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o a conyen.Km fee equal to 2.7% of the convened US dollar amount. Sc. page 2 (or details. Foreign Spend Amount 09/18/10 NKICS TOMATO 160034WEST PALM BEA 561-6830834 FOOD $16.00 $1600 09/18/10 AIRPORT PARKING AIRPWEST PALM BCH 561-471-7409 $100 09/19/10 HERTZ CAR RENTAL NEWARK Location Rent
subject to a conyenkm fee equal 10 2.7% olthe converted US doliar amount. Sc. page I Mr detail, Foreign Spend 10/30/10 B STARBUCKS PB161511WEST PALM BEA FL 561-6830834 FOOD $11.03 $11.03 10/30/10 BUTtGER IONG P8162COSWEST PALM BEA FL 561-6830834 FOOD $7.49 $7.49 10/31/10 AVIS RENT A CAR
GA DURABLE GOODS $5,531.70 10/08/10 WENDYS 02568 QWEST PALM BCH FL 6147643486 Description RESTAURANT C HAKES $744 10/09/10 LOGGER HEADCAM RWIPALM BEACH FL MARINE SERVICE/SUPPLY $6.51 Is DAVID RODGERS Card Ending 2-64025 Foreign Spend Amount 09/10/10 PIZZA HUT E 276020MIAMI 305871.0559 Des
ed to any such accounts, goods or services financed under any of the accounts or the terms of financing, (c) the benefits and services related to Cardmembership (including fee-based or free benefit programs, enrollment services and rewards programs), and (d) your application for any account. We shall not e
e 6 months being reviewed. IMPORTANT: See the reverse side of this letter for information about the duration of the Penalty APR. Thank you for your Cardmembership. We look forward to continuing to serve you. Sincerely, American Express See reverse side for important information CMAEUALE0000104 AMEX002988
TRANS WORLDWIDE LBURLINGTON MA 25812702138 JEFF EPSTEIN 1027 11 BOS LOGAN AIRPORTA TRANSPORTATION SERVICES $12628 10/27/11 SUNOCO 0613759001 PALM BEACH GA FL GAS STATION $9.35 10/28/1 I SINGER ISLAND GAS STRNIERA BEACH FL 5618450508 $88.89 10/29/11 CONTINENTAL AMLINESHOUSTON TX CONTINENTAL A
$3080 $203.50 09/12/11 MINI DELI OF BIG APPNEW YORK NY MIX FOOD STORE Description MISC FOOD SIM $10.75 09/12/11 BSTARBIICKS P81615111VEST PALM BEA FL 561-6830834 FOOD $4.19 $4.19 09/12/11 SUSHI SEKI NEW YORK NY 212.3714238 FOOD $111.05 TIP $15.03 $126.0S 09/12/11 SMILERS00065001
9001N.PALM BEACH FL 561.868.8000 $97022 10/25/11 Greater Yamaha Of PaWest Palm Beat FL MOTORCYCLE DEALER $585.12 10/26/11 WEST MARINE 01290 OINPALM BEACH FL 561-868-8000 $41-33 10/27/11 MAIL JUNCTION USA SINGER ISLAND FL 561.863-6245 Description SPKIALTY RETA $3020 10/27/11 PLATEPASS HERTZ
itARNIPAIJA BEACH FL MARINE SERVICE/SUPPLY $397.76 11834/11 HARBOUR TOWNE MARINADANIA BEACH FL 954-926-7584 $25.44 11/06/11 LOGGER HEAD GSM RMPALM BEACH FL MARINE SERVICE/SUPPLY $75.97 11/07/11 CONGRESS P8843 LAKE WORTH FL 561.964-2418 Quantity Description 16 Unleaded Regul Prke $3.44 $5
Marianas. the Federated States of Micronesia. The Marshall Islands. and the Republic of Palau. the insurance products that come as a benefit of your Cardmembership are underwritten by Tokio Marine Pacific Insurance Limited. SWT81 BP/AACWTAI/0811 AMEX003137 SDNY_GM_02746436 EFTA_00233692 EFTA01675095 DUUC
DALLAS n( FOOD/SEVERAGE FOOD/BEV 866 02/10/04 CRYSTAL COMMUNICATIOTAMARAC FL TELECOMM/PHONE EQUIP. 98.27 02/11/04 ROGER DEAN CHEVROLETWEST PALM BCH FL SALES/SERVICE/REPAIR CAR & TRUCK DEALERS(NEW & USED)-Sal FS,SV 573.83 02/11/04 ROGER DEAN CHEVROLETWEST PALM BCH FL SALES/SERVICE/REPAIR CAR
0 JET AVIAT FUEL JETA 669410091 02/05/04 PARADIES WEST PALM BWEST PALM BEA FL 16.33 a FT/NOVELTY/SOUVENIR 02/05/04 HMSHOST-PBI-AIRPT ii2West Palm Bea FL 4.24 FOOD/BEV 02/05/04 MILLION AIR - TETERBTETERBORO NJ MILLION A JET Al 132981001 020504 MILLION AIR - TETERBTETERBORO NJ MILLION A
RAGE TIP 00000500 2,064.88 3,697.50 3442 02/07/D4 07001665 RIVIERA BERIVIERA BEACH FL CITGO GASIMSC96 910231665015 02/07/04 4445 PGA BLVD PALM BEACH GA FL 29971810310039245006018 02/08/04 MASA SIGAMI JUPITER FL FOOD-BEV FOOD-BEV TIP 22.18 25.26 70.29 10.00 80.29 Total of New Activity f
for preparing taxes and budgeting. In addition to viewing your Year End Summary online, you will continue to receive a paper copy for every year of Cardmembership. For any questions regarding your Online Year End Summary, please visit www.ammicanexpress. comtyearendsummary. (CE 104182) 7-Night Hawaiian
YY 00 Date of Departure:08/15 685.00 08/15/14 KO SUSHI65000C00389NEW YORK NY 2124391678 TIP $4LO $13.75 08/15/14 8 STARBUCKS PB161511WEST PALM BEA FL 561-Ainneka FOOD $7.11 $7.11 08/16/14 CITARMA 00000000061CW YORK NM 2124522780 $42.22 08/16/14 DALLAS B B Q0000000NEW YORK NY RESTAU
DEPOT 6320 W PALM BCH FL 999499-99?) $13535 09/19/14 SUSHI OS 6500C000771NEST PALM BEACH FL 5618687893 54134 09/19/14 PUBL1X $050 00000005W PMAI BEACH FL 4078321661 Description REFER TO RECEIPT $27.63 09/19/14 WHOLEFDS PGA 1018805616918550 5616918550 GROCERY STORES $309.72 09/19/14 PUBL1
SC F000 STORE $9.15 10/25/14 PAYPAL •FOOD EMPORI 4029357733 CA 402-935-7733 Description PROFESSIONAL SERVK $41.01 10/26/14 Slarbucks 411613 PalPalm Beach FL FAST FOOD RESTAURANT 35.35 e Card Ending MonthlySpending Lknit $5,000 Arnow* 09/29/14 THE HOME DEPOT 6330 WEST PALM BCH FL 999-9994979
e insurance products are no longer available in certain territories. Effective August 1, 2014, the insurance products that come as a benefit of your Cardmembership are not available for residents of the Federated States of Micronesia, The Marshall Islands, and the Republic of Palau. Depending on your Card, the
NGER TICKET 11/19/11 FAIRFIELD INN 321 NEW YORK NY Arrival Date Departure Date 11/19/11 11/19/11 00000000 11/21/11 NICICS TOMATO t60034WEST PALM BEA FL 561-6830834 FOOD $19.78 $158.41 $19.78 AMEX003209 Continued on next page SDNY_GM_02746508 EFTA 00233764 EFTA01675167 DU American Exp
DEPOT6320W PALM BCH FL 999-999-9999 $108.52 12/16/11 THE HOME DEPOT 220 LAKE PARK FL 407-627-9555 $22.79 12/17/11 BURGER KING P8162006WEST PALM BEA FL S61-aR308i4 FOOD $EWS $8.05 12/17/11 HUDSON NEWS 02 NWKGONEWARK NJ BOOKSTORE $17.73 12/17m PARADIES tt91W PALM BEACH FL 5612337802
te Departure Date 11/26/11 12/01/11 00000000 $27.12 12/01/11 UNP/ERSAL WEATHER ANHOUSTON TX WEATHER SERV $107.00 12/01/11 LOGGER HEAD CAM RWIPALM BEACH FL MARINE SERVICE/SUPPLY $736.70 12/02/11 MAIL JUNCTION USA SINGER GLAND FL 561.8634245 Description SPECIALTY REM $2092 12/02/11 THE STOR
ery dollar spent at a hotel with a frequent guest program that participates in Membership Rewards (previously, it was 2 points in the first year of Cardmembership and 1.5 points thereafter). State Law Changes We're making some amendments to address various state laws. See the reverse side for the Detail of C
Ticket Numter Date of Departure:0'2/12 Passenger Name: RODGERS/DAVIDNMR Document Type: SPECIAL SERVICE TICKET 09/12/12 NICKS TOMATO 160034WEST PALM BEA FL 561-6830834 FOOD $21.05 $21.05 09/13/12 SHOPRITE HACKENSACK HACKENSACK NT GROCERY STORE $37.87 AMEX003408 Continued on reverse SDNY_G
ASSMATES-MEMORY LN206-301-59:0 WA SUBSCRIPTION 5730 12/26/12 RADIOSHACK 189464W PALM BEACH FL 003-0000000 55033 12/26/12 GUITAR CENTER #772 W PALM BCH FL 999-9999999 5534.91 12/26/12 WENDYS 42568 0000025WEST PALM BCH FL 6147643486 Description RESTAURANT CHARGES 57.63 12/27/12 M AIR TICKE
Account Ending 2-81005 Detail Continued Foreign Spend Amount 10/21/12 WENDYS 00001 NC 7043760018 $17.71 10/21/12 B STARBUCKS PB161511WEST PALM BEA FL 5614830834 FOOD $9.39 $9.39 10/21/12 SHELL OIL S754366320WEST PAI.PA BEACH FL GAS STATION $41.89 10/21/12 DULLES WTI AIRPORTWASHINGTON
ance Products We are notifying you of an update to all insurance products underwritten by AMEX Assurance Company that you have as a benefit of your Cardmembership, or in which you have enrolled. In the event any coverage provided by the AMEX Assurance Company insurance policies would be in violation of U.S. e
0000:000 $26/.60 08/20/14 HONEYWELL AEROSPACE AVIATION 49A0113433406 000010SIMS GLOBAL DATA CENTER $1,495.00 08/20/14 NICKS TOMATO 160034WEST PALM BEA FL $61-6830834 FOOD $35.99 $35.99 08/20/14 PLA1EPASS HERTZ TOLLSCOTTSDALE AZ 877-411.4300 $7.10 08/20/14 SHELL OIL 5754529460HASBROUCK HE
C50600300000RIVIERA 8CH FL 5618818330 $5999 05/06/14 MCDONALD'S F7151 OCKIRWIERA BEAC FL 5618486783 $6.46 05/06/14 8 STARBUCKS PS161511WEST PALM BEA FL 5614830834 FOOD $10.45 $1045 05/06/14 SWA INFLIGHT WITT WESTLAKE VILLAGE CA VIDEO SERVIC $8.00 05/05/14 E-Z PUMPERS 00300000RONKONKOMA
892273 Description REFER TO RECEIPT $7537 05/05/14 BANYAN AIR SERVKE 0(9541491-3170 FL PETROLEUM PRODUCTS $198.33 05/06/14 SUN0000613799001 PALM BEACH GA FL GAS STATION $7.08 05/06/14 RACETRAC50600300000RIVIERA 8CH FL 5618818330 $5999 05/06/14 MCDONALD'S F7151 OCKIRWIERA BEAC FL 5618486783
e insurance products are no longer available in certain territories. Effective August 1, 2014, the insurance products that come as a benefit of your Cardmembership are not available for residents of the Federated States of Micronesia, The Marshall Islands, and the Republic of Palau. Depending on your Card, the
CO ED Date of Departure: 02/24 $299.00 02/24/11 PAN AM INTERNATIONALIAIAMI FL EDUCATIONAL SERVICE $2,16000 02/24/11 NICKS TOMATO 160034WEST PALM BEA FL 561-mmanam FOOD $1952 $19.52 02/24/11 SHELL OIL 5754366320WEST PALM BEACH FL GAS STATION $8.2S 02/24/11 HUDSON NEWS 290 NC 3NEWARK NJ
tion MISC FOOD STOR $29.29 02/05/11 SUSHI 5800741 NEWYORK NY 212-371-0238 FOOD $9660 TIP S15.00 $95.60 02/06/11 BURGER KING P8162006WEST PALM BEA FL 561-6830834 FOOD $7.36 $7.36 07/06/11 MINI DELI OF BIG ARRNEIN YORK NY MISC FOOD STORE Description MISC FOOD STOR $54.64 02/07/11 AM
Date 05/11/11 P 19/20 Account Ending 2.61005 A payment system WITH MORE OPTIO\S. ICs your invaluable input that helps us constantly improve your Cardmembership experience. We've made it easier to pay your bill with multiple payment options, such as: • Pay Your Bill Online — don't wait for the mail; view yo
Document Type: PASSENGER TICKET Cartier: DL YY YY YY Date of Departure:09/01 Class: 00 00 00 $817.07 08/30/14 SPORTS AUTHORA303418WEST PALM BEA FL 8006668143 $243.17 09/01/14 RUNES MUSICUSA ITUNCUPERTINO CA RUNES MUSIC STORE $35.98 09/02/14 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE A
e insurance products are no longer available in certain territories. Effective August 1. 2014. the insurance products that come as a benefit of your Cardmembership are not available for residents of the Federated States of Micronesia, The Marshall Islands, and the Republic of Palau. Depending on your Card, the
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