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0102 Passenger Name: Document Type: SUPPORTED REFUND 08/05/12 AMERICAN EXPRESS TVLPHOENIX AZ AMERICAN MRUNES INC From: To: Carrier: Class: SAN FRANCISCO INTL N.Y. J F KENNEDY I AA WA YY 00 WA YY 00 WA YY 00 Ticket Number 00171230129722 Date of Departure: 08/07 Passenger Name: Document Type:
will be extended for as long as such child is incapacitated, unmarried and dependent.). TAI-RDRI-IN 07/10 Applicable for Residents of the state of Louisiana for Travel Accident Insurance: The definition of Covered Person from the DEFINITIONS section is replaced with the following: Covered Person means the Basic Cardmember, each Addi
sengerName: Document Type: SUPPORTED REFUND 08/05/12 AMERICAN EXPRESS 1VLPHOENIX AZ -$679.80 AMERICAN MRUNES INC From: To: Carrier: Class: SAN FRANCISCO INTL N.Y. J F KENNEDY I AA WA YY 00 WA YY 00 WA YY 00 Ticket Number: 00171230129722 Date of Departure:08/07 Passenger Name: Document Type:
will be extended for as long as such child is incapacitated, unmarried and dependent.). TAI-RDR1-IN 07/10 Applicable for Residents of the state of Louisiana for Travel Accident Insurance: The definition of Covered Person from the DEFINITIONS section is replaced with the following: Covered Person means the Basic Cardmember, each Addi
/18/12 NY 52.900.00 Description 06/19/12 ORBITZ MANKATO MN UNITED AIRLINES From: To: Carrier Class: ALBUQUERQUE LOS ANGELES INTERN UA SAN FRANCISCO INTL AS N/A YY 00 N/A YY 00 Ticket Number: Date of Departure: 06/21 Passenger Name: Document Type: PASSENGER TICKET 06/19/12 ORBITZ MANKATO
will be extended for as long as such child is Incapacitated. unmarried and dependent.). TAI-RDR1-IN 07/10 Applicable for Residents of the state of Louisiana for Travel Accident Insurance: The definition of Covered Person from the DEFINITIONS section is replaced with the following: Covered Person means the Basic Cardmember. each Addi
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