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tkO upon for tat purposes. Clients should refer to the applicade tar reporting forms they receive from UBS annual'', such as the forms 1099 and the Parrs 493. for lac reporting information It is the practice of UBS to file the apelicatie tac repOrling forms with the US inteml Revenue SemCe and PR Trea

Customer Service. • Please print clearly In blue or black Ink only In the boxes provided. You mayvisit the American Express PdvacyStatement at VW/W. americanexpresszonSivacy for more details andtoset your email preferences. Large Print and Braille Statements 1-800-525-3355 Travel Emergency and

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WA Agent Details Centurion Travel Service 2401 W. Behrend Dr Ste.55 WC 08-03-69 Phoenix Arizona 85

sets Control Regulations at WirilAvvror acfr goy Additional information can be found at bIlrev/MVAv treasulfVediviteMbirCe-CentetThanCtiOnter • rams:Parrs/co attp)t. Travel for traditional tourist activities is prohibited, and travelers are expected to maintain a fiat schedule of activities related to

WA Agent Details Centurion Travel Service 2401 W. Behrend Dr Ste.55 WC 08-03-69 Phoenix Arizona 85

sets Control Regulations at WirilAvvror acfr goy Additional information can be found at bIlrev/MVAv treasulfVediviteMbirCe-CentetThanCtiOnter • rams:Parrs/co attp)t. Travel for traditional tourist activities is prohibited, and travelers are expected to maintain a fiat schedule of activities related to

WA Agent Details Centurion Travel Service 2401 W. Behrend Dr Ste.55 WC 08-03-69 Phoenix Arizona 85

ets Control Regulations at WirilAvvror acfr goy Additional information can be found at litlriviMVAv treasulfVediviteMbirCe-CentetThanCtiOnter • rams:Parrs/co attp)t. Travel for traditional tourist activities is prohibited, and travelers are expected to maintain a fiat schedule of activities related to

ttached judgments of conviction (Exhibit "A".) E.W. presently has a pending civil action in this cou

, 316.073(3), 316.545(I), orgy Odin offense In chapter 316 *Ida la olnellod as a omit*/ viola/los MANDATORY COURT COSTS AUTHORIZED BY LOCA I Ann NH Parrs t, narirrtrg LIM Criminal Junk. Is ha MiLl by Munleipalltie and Conn tin, punetoWs. 931.15, P.S. Sfla Additional tout ants for local requirement,

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