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Y $15.15 DesalptIon GROCERIES/SUND 07/14/12 ORBITZ MANKATO MN $409.20 UNITED AIRLINES From: To: Carrier. Class: ST THOMAS CYRIL E N.Y. NEWARK INTL A UA N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number: 01670903543131 Date of Departure:07/21 Passenger Name:DERBY/FRANCIS Document Type: PASS
es not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009. the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
5.15 212-737-2850 Description GROCERIES/SONO ORBITZ MANKATO MN $409.20 UNITED AIRLINES From: To: Carrier. Class: ST THOMAS CYRIL E N.Y. NEWARK INTL A UA U N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number: 01 7 1 1 Date of Departure:07/21 Passenger Name: Document Type: PASSENGER TICKET O
es not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009, the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
ing 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 CLASS PL Document Type: SPECIAL SERVICE TICKET Carrier. Cl
oes not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009, the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
67.80 05/03/12 ST THOMAS JET CENTERST THOMAS VI 340-777-9177 $1,77336 05/04/12 UNITED AIRLINES HOUSTON TX UNIT ED AIRLINES From: To: N.Y. NEWARK INTL A PALM BEACH INTERNA N/A N/A N/A Ticket Number: Passenger Name: VISOSKIAARRYPMR Document Type: SPECIAL SERVICE TICKET Carrier: Claw UA 00 Y
oes not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009. the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
te of Departure. 05/24 05/21/12 AMERICAN EXPRESS TVLPHOENIX AZ $3,835.30 UNITED AIRLINES From: To: Carrier. Class: TEL AVIV BEN GURIO N.Y. NEWARK INTL A WA WA WA Ticket Number: 01670624950875 Passenger Name: EPSTEIWJEFFREY E Document Type: PASSENGER TICKET UA YY 00 VY 00 YY 00 Date of De
oes not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January I 2009. the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (IS) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
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