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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: PASSENGER TICKET 07/14/12 ORBITZ MANKATO MN $270.60 AMERICAN AIRUNES INC From: To: Carrier: Class: NEW YORK LA GUARD! DAL

upon You for lifetime care and supervision. Coverage will be extended for as long as such child is incapacitated and dependent.). The definition of Domestic Partner is hereby removed from the Definitions section of the Description of Coverage. Additionally all references to Domestic Partner are hereby removed fr

F KENNEDY I ST THOMAS CYRIL E AA V N/A YY 00 N/A YY 00 N/A YY 00 Ticket Number 00170188252566 Date of Departure: 05/01 Passenger Name: DERBY/FRANCIS Document Type: PASSENGER TICKET 04/22/12 ORBITZ MANKATO MN AMERICAN AIRLINES INC From: To•. Carrier. Class: N.Y. IF KENNEDY I ST THOMAS O

upon You for lifetime care and supervision. Coverage will be extended for as long as such child is incapacitated and dependent.). The definition of Domestic Partner is hereby removed from the Definitions section of the Descnplion of Coverage. Additionally all references to Domestic Partner are hereby removed fro

LUE AIRWAYS CORPORATI From: To: ST THOMAS CYRIL E SAN JUAN LUIS MUNO N.Y.1 F KENNEDY I N/A N/A Ticket Number: 27970907179106 Passenger Name: DERBY/FRANCIS Document Type: PASSENGER TICKET Carrier. Class: B6 B6 YY 00 YY 00 Date of Departure: 07/19 $2,040.66 55.66 $30.00 5585.70 Continued on

upon You for lifetime care and supervision. Coverage will be extended for as long as such child is incapacitated and dependent.). The definition of Domestic Partner is hereby removed from the Definitions section of the Description of Coverage. Additionally all references to Domestic Partner are hereby removed fr