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O. Box 7825 C.S. Ft. Lauderdale, FL 33329-7825 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 www.amedcanexpress.comfupdatecontactinfo • For Name or Company Name changes, please call the Cus

(7) jury duty; (8) subpoena or other unanticipated legal process: (9) death: (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for 38986 BP/TR12PFY10806 EFTA01704346 DUPLICATE COPY Prepacd Fa G MAXWELL Page 10 01 12 active duty members of the United States Armed F

.O. Box 7825 C.S Ft. Lauderdale, FL 33329-7825 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 wwiw.amerIcanexpress.comiupdatecontactinfo • For Name or Company Name changes, please call the C

(7) jury duty; (8) subpoena or other unanticipated legal process; (9) death; (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for active duty members of the United States Armed Forces. Exclusions Benefits cue not payable if the loss for which coverage is sought was dir

rem velli your payment + Carrier: Class: B6 Date of Departure: 02/27 Payment Coupon 3715-657814-31005 JEFFREY E EPSTEIN 457 MADISON AVE 4FL NEW YORK NY 10022-6843 ..... LIAIALI.W.MMdmhdM Mail Payment to: Total Amount Due $2,441.23 AMERICAN EXPRESS P.O. BOX 2855 NEW YORK NY 10116-2855 11111111

(7) jury duty; (8) subpoena or other unanticipated legal process; (9) death; (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for active duty members of the United States Armed Forces; or (11) Lost Ticket. Exclusions Benefits are not payable if the loss for which cover