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9 PRESENTMENT DATE: 07/10/2006 BOOK#: 000062 AUX CHECK#: 8545 PAYMENT TYPE : OTHER ORIGINAL DDA#: 0110003162 RETURN SEQ# : 0000 RETURN DATE : DEROG REQUEST QUALITY CONTROL DATA PFK: 4-QEBRS 5-QEBRR 7-QEBRM 10-SCROLL UP 11-SCROLL DOWN V EFTA01703216 QEBRD REPOSITORY DETAILED RESULTS S-GCSA
calling the number on the back of your Card. *The Premium Baggage Protection Plan Is underwritten by AMEX Assurance Company, Administrative Office, De Pere, WI. Coverage is subject to the terms, conditions and exclusions of Master Policy ItAX0913. All enrollees must be residents of the 50 United States
ensed in all 50 states, Puerto Rico and Canada) or IDS Property Casualty Insurance Company (licensed in AZ, CA, IL, IN, MN, SD, TX and WI)..both in De Pere, WI. Call for your no-obligation quote today! Call 1-800-842-3344 or visit www.americanexpress. comfautohome. Your reference number: 1N9. (CE
T TYPE : OTHER ORIGINAL ABAI : 021000021 ORIGINAL DDAM: 739470663 RETURN REASON : RETURN SEQV 0000 DEPOSITORY BANK: RETURN DATE : MAKER NAME DEROG REQUEST QUALITY CONTROL DATA ?RC: 4-QEBRS S-QEBRR 7-QEBRM 10-SCROLL UP 11-SCROLL DOWN End of Record 3 ***** End of Record 3 ****** End of Recor
o amerlcanexpress.com/baggagehelp. 'American Express* Card Baggage Insurance Plan is underwritten by AMEX Assurance Company, Administrative Office, De Pere, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0400 and is subject to change with notice. This document does not
p, flying on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is undenviitten by AMEX Assurance Company, Administrative Office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, AX0916, AX0124 or Policy For
TED AMOUNT 3,089.60 PRESENTMENT DATE: 04/26/2007 BOOKt: AUX CHECK#: PAYMENT TYPE : PAY BY COMPUTER ORIGINAL DDA#: RETUR 0000 RETURN DATE : DEROG EFTA01704651 QEBRD REPOSITORY DETAILED RESULTS R0300EBRD 1227W)& S-GCSA-10 06/20/07 0000000000000000000000000(00 DDA : CUSTOMER BANK: CITIBAN
notice will Include the reason for cancellation. The Event Ticket Protection Plan is underwritten by AMEX Assurance Company, Administrative Office, De Pere, WI. The Plan may be changed or cancelled at any time with notice. The notice will Include the reason for cancellation. There are no other changes
p, flying on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten by AMEX Assurance Company, Administrative Office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, AX0916, AX0124 or Policy For
96 PRESENTMENT DATE: 04/07/2007 BOOK.: 000400 AUX CHECK': 1329 PAYMENT TYPE : OTHER ORIGINAL DDAI: 739470663 RETURN SEQ. : 0000 RETURN DATE : DEROG EFTA01705058 QEBRD REPOSITORY DETAILED RESULTS R03008BRD 1300W08 S-GCSA-10 06/20/07 371565781438 0000000000000000000000000(00 9999006403/13/2
iana: Important information regarding benefit changes for Louisiana residents: AMEX ASSURANCE COMPANY Administrative Office: 3500 Packertand Drive, De Pere, WI 54115 For residents of Louisiana, the Event Ticket Protection Plan Description of Coverage to which this rider is attached is amended to include
notice will include the reason for cancellation. The Event Ticket Protection Plan is underwritten by AMEX Assurance Company, Administrative Office, De Pere, WL The Plan may be changed or cancelled at any time with notice. The notice will Include the reason for cancellation. There are no other changes t
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