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nsurance Connector, unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1-877-MA-ENROLL or visit the Connector website (www.mahealthconnector.orq). This plan Is not intended to provide comprehensive health care coverag
ount 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: 01670749012262 Date of Departure:07/14 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICK
nsurance Connector. unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1.977-MA-ENROLL or visit the Connector website (vnitw.mahealthconnector.orq). This plan is not intended to provide comprehensive health care cover
UDERDALE 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 Document Type: SPECIAL SERVICE TICKET Carrier: Class: UA 00 YY
nsurance Connector, unless waived from the health insurance requirement based on affordability or individual hardship. For more Information call the Connector at 1-871-MA-ENROLL or visit the Connector webslte (ynvw.mahealthconnector.org). This plan rs not intended to provide comprehensive health care covera
Amount 07/10/12 AMERICAN EXPRESS PAPHOENIX AZ 31,180.20 UNITED AIRLINES From: To: Carrier Class: ST THOMAS CYRIL E SAN JUAN LUIS MUNO UA PHILADELPHIA INTER UA N/A YY 00 N/A YY 00 Ticket Number: 01670749012262 Date of Departure: 07114 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TIC
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United Airlines
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PERSONNEWARK INTL A
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