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05 $605 08/22/13 MINI DELI OF BIG APP212-288-2937 DM< 10065 521.23 08/22/13 HERTZ CAR RENTAL 800-654-4173 NY $5908 Location Date Rental: NEW YORK NY 13/08/22 Return: NEW YORK NY 13/08/22 Agreement Number Renter Name:VISOSKULARRY 08/22/13 GALAXY AVIATION OF PWEST PALM BEACH FL 5616834121

provided by your billing statement or sent to your billing address. Notice to us must include your name, address and Account number and be sent to American Express ADR Go CT Corporation System, 111 8th Ave., NY, NY 10011. If the claim proceeds to arbitration, the amount of any relief demanded in a claim notice will not be disclosed to the

by your next Closing Date. Payment Coupon Do not staple or use paper clips Pay by Computer americanexpress.conVpbc JEFFREY E EPSTEIN 9E 71STST NEW YORK NY 10021-4102 El Check here if your address or phone number has changed. Note changes on reverse side. llurlrlullurl p. 1/17 Account Ending 0-1300

provided by your billing statement or sent to your billing address. Notice to us must include your name, address and Account number and be sent to American Express ADR Go CT Corporation System, 111 8th Ave., NY, NY 10011. If the claim proceeds to arbitration, the amount of any relief demanded in a claim notice will not be disclosed to the

by your next Closing Date. Payment Coupon Do not staple or use paper clips Pay by Computer americanexpress.com/pbc JEFFREY E EPSTEIN 9E 71STST NEW YORK NY 10021-4102 El Check here if your address or phone number has changed. Note changes on reverse side. p. 1/14 Account Ending 0-13001 Membership R

able to resolve most issues and disputes. Second, before initiating mediation, arbitration or litigation, we ask that you send a Claim Notice to: American Express ADR Go CT Corporation System, 111 8th Ave., New York, NY 10011. For a sample Claim Notice form, go to americanexpress.com/claim. Third, you may now mediate your claim prior to