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APPLE ONUNEUSA APPLCUPERTINO APPLE ONUNE STORES CA $1,305.41 @ Card Ending 0-12037 Amount 07/10/12 AMERICAN EXPRESS TVLPHOENIX AZ $1,180.20 UNITED AIRLINES From: To: Carrier. Class: ST THOMAS CYRIL E SAN JUAN LUIS MUNO UA PHILADELPHIA INTER UA N/A re 00 N/A re 00 Ticket Number: 0167074901
ll 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 Company win pay the applicable benefit amount as determined from the Table of Los
08/08/12 APPLE ONUNEUSA APPLCUPER11NO APPLE ONUNE STORES CA $1.305.41 El Card Ending 0-12037 Amount 07/10/12 AMERICAN EXPRESS TVLPHOENIX AZ UNITED AIRLINES From: To: ST THOMAS CYRIL E SAN JUAN LUIS MUNO PHILADELPHIA INTER N/A N/A Ticket Number: 01670749012262 Passenger Name: INDYKE/DARREN K Doc
ll 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 Company will pay the applicable benefit amount as determined from the Table of Lo
° Traditional tioPld LIC caArdTE COPY JEFFREY E EPSTEIN Closing Date 05/25/12 p 13/16 Account Ending 8-42008 Detail Continued Amount 05/22/12 UNITED AIRLINES NEWARK NJ UNITED AIRLINES Front To: N.Y. NEWARK INTL A PARG CHARLES DEG N/A N/A N/A Ticket Number:01629283379356 Passenger Name: /FIRST C
ll 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 Company will pay the applicable benefit amount as determined from the Table of Lo
n GAS/SERVICES $5.61 04/28/12 BANYAN AIR SERVICE FT LAUDERDALE FL 9544913170 Description Prke AVIATION PRODUCTS $241.67 $241.67 04/29/12 UNITED AIRLINES HOUSTON TX UNITED AIRLINES NOM: Trx PHILADELPHIA INTER PALM BEACH INTERNA WA WA N/A Tkket Number Passenger Name: VISOSKI/LARRYNAR Docume
ll 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 Company will pay the applicable benefit amount as determined from the Table of Lo
EPSTEIN Closing Date 06/08/12 Account Ending 0-12003 Detail Continued *indicates posting date Amount 05/30/12 AMERICAN EXPRESS TVLPHOENIX AZ UNITED AIRLINES From: To: N/A WA N/A N/A N/A Ticket Number 01670624950871 Passenger Name: EPSTEIN/JEFFREY E Document Type: SUPPORTED REFUND Carrier. YY
ll 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 Company will pay the applicable benefit amount as determined from the Table of Lo
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