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ype ADDITIONAL COLLECTION 08/07/12 JETBLUE AIRWAYS 90101ETBLUE NY 5509.80 JETBLUE AIRWAYS From: To: Carder. Class: SAN FRANCIXO INTL N.Y.1 F KENNEDY I 86 H WA YY 00 WA YY 00 WA YY 00 root Hunter. 27921801959594 Date of Depanure:08/07 Passenger Name = Document Type: PASSENGER TICKET

SHING NY 718-5141203 $6.60 07/26/12 PARADIES JFK 9212 ()JAMAICA NY 4043447905 $84.19 AMEX00035

nsurance Connector. unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1.977-MA-ENROLL or visit the Connector website (vniov.mahealthconnector.org). This plan is not intended to provide comprehensive health care cover

Class: 86 YY 00 YY 00 YY 00 Date of Departure:07/21 07/16/12 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE AIRWAYS CORPORATI From: To: N.Y.! F KENNEDY I PALM BEACH INTERNA WA WA WA Ticket Number. 27970763674313 Passenger Name: Document Type: SUPPORTED REFUND $439.80 Carrier: Class: 66 YY

nsurance Connector, unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1-877-MA-ENROLL or visit the Connector website (www.mahealthconnector.orq). This plan Is not intended to provide comprehensive health care coverag

1,818.32 07/10/12 PC RICHARD & SON ISNEW YORK NY -$734.87 07116/12 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE AIRWAYS CORPORAll From: To: N.Y.1 F KENNEDY I PALM BEACH INTERNA N/A N/A N/A Ticket Number: 27970763674302 Passenger Name: Document Type: SUPPORTED REFUND AMERICAN EXPRESS TVLPHOENIX A

nsurance Connector, unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1-877-MA-ENROLL or visit the Connector website (www.mahealthconnector.orq). This plan is not intended to provide comprehensive health care coverag

of Departure: 09/27 $475.70 09/26/12 AA AIR TICKET SALE 4DALLAS TX AMERICAN AIRLINES From: Tcc ST THOMAS CYRIL E MIAMI INTERNATIONA N.Y. IF KENNEDY I N/A N/A Ticket Number Passenger Name: VlSOSKVLARRY Document Type PASSENGER TICKET Carrier. AA AA YY YY Date of Departure:09/27 Class:

nsurance Connector. unless waived from the health insurance requirement based on affordability or individual hardship. For more information call the Connector at 1.977-MA-ENROLL or visit the Connector website (vnitw.mahealthconnector.orq). This plan is not intended to provide comprehensive health care cover

Description 35P47F 1.900.65 EurapeM Euro $2.43473 05/24/12 MINTZ MANKATO MN JETBLUE AIRWAYS CORPORATI From: To: PALM BEACH INTERNA N.Y.1 F KENNEDY I N/A N/A N/A Ticket Number Passage. Name: Document Type PASSENGER TICKET Carrier: Class: B6 8 TY 00 TY 00 TY 00 Date of Departure:

nsurance Connector, unless waived from the health insurance requirement based on affordability or individual hardship. For more Information call the Connector at 1-871-MA-ENROLL or visit the Connector webslte (ynvw.mahealthconnector.org). This plan rs not intended to provide comprehensive health care covera