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ount 07/10/12 AMERICAN EXPRESS TVLPHOENIX AZ $1,180.20 UNITED AIRLINES From: To: Carrier. Class: ST THOMAS CYRIL E SAN JUAN LUIS MUNO UA PHILADELPHIA INTER UA N/A re 00 N/A re 00 Ticket Number: 01670749012262 Date of Departure:07/14 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICK

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

UDERDALE FL 9544913170 Description Prke AVIATION PRODUCTS $241.67 $241.67 04/29/12 UNITED AIRLINES HOUSTON TX UNITED AIRLINES NOM: Trx PHILADELPHIA INTER PALM BEACH INTERNA WA WA N/A Tkket Number Passenger Name: VISOSKI/LARRYNAR Document Type: SPECIAL SERVICE TICKET Carrier: Class: UA 00 YY

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

Amount 07/10/12 AMERICAN EXPRESS PAPHOENIX AZ 31,180.20 UNITED AIRLINES From: To: Carrier Class: ST THOMAS CYRIL E SAN JUAN LUIS MUNO UA PHILADELPHIA INTER UA N/A YY 00 N/A YY 00 Ticket Number: 01670749012262 Date of Departure: 07114 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TIC

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