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side for a description of when adSdional Finance Charges are not assessed on Features. Check here If address or telephone number has changed. Pease note changes on reverse side. 0000371565781431005 001959396001959396 25 rI EFTA01705037 DUPLICATE COPY Prepared For Mom* Number JEFFREY E EPS
20 - B SUMO* "theghWbartriter Whams 17,470.11 03/09/07 EQUINOX 9109 NEW YORK NY 2129532499 2,085.11 Total Due in Full Activity 19,593.98 Pease foil on the perlorersi bob.", death and rertm wet your payment ircsccei Prurrtec Payment Coupon 3715-657314-31005 JEFFREY E EPSTEIN 457 MADISON
of the Description of Coverage remain the same. In Witness Whereof, We have caused this Policy to be signed by Our officers. C-4 7 ..efret,39.4444- Kenneth J. Ciak Paul R. Johnston President Secretary AMEX Assurance Company AMEX Assurance Company BI-FIDRI 10/06 Regarding The Event Ticket Protection Plan
side for a description of when additional Finance Charges are not assessed cn Features. Check here It address or telephone number has changed. Pease note changes on reverse side. 000202144000092558 08 ri EFTA01704620 DUPLICATE COPY sera Page 2 of 10 Payments: Payments received after 12:00
visions and conditions of the Description of Coverage remain the same. In Witness Whereof, We have caused this Policy to be signed by Our officers. Kenneth J. Ciak Paul P. Johnston President Secretary AMEX Assurance Company AMEX Assurance Company BI-RDR1 10/06 Regarding The Event Ticket Protection Plan E
rge Balance(s) to Which Average Daily Annual Daily Periodic Schedule Rate Applies Balance Percentage Rate Rate ALL $0.00 17.49 % .0479% Pease refer to page 5 for important Information regarding your Sign & Travel andfor Extended Certain of the periodic rates and APRs above may be variab
Ptcount Nirrber Cbsiv Dale Page 11 of 12 08/11/06 In Witness Whereof, We have caused this Description of Coverage to be signed by Our officers: Kenneth J. Ciak, President AMEX Assurance Company ETP-DOC 12/05 Paul R. Johnston, Secretary AMEX Assurance Company PLAT Important information regarding benefit
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