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Terms and Conditions for the Purchase Protection Plan *Purchase Protection Plan is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0951 and is subject to change with notice. This document does not
T TYPE : OTHER ORIGINAL ABAI : 021000021 ORIGINAL DDAM: 739470663 RETURN REASON : RETURN SEQV 0000 DEPOSITORY BANK: RETURN DATE : MAKER NAME DEROG REQUEST QUALITY CONTROL DATA ?RC: 4-QEBRS S-QEBRR 7-QEBRM 10-SCROLL UP 11-SCROLL DOWN End of Record 3 ***** End of Record 3 ****** End of Recor
ged or stolen within 90 days from the date of purchase. Purchase Protection Plan is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0951 and is subject to change with notice. This document does not s
TED AMOUNT 3,089.60 PRESENTMENT DATE: 04/26/2007 BOOKt: AUX CHECK#: PAYMENT TYPE : PAY BY COMPUTER ORIGINAL DDA#: RETUR 0000 RETURN DATE : DEROG EFTA01704651 QEBRD REPOSITORY DETAILED RESULTS R0300EBRD 1227W)& S-GCSA-10 06/20/07 0000000000000000000000000(00 DDA : CUSTOMER BANK: CITIBAN
Important information regarding benefit changes for Missouri residents: AMEX ASSURANCE COMPANY Administrative Office: 480 Pilgrim Way, Suite 1400, Green Bay, WI 54304 For residents of Missouri, the Event Ticket Protection Plan Description of Coverage to which this rider is attached is amended to include
96 PRESENTMENT DATE: 04/07/2007 BOOK.: 000400 AUX CHECK': 1329 PAYMENT TYPE : OTHER ORIGINAL DDAI: 739470663 RETURN SEQ. : 0000 RETURN DATE : DEROG EFTA01705058 QEBRD REPOSITORY DETAILED RESULTS R03008BRD 1300W08 S-GCSA-10 06/20/07 371565781438 0000000000000000000000000(00 9999006403/13/2
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