School of The Coast and Environment
Registration Information
Ticket Number:	4932	05/01/2019
Please complete this form. For additional information concerning equipment and services, contact the Field Support Shop at 578-6076.
Trip Leader First Name:	Ivan
Trip Leader Last Name:	Vargas
Phone Number:	2256504873
Email Address:	ivarga2@lsu.edu
Destination:	Wax Lake Delta
Registration Date:	06/07/2019 05:00:00 AM
Return Date:	06/08/2019 08:30:00 PM
Boat:	19' Whaler LA 0576 PU
Towing Vehicle:	2011 Chevy Pickup 2500, White, Crew Cab
Utility:	Not Selected
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