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UNTY (Dec1999 • 2008) SLAM PION BAYS NY 11948-2120 SUFFOLK COUNTY (MN 2000) Cur, FW YORK NY 10024.2546. NEW YORK COUNTY (Jan 1988 • Dec 1990) • NEW YORK NY 10012.3084. NEWYORK COUNTY (Jan 1985 -Apr 1988) 'OB: \ge: 97 xxx-m-xx>oc issued in NEWYORK between Ot101/1957 and 12/31/1959 n•Yerlfled Addrees(e

Owner Name: Addres OXAHATCHEE FL 32470.4575. PALM BEACH COUNTY DL IS momeccoomM "t Con ns Permit: Name: DOB: t License State: Fl ' Penr it Nurbe Permit Type: Expired Expiration Dale: 03ft4/1097 O Peo le at Wor • Name: Titie' 55W: site • Cornea Address' OXAHATCHEE FL 33470-4575 Phone:

P.O. Box 297804 Ft. Lauderdale, FL 33329-7804 Express Cash Operations P.O. Box 297815 Ft. Lauderdale, FL 33329-7815 Payments P.O. BOX 2855 NEW YORK NY 10116-2855 • To change your address online, visit vemvamericanexpress.com/updatecontactinfo • For Name or Company Name changes, please call the Cu

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NEIMAN MARCUS PALM BEACH Ft 199.28 BUSS 32.00 MOLTON BROWN 23.00 BALANCE REF TO INVOICE Continued on reverse EFTA01726674 DUPLICATE COPY Nurbe: XXXX-XXXX) Page 4 of 8 New Activity Continued cinCn.-9encl Amoun.S 08/28/04 POLO RETAIL CORPORATPALM BEACH FL 528.94 GENERAL MERCHANDISE