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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

03/24/06 WENDY'S *7 WEN SOUTH3054360122 FL FAST FOOD REST. 5.13 03/24/06 RUDY'S INFLIGHT CATETETERBORO NJ CATERING SERVICES 86.92 03/24/06 SPRINGHILL SUITES4ASMIAMI FL Arrival Date Departure Date 03/21/06 03/24/06 LODGING 601.61 03/25/06 HERTZ CAR RENTAL MIAMI FL Location Rental: MIAMI

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

7.13 Location Date Rental: JACKSONVILLE FL 14/03/03 Return: WEST PALM BCH FL 14/03/04 Agreement Number Renter Narne:VISOSKIAARRY 03/04/14 SPRINGHILL SUITESSEAJACKSONVILLE FL Anhral Date Departure Date 03/03/14 03/04/14 00000000 $127.91 AMEX003761 Continued on next page SONY_GM_02747060

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

te Departure Date 01/28/17 01/29/17 00000000 LODGING CARDEPOSIT 01/30/17 Munich HMIs Restaurant Chicopee MA 34635 413.594-8788 01/30/17 SPRINGHILL SUITES509 WINDSOR LOCKS CT 5128.80 Arrival Date Departure Date 01/29/17 01/30/17 00000000 01/30/17 HERTZ TOLL CHARGE American Traffi MESA

ion Guide, an online resource for travel information. For more information please call 1.800-333-2639. ID12481 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

LODGING DAVID RODGERS Card Ending 246020 Foreign Spend Amount 06/09/17 ALBERTSONS MARKET 904 505-883-8706 Description GROCERIES/SUNDRIES SPRINGHILL SUITESA32 Arrival Date 06/07/17 00000000 06/09/17 Departure Date 06/09/17 ALBUQUERQUE NM $10.98 San Diego CA $445.42 AMEXO34898 Continu

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

173 MS $96.80 Location Date Rental JACKSON MS 17/11/11 Return: JACICSON MS 17/11/12 Agreement Number Renter Name: VISOSICUURRY 11/1VI 7 SPRINGHILL SUITESSFIC Ridgeland MS Arrival Date Departure Date 11/11/17 11/12/17 00000000 11/12/17 SHELLOIL 10014269004 DALLAS TX 3321 GAS STATION

otice Of Change To The Membership Rewards Program Terms & Conditions. I:A See Page 20 for Important information regarding benefits underwritten by AMEX Assurance Company. O Learn how to take advantage of your Pay Over Time feature on page 13 4 Please fold on the perforation below, detach and return with your payment

18 UBER WWR6V HELP.UBER.COM CA $150.72 HELP.UBER.COM 02/18/18 MCDONALD'S F11750003000000627386 WEST PALM BC FL $7.59 5616847405 02/18/18 SPRINGHILL SUITESSER WEST PALM BEACH FL $303.97 Arrival Date Departure Date 02/17/18 02/18/18 00000000 02/18/18 SHELL OIL 10047185003 PALM BEACH GARD

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

16 FAST FOOD RESTAURANT 06/10/19 TMOBILPAUTO PAY 800-937-8997 WA $103.94 PETER Card 21504768098006 RAWSON Ending 241039 AMOUnt 05/10/19 SPRINGHILL SUITESSER WEST PALM BEACH FL $257.64 Arrival Date Departure Date 05/08/19 05/10/19 00000000 05/18/19 CVSi WEST PALM BEACH FL $20.43 800