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-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 Policy AX0925 and is subject to change wit
957906 GAS/OTHER 006955399006 31.67 03/21/06 JOHNNY CARINOS DORALDORAL FL RESTAURANT FOOD AND BEV FOOD/BEV 25.00 TIP 4.00 29.00 03/21/06 FLANIGAN'S 180 MIAMI FL FOOD/BEVERAGE 29.35 03/23/06 BASILICO RISTORANTE MIAMI FL 03 RESTAURANT FOOD/BEV 37.15 TIP 6.00 43.15 03/24/06 TOOJAY'S
American Express Affiliates that provide financial products or services, including American Express Centurion Bank, American Express Bank, FSB, and AMEX Assurance Company. What we do How does American Express protect my personal information? To protect your personal information from unauthorized across and use, we
FER TO RECEIPT 01/23/17 PUBLIX 8636881188 Description REFER TO RECEIPT 01/24/17 PUBLIX 8636881188 Description REFER TO RECEIPT 01/24/17 FLANIGAN'S 11 000000000000000 RESTAURANT FOOD/BEVERAGE 01/25/17 MR CHEN KITCHEN USK33405 PI Card Ending 517.96 WEST PALM BEA WEST PALM BEACH FL WE
tion Guide, an online resource for travel information. For more information please call 1.800-333-2639. 012481 Insurance Coverages underwritten by AMEX Assurance Company, Administrative Office, Phoenix, AZ. For residents of GU and MP, coverages are underwritten by Tokio Marine Pacific Insurance Lirnited, Hagatna, Gua
/19 Account Ending 8-42008 Detail Continued Amount 05/07/17 PUBLIX PALM BEACH FL $22.70 8636881188 Description REFER TO RECEIPT 05/08/17 FLANIGAN'S VII 0089 WEST PALM BEA FL $22.23 RESTAURANT FOOD $2223 05/09/17 PUBLIX PALM BEACH FL $7.38 8636881188 Description REFER TO RECEIPT 0
Notice Of Changes To The Membership Rewards Program Terms & Conditions 2 See Page 18 for Important Information Regarding Benefits Underwritten by AMEX Assurance Company. 0 Your payment of $64,976.83 will be debited from your account on 08/25/12. Any inquiry to American Express concerning this debit should be made
01 LAKE PARK FL 33575846 33403 $1229.54 08/11/12 WENDYS 42563 ORIVIERA BEACH FL 6147643486 Description RESTAURANT CHARGES $7.20 08/11/12 FLANIGAN'S 11 000000WEST PALM BEACH RESTAURANT FOOD/BEVERAGE TIP FL $3458 $500 $39-58 08/12/12 $17836 DIRECTV SERVICE 800-347-328B CA IV SERVICE
count referenced in or with this notice are subject to change in accordance with the Cardmember Agreement and the Insurance Policies underwritten by AMEX Assurance Company (collectively, the -Agreements"). This notice formally amends the Agreements as described below. Any terms in the Agreements conflicting with these
32726 00H06E SOUND FL 7725462082 $6.46 03/29/14 HOOTERS WEST PALM BEWEST PALM BEA FL RESTAURANT Description FOOD/BEVERAGE $29.36 03/30/14 FLANIGAN'S 11 000000WEST PALM BEACH FL RESTAURANT FOOD/BEVERAGE $26A8 TIP $4.00 $30.48 03/31/14 AA AIR TKKET SALE 4DALLAS TX AMERICAN AIRLINES From
Entities connected to both AMEX Assurance Company and FLANIGAN

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