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DISE ROC No. 0000000000 271.50 05/11/06 AMAZON.COM SUPERSTORAMZN.COMiBILL WA MERCHANDISE AMZ'SUPERSTORE ROC No. 0011795770 103.89 05/11/06 POLO RETAIL CORP NEW YORK NY 430.79 GENERAL MERCHANDISE 05/11/06 CRATEANDBARREL WEB NAPERVILLE IL 246.27 149002006051100100034057 05/11/06 TOWER CHEMIST PHARMANEW YO
n order that Your claim may be evaluated and that 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
.00 -276 35 -410.71;; 01/14/06 BARNEYS NEW YORK 660 MADISON SALES NY 276.36 01/15/06 TOD'S NEW YORK NY 11 GENERAL MDSE 243.85 01/15/06 POLO RETAIL CORP NEW YORK GENERAL MERCHANDISE NY 1,246.31 01/17/06 •MTANYCT • . BROOKItYN NY MVM METROCARD 20.00 01/28/06 OUVER PEOPLES . NEW YORK. OPTICAL GOODS
n order that Your claim may be evaluated and that 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
ved - Thai* Val Psi Due In Full Activity for JEFFREY E EPSTEIN Cud /CON->SO=4-31O35 Amount* -Ourdostki Pit mEtic • , kiwizSgg e r s 03/3W06 POLO RETAIL CORP NEW YORK APPAREUACCESSORIES 03/30/06 AMC THEATRES FANDANGO.COM NY MOVIE TKTS FANDANGO.COM 866-857-5191 ROC No. 0090247297 NY 421. 431.33 Pk,se fo
n order that Your claim may be evaluated and that 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
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