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uated and that We may make a determination as to whether the claim may be paid. Except in the instance of theft or Destroyed Ticket, as noted under the Description of Benefits, We will require that You provide Us with the Ticket which could not be used because of a Covered Incident for which insurance is provided under thi
document. Please read it and keep it in a safe place. In Witness Whereof, We have caused this Description of Coverage to be signed by Our officers: Paul R. Johnston, Secretary AMEX Assurance Company GOLD S8386 BP/MUET12G/0806 EFTA01703860 DUPLICATE COPY Prepared Fa JEFFREY E EPSTEIN Amaral Ntrrieer 372
uated and that We may make a determination as to whether the claim may be paid. Except in the instance of theft or Destroyed Ticket, as noted under the Description of Benefits, We will require that You provide Us with the Ticket which could not be used because of a Covered Incident for which insurance is provided under thi
document. Please read It and keep it in a sale place. In Witness Whereof, We have caused this Description of Coverage to be signed by Our officers: Paul R. Johnston, Secretary AMEX Assurance Company GOLD S8386 BP/MUET126/0806 EFTA01703400 DUPLICATE COPY JEFFREY E EPSTEIN Accoul. NIXTibtf accina Dac 371
t We may make a determination as to whether the claim may be paid. Except in the instance of theft, Destroyed Ticket or Lost Ticket, as noted under the Description of Benefits, We will require that You provide Us with the Ticket which could not be used because of a Covered Incident for which insurance is provided under thi
hone number on the back of Your card. There are no other charges to the Description of Coverage. By: Kenneth J. Ciak, President ETP-RDR1-MO 05/06 Paul R. Johnston, Secretary Important information regarding bone, it ohanges for Vermont residents: AMEX ASSURANCE COMPANY, Administrative Office, 3500 Packerland D
t We may make a determination as to whether the claim may be paid. Except in the Instance of theft, Destroyed Ticket or Lost Ticket, as noted under the Description of Benefits, We will require that You provide Us with the Ticket which could not be used because of a Covered Incident for which insurance is provided under thi
hereof, We have caused this Description of Coverage to be signed by Our officers: Kenneth J. Ciak, President AMEX Assurance Company ETP-DOC 12/05 Paul R. Johnston, Secretary AMEX Assurance Company PLAT Important information regarding benefit changes for Missouri residents: The Description of Coverage ETP-DO
Entities connected to both the Description of Benefits and Paul R. Johnston

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PERSONDe Pere
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NEW YORK NY
LOCATIONTravel Medical Protection
ORGANIZATIONAMEX Assurance Company
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Jeffrey Epstein
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LOCATIONthe New York Banking Department
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Ghislaine Maxwell
PERSONthe New Balance
ORGANIZATIONAuto & Home Insurance
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PERSONCredit Information Provided
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ORGANIZATIONElectronic Funds Services
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ORGANIZATIONGreen Bay
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