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NY 101164555 Name Cavan/ Name r mmmegi Sunk Address Cale. State 1_ 1 1 7.4, Cote Area Cone end Providing your email address to American Horne Phone Express will enable you Area Code and work Phone &nail to receive special offers, suited to your needs. EFTA01703680 DUPLICATE COPY Pa

AFE LTD SANTA FE NM FOOD AND BEVERAGE TIP 00000200 18.00 08/14/04 COYOTE CAFE LTD SANTA FE NM FOOD AND BEVERAGE TIP 00001000 83.08 08/14/04 WAL-MART 0829 SANTA FE NM GENERAL MERCHANDISE 47.35 08/15/04 SANTE FE JET CENTER SANTA FE NM SANTE FE FUEL-JETA 872110306 63.89 08/15/04 SANTE FE

ee of 1.75% of all past due amounts will be added. Change of Address laded on trent do not VSO Strom Address Cdy, slate r, Cede /deaf/We and Horne Phone Area Code and Y/o* Phone Email (cabana° To Pay By Phone 1.800.472.9297 Customer Service 1.800327.2177 24 hours/7 days Lost or Stolen C

A FE NM FOOD/BEVERAGE FOOD/BEV 66.20 11P 12.00 78.20 01/21/06 COYOTE CAFE LTD SANTA FE NM FOOD AND BEVERAGE TIP 00301100 73.96 01/21/06 WAL-MART 0829 SANTA FE NM GENERAL MERCHANDISE 2154 01/23/06 NORTHERN TOOL 800-222-5381 MN LIGHT INDUST 2,907.90 01/23/06 AIR CENTER SANTA FE SANTA

18.8866. Change of Address It coned on from do no! we Warne rr Company Nam* 1 I I I r l Street Address City, State Bp Code Area Code and Horne Phone Mn Code and Wok Phone 1 1 1 1 1 Emal To Pay By Phone 1-800472-9297 Customer Service 1.877-258.3254 24 hoursa days Lost or Stolen Card

ANTO PAY AT PUMP1807724875 0% INTRO RATE MD 33.75 03/25/04 GIANT FOOD #246 GERMANTOWN GROCERIES/SUNDRIES 0% INTRO RATE MD 27.10 03/29/04 WAL-MART 2357 GERMANTOWN GENERAL MERCHANDISE 0% INTRO RATE MD 24.50 03/29/04 GIANT FOOD #245 GERMANTOWN GROCERIES/SUNDRIES 0% INTRO RATE MD 22.81

call Customer Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Entail Webshe:amencanespiess com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO, TX 79998-1535 Paym

RV 000:700001 WEST PALM BCH FL $147.00 8666112847 09/22/17 PUBLIK PALM BEACH FL 550.99 8636881188 Description REFER TO RECEIPT 09/23/17 WAL-MART SUPERCENTER 5301 5301 WEST PALM BEACH FL $581.71 DISCOUNT STORE 09/23/17 WAL-MART SUPERCENTER 5301 5301 WEST PALM BEACH FL 2196.75 DISCOUNT

call Customer Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Entail WebsIte:amencanexpiess com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Paym

REFER TO RECEIPT SUNOC009204058000920 561.835-0770 Description Super Unleaded Etha PALM BEACH WEST PALM BEA FL 3131.69 FL 339.88 11/19/17 WAL-MART SUPERCENTER 5301 5301 DISCOUNT STORE WEST PALM BEACH FL 327.76 11/19/I7 WAL-MART SUPERCENTER 5301 5301 DISCOUNT STORE WEST PALM BEACH FL 35

call Customer Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Entail Webshe:amencanexpiess com Customer Care Inquiries P.O. BOX 981535 EL PASO, TX 79998-1535 Payments P.

ount 02/23/18 WHOLEFDS 10/P8110529000010529 WEST PALM BEA FL $89.00 5614713800 02/24/18 PUBLIX PALM BEACH FL $39.10 8636881188 02/25/18 WAL-MART SUPERCENTER 5301 5301 WEST PALM BEACH FL $94.15 DISCOUNT STORE 02/25/18 PUBLIX #1491808801491 WEST PALM SEA FL $1293 8636881188 02/25/18

ase call Customer Care. • Please print deafly in blue or black ink only in the boxes wooded. Street Address n City. State Zip Code Area Codeand Horne Phone Area and Work Phone Email Webske:amelicanexpiesscom Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Payments

OPICAL CLEANE DRY CLEANER PALM BEACH FL $253.34 05/22/19 MARATHON PETR0149088 00003149088 561-471-5512 WEST PALM BEACH FL $37.06 05/25/19 WAL-MART SUPERCENTER 931 0931 DISCOUNT STORE VERO BEACH FL $13141 05/26/19 DELTA AIR LINES DELTA AIR LINES From: To: PALM BEACH INTERNA ATLANTA HAR

call Custom*, Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Email Website:ameticanexpress.com Mobile Site amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981535

SEGUR DUGNY FRANCE FR LODGING MERCHANDISE 1.184,00 European Union Euro $1,328.21 07/10/15 ITUNES.COM/BILL ITUCUPERTINO CA 524.98 07/10/15 WAL-MART 3159 3159 TETERBORO NJ DISCOUNT STORE S49.48 07/10/15 WHITE CASTLE 090319HASBROUCK HTS. NJ 800.843-2728 $9.45 07/10/15 JET AVIATOR TETERBOT

call Custom*, Care. • Please print clearly in blue of black ink only in the boxes provided. Street Address n City. State Zip Code Area Code and Horne Phone Area (ode and Work Phone Email Website:ameticanexpress.com Mobile Site amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981535

16 TRANSPORTATION SERVICES 08/12/16 CABO AVIATION PARKING 0000 $3.00 ALBUQUERQUE NM 505-244-7884 Description AUTOMOBILE PARKING 08/12/16 WAL-MART SUPERCENTER 4201 4201 $54.95 EDGEWOOD NM DISCOUNT STORE 08/12/16 ST THOMAS JET C ENTER L $72.00 ST THOMAS VI 340-777-9177 08/13/16 AT&T'B

ease call Customer Care. • Please print deafly in blue or black ink only in the boxes wooded Street Address n City. State Zip Code Area Codeand Horne Phone Area (ocleand Work Phone Email Websge: americanexpress.com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Paym

9 SHELL OIL 91002478447 AUTO FUEL DISPENSER POOLER GA $42.94 01102/19 WAWA FUEL/CONVENIENCE 5614204758 WEST PALM BEACH FL $3453 01/04/19 WAL-MART SUPERCENTER 5301 5301 DISCOUNT STORE WEST PALM BEACH FL $28.03 01/04/19 WAL-MART SUPERCENTER 5301 5301 DISCOUNT STORE WEST PALM BEACH FL 51