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3688-42008 DUPLICATE COPY A000urd !trim Page 10 of 14 The form number is replaced with the following: 'CRLDI-DOC-CCSG 11/05' Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of
WEST WINDSOR NJ 2887.00 TRAVEL AGENCIES AND TOU 12/13105 ORBITZ LLC MANKATO MN AMERICAN AIRUNES From: To: Carrier: Class: LAGUARDIA IN MIAMI FL AA WA Ticket Number: Passenger Name: Document Type: 12/13/05 ORBITZ.COM CHICAGO IL 5.99 ORB' KK7CW4CT 177.70 12/13/05 MITCHEL LONDON FO
the Rental Company. This coverage is in excess to your other sources of insurance and applies for the first 30 days of rental. Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage Is determined by the terms, conditions, and exclusions of
3342 WA INTERNET 1,074.40 1,085.48 03/17)05 PEEPERS.COM 8009555788 MN GENERAL MERCHANDISE 03/18)05 AMERICAN AIRUNES MIAMI FL From: To: MIAMI FL LAGUARDIA INTL A/P Ticket Number: 00121926969304 Passenger Mn: Document Type: ADDITIONAL COLLECTION 03/19M5 EYE OF THE NEEDLE PAPAUA BEACH FL
bank accounts, credit cards, investments, or insurance. The form number is replaced with the following: "CRLDI-DOC-PLAT 11/05* Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of
C./324 NEW YORK NY 140.88 SOFTWARE/ACCESSORIES 04/08/06 CONTINENTAL AIRLINES SAN ANTONIO TX CONTINENTAL AIRLINES From: To: Carrier. Class: MIAMI FL NEWARK NJ CO YB T AVAILABLE Ticket Number: Passenger Name Document Type: 65.13 Date of Departure: 04/09 314.30 04/08/06 TRAVELOCITY.COM
EPSTEIN Amami Mentor 3727-689-3.92-61005 Page 24 of 28 The form number is replaced with the following: TRLDI-DOC-CCSG 11/05" Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of
y for New Charges Payments/Credits 46,141.20 -259.60 Now Activity for CanDCCC000002.113027 01/14/06 AMERICAN AIRUNES DALLAS, TX From: To: MIAMI FL ST THOMAS VIRGIN I Ticket Number: 001211 1 1 Passenger Name: Document Type: P ET Carder: Class: AA ID Date of Departure: 01/14 420.50 0
Hotline. Premium Global Assist Hotline, Roadside Assistance Hotline, Enhanced Roadside Assistance, Premium Roadside Assistance, Car Rental Loss and Damage Insurance. Travel Accident Insurance, Baggage Insurance Plan or Employee Card Misuse Protection. If you would like a printed version of the Terms and Conditio
55000 05/12/14 CRYSTAL COMMUNICATIOTNAARAC FL 954739-2422 $418.40 05/12/14 HERTZ CAR RENTAL 800-654-4173 FL $11138 Location Date Rental: MIAMI FL 14/0S/11 Return: WEST PALM BCH FL 14/05/12 Agreement Number Renter Name: VISOSIO /LARRY 05/12/14 WENDYS 0256130300025WEST PALM BCH FL 61476
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