:
Museum of Florida History Division of Historical Resources, Florida Department of State
Bureau name
The lender is to receive two copies of any publication or catalog for which objects have been lent.
8. COSTS
All costs incident to the loan, including repairs and replacements resulting from damage, will bp assumed by the borrower. In
the event that repairs are necessary, such repairs shall be carried out as specified and approved by the lender.
9. SPECIFIC TO THIS LOAN: