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call Customer Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Entail Webshe:amencanexpiess com Customer Care Inquiries P.O. BOX 981535 EL PASO, TX 79998-1535 Payments P.

60-1283 NY 53203 03/07/19 MARATHON PETR0139535 00000139535 540-562-2549 SALEM VA 53841 03/07/19 SHELL OIL 12491513003 AUTO FUEL DISPENSER MACON GA 525.02 03/07/19 TOWNEPLACE SUITES9N8 Arrival Date Departure Date 03/06/19 03/07/19 00000000 Macon GA 5112.16 03/08/19 FAIRFIELD INN

ease call Customer Care. • Please print deafly in blue or black ink only in the boxes wooded Street Address n City. State Zip Code Area Codeand Horne Phone Area (ocleand Work Phone Email Websge: americanexpress.com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Paym

T CO 0147 TALLAHASSEE FL $27.95 850-999-8625 05/31/19 SHELL OIL 57542530407 TALLAHASSEE FL $3.50 GAS STATION 05/31/19 OUTBACK STEAKHOUSE MACON GA $12136 RESTAURANT 05/31/19 SUNOCO 03393824000339 UNADILLA GA $30.66 478-335-8948 AMEX005111 Continued on next page SDNY_GM_02748410 E

ease call Custom*, Care. • Please print clearly in blue of black ink only in the boxes wooded. Street Address City. State Zip Code Area Codeand Horne Phone Area and Work Phone Email Websge: americanexpress.com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Payments