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CE 54292980402365AN FRANCISCO CA 4153411212 FOOD/BEVERAGE $10623 $106.23 08/06/12 COH0650000003604009STANFORD CA 6507212262 $3830 OW07/12 JETBLUE AIRWAYS 9010JET BLUE NY JETBLUE AIRWAYS From: To: Carrier Claw N/A WA YY 00 N/A YY 00 WA YY 00 N/A YY 00 Tkket Number 27906110579966 Dat

ddress coma on front. do not use. • To stance your add...sank*. visit wonvamentancoPtesSCOm/uPdatOCOntadinln • for Name. Company Name, and foreign Address ce Phone changes, please call Custom.. Care. • Please print clearly in blue or black ink only in the boxes provided Street Address City. State Zip Code A

2/12 SUNOCO 0422144600 POMPANO BEACH FL GAS STATION 317.67 04/12/12 SUNOCO 0422144600 POMPANO BEACH FL AUTO FUEL DISPENSER 375.15 04/13/12 JETBLUE AIRWAYS 9010JETBLUE NY JETBLUE AIRWAYS $40.00 Front Tox Carder: Class N/A N/A YY 00 N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number: Date o

If correct on front. do not use. • To change your add...sort*. visit vninvameriCadeVrestant/uPdateCOntedinl0 • for Name. Company Name, and foreign Address ce Phone changes, please call Custom.. Care. • Please print clearly in blue or black ink only in the boxes provided Street Address City. State Zip Code A

/SUPPLY 0825/12 GRIMALDI'S PIZZA 404PALM BEACH GA FL $5176 480.947-n00 FOOD $48.76 TIP $603 08/26/12 JETKUE AIRWAYS 4100TULSA OK $20.00 JETBLUE AIRWAYS From: Ta Carder. Class: WA N/A YY 00 WA YY 00 WA YY 00 WA YY 00 Ticket Number Date of Departure:08/26 Passenger Name: VISOSKI/LAR

If correct on front. do not use. • To change your add...sort*. visit vninvameriCadeVrestant/uPdateCOntedinl0 • for Name. Company Name, and foreign Address ce Phone changes, please call Custom.. Care. • Please print clearly in blue or black ink only in the boxes provided Street Address City. State Zip Code A