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0 Date of Departure:07/18 Class: Y $758.70 07/17/12 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE AIRWAYS CORPORATI From: To: N.Y. J F KENNEDY I NASSAU INTERNATION FT LAUDERDALE/HOLL N/A N/A Ticket Number: 27970768134724 Passenger Name Document Type: PASSENGER TICKET Carrier. 86 86 YY YY
erage section is removed and replaced with the following: For Accidental Death the Company will pay the applicable benefit amount as determined from the Table of Losses for the benefits listed below if a Covered Person suffers a loss from an Injury while coverage is in force under the Policy. For Dismemberment the C
SHULIAK/KARYNA Document Type: PASSENGER TICKET 07/17/12 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE AIRWAYS CORPORATI From: To: N.Y.J F KENNEDY I NASSAU INTERNATION FT LAUDERDALE/HOLL N/A N/A Ticket Number: 27970768134724 Passenger Name: Document Type: PASSENGER TICKET $439.80 Carrier 86 YY
verage section is removed and replaced with the following. For Accidental Death the Company will pay the applicable benefit amount as determined from the Table of Losses for the benefits listed below if a Covered Person suffers a loss from an Injury while coverage is in force under the Policy. For Dismemberment the C
MENS CLOTH $76751 Card Ending Foreign Spend Amount 07/26/12 SPIRIT AIRLINES SOUTH FLORIDA FL E•43.00 SPIRIT From: To: Carrier: Class: NASSAU INTERNATION FT LAUDERDALE/HOLL NK WA YY 00 WA YY 00 WA YY 00 Ticket Number SS8UTF Date of Departure:07/26 Passenger Name: Document Typ
erage section is removed and replaced with the following: For Accidental Death the Company will pay the applicable benefit amount as determined from the Table of Losses for the benefits listed below if a Covered Person suffers a loss from an Injury white coverage is in force under the Policy. For Dismemberment the C
L OIL 5754366320WEST PALM BEACH FL GAS STATION $45.78 09/24/12 ODYSSEY AVIATION - NASSAU BH 242.377.3108 $90344 09/24/12 ODYSSEY AVIATIC44 - NASSAU BH 242-377-3108 $749.71 09/24/12 BANYAN AIR SERVICE FT LAUDERDALE Fl. $259.60 9544913170 Description Price AVIATION PRODUCTS $25950 09/2
erage section is removed and replaced with the following: For Accidental Death the Company will pay the applicable benefit amount as determined from the Table of Losses for the benefits listed below if a Covered Person suffers a loss from an Injury white coverage is in force under the Policy. For Dismemberment the C
$439.80 $1,036.90 $758.70 07/17/12 AMERICAN EXPRESS 1VLPHOENIX AZ JETBLUE AIRWAYS CORPORATI From: To: Carrier: Class: N.Y. J F KENNEDY I NASSAU INTERNATION 86 FT LAUDERDALEMOLL 86 WA YY 00 WA TY 00 Ticket Number Date of Departure: 07/25 Passenger Name: Document Type PASSENGER TIC
verage section is removed and replaced with the following. For Accidental Death the Company will pay the applicable benefit amount as determined from the Table of Losses for the benefits listed below if a Covered Person suffers a loss from an Injury while coverage is in force under the Policy. For Dismemberment the C
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