AVA Insurance Requests 2022/03/07
    IDs: R3078


Insurance AVA RequestID: R3078   Due Date: 05/04/22   Request Date: 3/5/2022

Event Information
Request #: R3078
Event #: 121520
Event: Walk
Location: Waterloo, IL
Date: 6/4/2022 - 6/4/2022
Club: AVA-0047 Illinois Trekkers Volkssport Club
Contact Information
Sue Bacon
(571) 345-8301
baconse@gmail.com
1562 Mule Road, Columbia, IL, 62236
Fax: No Fax # Available
Additional Insured: 1
Monroe County Commissioners
County bandshell owner & county where event is located
100 South Main Street
Waterloo IL, 62298