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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
WING/NEEDLEWK/FAB $79.85 07/11/12 JUICE ON THIRD INC NEW YORK NY Description GROCERIES/SUND $6.20 $25.00 $2,009.84 $79.85 P3.82 07/11/12 ABC HOME FURNISHINGSNEW YORK NY Description FLOOR COVERING $1,479.61 07/11/12 PAYPAL `CPS IMPORTS 4029357733 CA Description MUSIC $255.74 07/12/12 NYC TAXI MED 3823 0
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 $404.70 5620 525.00 52,009.84 579.85 07/11/12 JUICE ON THIRD INC NEW YORK NY 347-563-2131 Description GROCERIES/SUND 59.82 07/11/12 ABC HOME FURNISHINGSNEW YORK NY 212473-3000 Description FLOOR COVERING 51479.61 07/11/12 PAYPAL *CPS IMPORTS 4029357733 CA 402-935-7733 Description MUSK 5255.74 07/1
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
scription Price SEWINGMEEDLEWIC/FAB $79.85 07/11/12 JUICE ON THIRD INC NEW YORK NY $9.82 347-563-2131 Description GROCERIES/SUND 07/11/12 ABC HOME FURNISHINGSNEW YORK NY $1,479.61 212-473-3000 Description FLOOR COVERING 07/11/12 PAYPAL 'CPS IMPORTS 4029357733 CA $255.74 402-935-7733 Description MUSK 07
Entities connected to both Injury and ABC HOME FURNISHINGSNEW YORK

Jeffrey Epstein
PERSONNEWARK INTL A
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John F. Kennedy
PERSON
Virginia Giuffre
PERSON
United Airlines
ORGANIZATION
EL PASO
LOCATIONAMEX Assurance Company
ORGANIZATION
Elon Musk
PERSONthe Massachusetts Health Care Reform Law
ORGANIZATIONThe Description of Coverage section
ORGANIZATION
India
LOCATION
Hawaii
LOCATIONDomestic Partner
ORGANIZATIONLouisiana for Travel Accident Insurance
ORGANIZATION
Idaho
LOCATION
San Juan
LOCATION
The Wall Street Journal
ORGANIZATION
Albuquerque
LOCATION
MINNEAPOLIS
LOCATIONYour Travel Accident Insurance
ORGANIZATION