Date checked out: ______________________________
Home phone number: ________________________________
Cell number: ______________________________________
Person returning equipment: _____________________________
Date returned: ____________________________________________
Taken ..... Returned
_____ ..... _____ Extractor
_____ ..... _____ Extractor packing box
_____ ..... _____ Extractor stand
_____ ..... _____ Extractor stand packing box
_____ ..... _____ Uncapping tub (bottom, middle, wire insert, top
_____ ..... _____ Wooden brace for uncapping tub
_____ ..... _____ Electric uncapping knife
_____ ..... _____ Metal knife stand for uncapping knife
_____ ..... _____ Box for storage of uncapping knife and knife stand
_____ ..... _____ Stainless steel double sieve
_____ ..... _____ Cappings scratcher
_____ ..... _____ Fume Board
_____ ..... _____ Bottle of Fischer's Bee Quick