| Please make sure the following
is included in the camera kit when checked out: ___A: TV Connector ___B: Computer Connector ___C. Nikon Camera ___D. 256mb Memory Card ___E. Camera Case ___F. 2 Rechargeable batteries NOTE: Use only TitleV batteries--Return camera to Title V Office for battery replacement. I accept tthat I have picked up the above Camera kit and all components from the Title V office and accept full responsibility to pay for any part lost are damaged while I have them checked out. Your Name: ______________________________________ Phone #________________________________ Check out Date ________________________ Title V authorized check out by: ______________________________________ Return Date______________________________ Returned To( Title V person)___________________: |