Insurance AVA RequestID: R3231 Due Date: 04/15/2024 Request Date: 03/02/2024 | |
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Event Information
Request #: R3231 Event #: 126814 Event: Walk Location: Old Tipp Town, IN Date: 05/25/2024 - 05/25/2024 Club: AVA-0723 Hoosier Hikers |
Contact Information
Robert Buzolich (574) 339-9140 sonofbuzz@prodigy.net 1703 E Howard St, South Bend, IN 46617-1826 |
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Additional Insured: 1
Potawatomi Park, Inc. Beneficial Administrator of Corporate Properties 16998 State Road 331 Tippecanoe IN, 46570-9786 | |