3
Shared Docs
3
Same-Page
3 / 3
Mentions
nfcnnationcolkaed on els form Is necessary lo maintain aircraft 'Niehaus°. We eSlimate that it will take appronmaiey 30 minutes to complete de form. Pease note that an agency may not conduct or sponsor. and a person is ol eau' co to respond to. a ccriectco d irfonnation unless 4 asisays a vale PAS cont
strial Infecanty Solutions. LLC al TELEonCNE NUMBER 7) WRING WARIER RCAµ OTT ACORESS (Nowlin rowei103•441w MN ads* co is) AA.0 5- REE 1 ROVE PO SOX ORT3110 STATE CA Op CM N Pierces, NURSER DESCRIPTOR LOCATOR CITY ADOIWSSALCCAT ON Li TO ECK MAL DROP OR Riau 0111.11F FOX USED r Ng WARM Annw
ervices, all mrchases are covered regardless of amount or location of the purchase.) In Case of Errors or Questions About Your Electronic Transfers: Pease contact us by clicking on the Customer Service Link ontne at www.americaneveess.com, or you can cal us at I.800-IPAY-AXP for Pay By Phone & Pay By
$ 5,883.55 Minimum Amount Due $118.00 I • I Amount enclosed II,IiIII.I.I.,III,III,I,III.illiell1.1.11.1.11,111.11Ii.Illeil AMERICAN EXPRESS PO SOX 360002 FT LAUDERDALE FL 33336-0002 I Iltlidilm.1.11 Continued on Page 3 Please enter account number on all checks and correspondence. To avoi
UAL PERCENTAGSPERCENT RATE ANNUAL RATE Cash Pureeren 005751% 0.04107% $0.00 3003 10.00 10.00 $0 .00 10.00 20.99% 1199% 0.00% 0.00% Pease see remise NH He Canoe COTOUtebC410*thOd MM ether Henn irdanNeen. Questions ObOtA your account? Cla Care lc* a NcIon7Call Chose C4Sn Sine 24 Ian • O
,a' 1/4.1. Mot ea • •••••• EN. <4, K. Pro Ess IMO JE ETA* 00 .1 MECO 014 FL WM VOW NY TOCOMMI 1...1111-11 ..... CHASE 0 CMOIADASEP SERVICE PO SOX 15 113 WHIANOTOIE Cf illebSSIS3 Cavan/ DA, 0.20% • CA, 09e CUSTOMER MIME CHASE 0 P•narE Da. On. !M Wen" ',rerun, (N.... ILOS h up I 40:304.20
Entities connected to both Pease and PO SOX