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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

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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

/1005 DEAN & DELUCA 877-8269246 KS MISC FOOD STORE ' 531.84 06/12/05 #112 19TH STREET NEW YORK MOTION PICTURE THEATERS NY 21.50 06/14/05 BARNES & NOBLE.COM 800-843-2665 BOOKS, MUSIC OR DVDMD NU 95.33 06/16/05 NORBAR FABRICS BOCA RATON FL 501.63 4. • MISCELLANEOUS HOME FURN MISCELLANEOUS HOME FURNISHING SP

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

RK NY 88.82 RECORD SHOPS ROC No. 60325 04/04/06 RESTORATION HARDWARE800-762-1005 TN CATALOG MERCHANT ROC No. 0003173562 2,493.09 04104106 BARNES & NOBLE.COM 800-843-2665 NJ BOOKS, MUSIC OR DVDNID ROC No. 0093228297 04/07/06 TERRY'S VILLAGE 800-862-2295 NE 47.85 60717955401 04/08/06 BEDBATH&BEYOND#0361 NEW Y