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P57 09LONG ISLAND C 000-0000000 NY $1260 11/12/12 NYC TAXI MED IY23 09NEW YORK 003-0300000 NY $15.00 11/12/12 BLOOMINGDALES 001073NEW YORK BLOOMINGDALE'S Description Price SPECIAL COLD WEATHE $9600 G. DARR. 111W $17600 T TAHARI 11 58.40 ELIE TAHARI $558.40 NY 31.068.04 11/12/12 JUKE ON TH
re and supervision. Coverage will be extended for as long as such child is incapacitated, unmarried and dependent.). All Covered Persons must have a Permanent Residence within the 50 United States of America, the District of Columbia, Puerto Rico, or the U.S. Virgin Islands. All other persons are not Covered Person
B ANDERSON Card Ending Amount 05/12/12 GLOBAL GOODS PARTNERNEW YORK NY CATALOG MERCHANDISE $10234 05/19/12 BLOOMINGDALES001069NEW YORK NY BLOOMINGDALE'S Description Price CASUAL CONTEMP KNIT $52.20 BETTER CASUAL SEPAR $58.50 CASUAL ELEMENTS $2520 CASUAL ELEMENTS $2520 $161.10 05/19/12 BLO
a Physician. The following items are hereby removed from the TERMINATION a CANCELLATION section: the date the Covered Person no longer maintains a Permanent Residence in the 50 United States of Amenca. the District of Columbia. Puerto Rico or the U.S. Virgin Islands: the date We determine that the Covered Person o
TELLA NEW YORK NY RESTAURANT $11027 02/15/13 UNIVERSAL WEATHER ANHOUSTON TX WEATHER SERV $20743 02/15/13 BLCOMINGDALES 001060NEW YORK NY BLOOMINGDALE'S Description Prke MENS DRESS PANTS $124.99 $136.08 02/15/13 RAD1OSHACK 128173NEW YORK NY 003-0000000 $23S4 02/15/13 LOBO INTERNET SERVICAL
re and supervision. Coverage will be extended for as long as such child is incapacitated, unmarried and dependent.). All Covered Persons must have a Permanent Residence within the 50 United States of America, the District of Columbia, Puerto Rico, or the U.S. Virgin Islands. All other persons are not Covered Person
Continued Foreign Spend Amount 05/23/12 BERGDORF GOODMAN MENNEW YORK NY DEPARTMENT STORE $505.00 05/23/12 BLOOMINGDALES 001011NEW YORK NY BLOOMINGDALE'S Description Price BETTER TRADITIONAL $195.00 MENS PREMIUM BOTTOM $1.090.03 MENS PREMIUM BOTTOM $650.00 $2.112.76 05/23/12 OpenSkies Paray
a Physician. The following items are hereby removed from the TERMINATION or CANCELLATION section: the date the Covered Person no longer maintains a Permanent Residence in the 50 United States of America. the District of Columbia. Puerto Rico or the U.S. Virgin Islands. the date We determine that the Covered Person
N/A YY 00 Ticket Number Date of Departure: 01/19 Passenger Name: Document Type: PASSENGER TICKET 01/17/13 BLOOMINGDALES00188/INEW YORK NY BLOOMINGDALE'S Description Prke FABRIC UPHOLSTERY $649.00 FABRIC UPHOLSTERY 5115178 FABRIC UPHOLSTERY 5154612 DELIVERY FEE $230.00 01/18/13 ROOM & BOAPD
re and supervision. Coverage will be extended for as long as such child is incapacitated, unmarried and dependent.). All Covered Persons must have a Permanent Residence within the 50 United States of America, the District of Columbia, Puerto Rico. or the U.S. Virgin Islands. All other persons are not Covered Person
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