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RESTAURANTS ROC No. 0000000096 244 98 07/1=6 ANDREW ADAMS PLATTERSCARSDALE NY MISC FOOD STORE ROC

ments, or insurance. The form number is replaced with the following: "CRLDI-DOC-PLAT 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

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manent Residence for up to 45* days whether driving, flying on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten AMEX Assurance Company, Administrative %yr office, De Pere, Wisconsin. Coverage is su • ct to the terms, conditions, and exclusions of Master Policies: (varies per state)

I Ticket Number: 00111770279062 Passenger Name: ANDREW/L Document Type: PASSENGER TICKET Carrier: Cla

ted from respondents at time of contact. Statistics based on a countrywide average during a 12.mo. period ending 9/30/03. Insurance underwritten by AMEX Assurance Company or IDS Property Casualty Insurance Company, De Pere, WI. Discounts apply to certain coverages and vary by state. Not availabile in all states. Call

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ers very competitive prices. In fact, you could save up to $200. Call now to see how much you could save. Auto & Home Insurance is urdenvritten by AMEX Assurance Company or IDS Property Casualty Insurance Company, De Pere, WI. Both companies are wholly owned subsidiaries of Amenprise Financial, Inc., independent of

cription TAXI:7611 1559 1604 $5.42 08/17/12 ANDREW MARTIN MINNEAPOLIS MN $26130 612.518-1975 De

Notice Of Changes To The Membership Rewards Program Terms & Conditions 2 See Page 17 for Important Information Regarding Benefits Underwritten by AMEX Assurance Company. 0 Your payment of S24,540.96 will be debited from your account on 09/10/12. Any inquiry to American Express concerning this debit should be made

of Departure:07/28 Passenger Name: PHILLIPSUAMES.ANDRE Document Type: PASSENGER TICKET 07/26/18 SHELL

available to You as a part of Your Card Membership, please visit americanexpress.com/benefttsguide. ID 12648 'Extended Warranty is underwritten by AMEX Assurance Company and Tokio Manna Pacific Insurance Limited. Sutiect to additional terms, conditions and exclusions. Purchase Protection is underwritten by AMEX Assu