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Card Ending 0-12037 Amount 07/10/12 AMERICAN EXPRESS TVLPHOENIX AZ $1,180.20 UNITED AIRLINES From: To: Carrier. Class: ST THOMAS CYRIL E SAN JUAN LUIS MUNO UA PHILADELPHIA INTER UA N/A re 00 N/A re 00 Ticket Number: 01670749012262 Date of Departure:07/14 Passenger Name: INDYKE/DARRE
ionally self-inflicted injury; 2. war or any act of war, whether declared or undeclared; participation in a felony, riot or insurrection; service in the Armed Forces or units auxiliary thereto; 3. Injury in which a contributing cause was the Covered Person's commission of or attempt to commit a felony or to which
UNE STORES CA $1.305.41 El Card Ending 0-12037 Amount 07/10/12 AMERICAN EXPRESS TVLPHOENIX AZ UNITED AIRLINES From: To: ST THOMAS CYRIL E SAN JUAN LUIS MUNO PHILADELPHIA INTER N/A N/A Ticket Number: 01670749012262 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET Carrier: C
ionally self-inflicted injury; 2. war or any act of war, whether declared or undeclared; participation in a felony, riot or insurrection; service in the Armed Forces or units auxiliary thereto; 3. Injury in which a contributing cause was the Covered Person's commission of or attempt to commit a felony or to which
date Amount 08/26/12 LARRY VISOSKI THE TRAVEL GALLERY TEQUESTA FL JETEILUE AIRWAYS CORPORAT1 From: ST THOMAS CYRIL E To: Carrier: Class: SAN JUAN LUIS MUNO 86 PALM BEACH INTERNA 86 N/A YY 00 WA YY 00 Ticket Number Dated Departure: 08/27 Passenger Name VISOSIWIARRY Document Type: SU
tentionally seginflisted injury, 2 war or any act of war. whether declared or undeclared. participation in a felony, not or insurrection; service in the Armed Forces or units auxiliary thereto: 3. Injury in winch a contributing cause was the Covered Person's commission of a attempt to commit a felony or to which
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ORGANIZATIONDarren Indyke
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