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Date Interest Monthly Unpaid Balance Name, Address 84 Telephone_ L I Date Number of Creditor Account Number Incurred .._ Rate Payment American Express — Centurion Box1270 New York, NY 07101-1270 r 3717-001459-04005 3/29/2013 4/13/2013 N/A Varies S111,924.00 American Express — Gold 3725-35

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