School of The Coast and Environment
Registration Information
Ticket Number:	4642	08/24/2017
Please complete this form. For additional information concerning equipment and services, contact the Field Support Shop at 578-6076.
Trip Leader First Name:	Victor
Trip Leader Last Name:	Rivera
Phone Number:	2255782745
Email Address:	vhrivera@lsu.edu
Destination:	Port Fourchon
Registration Date:	10/13/2017 02:00:00 PM
Return Date:	10/14/2017 08:00:00 PM
Boat:	Choose from the list
Towing Vehicle:	2011 Chevy Pickup 2500, White, Crew Cab
Utility:	Not Selected
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