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rd Ending Amount 08/22/14 CHERRYSTREETEAST NEWCANAAN a $77.54 08/28/14 SHELL OIL 5754292200NORWALK CT AUTO FUEL DISPENSER $63.31 08/29/14 SOUTH END 6500000066NEW CANAAN a TIP $3.00 08/29/14 CHEF LUIS 0020 NEW CANAAN CT Description FOOD/BEVERAGE 08/31/14 CHEF LUIS 0020 NEW CANAAN

-733.4139. O See page 2 for important information about your account. 2. See Page 13 for Important Information regarding benefits underwritten by AMEX Assurance Company Pleasefold on the perforation below, detach and return with your payment + I21 Payment Coupon Do not staple or use paper clips LESLEY GROFF n Ch

rd Ending Amount 08/22/14 CHERRYSTREETEAST NEWCANAAN a $77.54 08/28/14 SHELL OIL 5754292200NORWALK CT AUTO FUEL DISPENSER $63.31 08/29/14 SOUTH END 6500000066NEW CANAAN a $20.02 TIP $3.00 08/29/14 CHEF LUIS 0020 NEW CANAAN CT Desalption FOOD/BEVERAGE 08/31/14 CHEF LUIS 0020 NEW C

-733.4139. O See page 2 for important information about your account. 2. See Page 13 for Important Information regarding benefits underwritten by AMEX Assurance Company Pleasefold on the perforation below, detach and return with your payment + I21 Payment Coupon Do not staple or use paper clips LESLEY GROFF n Ch

ARDIA INTL NP DL KO Ticket Number: 00613084167346 Date of Departure: 05/11 Passenger Name: Document Type: PASSENGER TICKET 05/41/06 C1TGO3670 SOUTH SHORWELLINGTON FL CITGO GAS/MSC96 560913670011 05/11/06 SATCOM DIRECT, INC. SATELLITE BEA FL 118.33 TELECOMM SERVICE 30.00 227.80 32.09 0

-61005 Page 24 of 28 The form number is replaced with the following: TRLDI-DOC-CCSG 11/05" Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0925 and is subject to change wit