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g a 12-month period ending 9/30/03. Property Casualty insurance is underwntten in De Pere, WI by AMEX Assurance Company (licensed in all 50 states, Puerto Rico and Canada) or IDS Property Casualty Insurance Company (licensed in AZ, CA, IL, IN, MN, SD, TX and WI),Insurance not available in all states. Can 1
al Date Departure Date 11/01/04 11/05/04 LODGING 510.76 11/05/04 CHEVRON 0205068 JACKSONVILLE FL UL CHMP 1287 FUEUMISCELLANEOUS 11/05/04 WENDY'S SI:01 3 OJACKSONVILLE FL FAST FOOD RESTAURANT CHARGES Total of New Activity for 67.50 5.56 New Charges 9,381.96 Payments/Credits -29.39 T
e 'Who is Eligible for Coverage" section: 4. You maintain your Permanent Residence within the 50 United States of America, the District of Columbia, Puerto Rico or the U.S. Virgin Islands. "Permanent Residence' means the Covered Person's one primary dwelling place where the Covered Person permanently reside
RISTORANTE MIAMI FL 03 RESTAURANT FOOD/BEV 37.15 TIP 6.00 43.15 03/24/06 TOOJAY'S ORIGINAL 609544231993 FL FOOD/BEVERAGE 23.08 03/24/06 WENDY'S *7 WEN SOUTH3054360122 FL FAST FOOD REST. 5.13 03/24/06 RUDY'S INFLIGHT CATETETERBORO NJ CATERING SERVICES 86.92 03/24/06 SPRINGHILL SUITES
ur Card for the item, up to a maximum of $10,000: not to exceed S50,000 per Card Member account per calendar year. *For residents of Indiana, Guam. Puerto Rico, and Northern Mariana Islands. Your coverage will continue to match the original warranty period for warranties of less than one (1) year or provide
TION WEST PALM BE ATIANTI WEST PALM BCH FL $5,11152 561-683-4121 06/17/18 UBER TRIP Q2F6C HELP.UBER.COM CA $120.80 HELP.UBER.COM 06/17/18 WENDY'S NEWYORK NY $2.12 RESTAURANT 06/17/18 EXXONM0OIL 9757 PALM BEACH GA FL $6021 561-694-0045 06/17/18 ESXONMOOIL 9757 PALM BEACH GA FL $14
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