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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

Card JEFFREY E EPSTEIN Closing Date 08/10/12 p. 727 Account Ending 0-13001 Detail Continued Amount 07/13/12 AMERICAN EXPRESS TVLPHOENI X AZ DELTA AIR LINES INC. From: To: BOZEMAN SALT LAKE CITY ALBUQUERQUE SALT LAKE CITY BOZEMAN Carrier. Class: DL DL DL A DL A $900.20 Ticket Number: 006707600

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

g 0-13001 Detail Continued 07/13/12 07/13/12 07/13/12 07/13/12 07/14/12 07/14/12 07/14/12 07/14/12 Amount AMERICAN EXPRESS TVLPHOENIX AZ DELTA AIR LINES INC. $900.20 From: To: Carrier: Class: BOZEMAN SALT LAKE CITY DL ALBUQUERQUE DL SALT LAKE CITY DL A BOZEMAN DL A Ticket Number: 006707600

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

00 Date of Departure: 04/26 Cartier: Class: DL DL YY 00 YY 00 Date of Departure: 04/24 $200.19 04/23/12 AMERICAN EXPRESS TVLPHOENIX AZ DELTA AIR LINES INC. From: To: FT LAUDERDALE/HOLL ATLANTA HARTSFIELD ST THOMAS CYRIL E WA WA Ticket Number: 00670552149190 Passenger Name MARTIWCRAIG H Document