UNIVERSITY OF MISSOURI CONSERVATORY OF MUSIC & DANCE

Equipment Loan Agreement*

Under the terms of this Agreement between the Conservatory of Music and Dance and:

Pyero Talone
(Name)
4836 Paseo Blvd.
(Address)
Apt 1S
(Address)
8166633480
(Phone Number)
16290818
(Student ID Number)

It is mutually agreed that the item(s) below will be returned in good repair and
acknowledge the responsibility of replacement if lost or damaged.

ITEM VALUE

Piccolo _________________________ ______________________

______________________________ ______________________

______________________________ ______________________

A. Repair or replacement costs must be made by the undersigned to the UMKC

Conservatory of Music and Dance within sixty (60) days of the return date if the
above mentioned item(s) are damaged or lost.

**********

I have read the above Equipment Loan Agreement terms and I hereby accept all
responsibilities described herein.

08/06/202
_______________________________________________________________
Signature Date

Expected Date of Return

**********

Date Returned: _________________________________________________________

Equipment complete and in acceptable condition: Yes_____ No______

______________________________________ _______________________________
UMKC Representative
*A usage fee is assessed on certain Conservatory-owned items.