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LITE USA9544621245 FL AMUSEMENT & RECREATION 500.00 02/22/06 NATIONAL CAR RENTAL FT LAUDERDALE FL Location Rents: FT LAUDERDALE FL Return: W PALM BEACH FL Agreement Num : 0647 Renter Name: Reference Num r: 10647 Date 02120/C6 02/21/06 73.64 02/23/06 THE TRAVEL GALLERY JUPITER FL TRAVEL AGE

Return: PALM BEACH FL Agreement Num r: 1 811 i Reciter Name: Reference Num r: Dale 03/17/06 03/25/06 352.74 03/25/06 SUNOCO 0920405800WEST PALM BEA FL 0017078 008432395 31.00 03/27/06 AMERICAN AIRLINES DALLAS, TX From: To: MIAMI FL ST THOMAS VIRGIN I Ticket Number: 001211 04 0 Passeng

axiom 05/02/06 SAILFISH MARINA RESTPALM BEACH SHOR FL RESTAURANT FOOD AND BEV FOOD/BEV 42.41 TIP 6.00 48.41 05/03/06 STARBUCKS 000843R0YAL PLM BCH FL 8.10 FAST FOOD RESTAURANT 05/04/06 AIR CHEF WORTHINGTON OH 179.24 CATERER 05/05/06 JETBLUE SALT LAKE UT AIRLINE CHARGE From: To: C

W YORK NY MISC FOOD STORE 48.11 02/08/06 PARADIES WEST PALM BWEST PALM BEA FL GIFT/NOVELTY/SOUVENIR 31.94 02/08/06 HMSHOST•PSI•AIRPT 84West Palm Bea FL FOOD/BEV 10.18 02/06/06 CORPORATE WINGS DBA CLEVELAND OH CORPORATE JET A FUEL 17362FAA26 8,417.25 02/09/06 THE TRAVEL GALLERY JUPITER

HP Ticket Number: 0 Passenger Name: Document Type: Carrier: Class: AA Y2 Date of Departure: 04/24 757.80 04/24/06 HMSHOST-PBIAIRPT fl4West Palm Bea FL FOOD/BEV 17.20 04/24/06 MEDAIRE,INC 6024524300 AZ PERSONAL SERVICES 129.59 Continued on reverse EFTA01661169 DUPLICATE COPY Prcpwcd

5 and is subject to change with notice. This document does not supplement or replace the Policy. ADDITIONAL INFORMATION FOR RESIDENTS OF LOUISIANA (CRLDI-RDR1-LA 11105) The Rights of Recovery section is replaced with the following: If the Company makes any payment under this Policy and the Cardmember

33405 WEST PALM BCH WEST PALM BEA FL 520.49 06/25/17 SUN0000920405800 0920405800 GAS STATION FL $32.19 06/25/17 BICEPALMBEACH 5618351600 PALMBEACH FL $5243 08/26/17 STOKES MECHANKAL CONTR 43684555744701 MSLOANQSTOKES.COM tAKE WORTH FL $260.75 06/26/17 GREENS PHARMACY 650000003499723 5

$3100 561-533-3682 09/27/17 TROPKAL CLEANERS & LA TROPICAL CLEANE PALM BEACH FL $3233 DRY CLEANER 09/29/17 MACYS PALM BEACH GRDNS 000000760 PALM BEACH GA FL $6420 8002896229 Desolation Price FL VVOMENS FITNESS S $60.00 09/29/17 CVS PHARMACY BOYNTON BEACH FL $4700 8007467287 Desolation Pr

7 13P49403676KALKHMAN BP 9403 BOYNTON BEACH FL 320.00 305413-3247 Description Unleaded Regular 10/13/I7 TROPICAL CLEANERS& LA TROPKALCLEANE PAM BEACH FL 322684 DRY CLEANER 10/ 15/17 AMAZON.COM AMIN.COM/BILL WA 374.97 MERCHANDISE 10/17/17 PUBLIX SUPERMARKETS #1452 000001452 BOYNTON BEACH

1005/17 10/25/17 PUBLIX 8636881188 Description REFER TO RECEIPT PUBLIX SUPERMARKETS 41452 050001452 8636881188 Description REFER TO RECEIPT PAUL BEACH FL $6.16 BOYNTON BEACH FL $23.56 10/25/17 COMCAST/XFINITY CABLE SVCS 803-266-2278 FL $340.91 1005/17 WHOLEFDS WPB 410529000010529 WEST

coverages are underwritten by Tokio Marine Pacific Insurance Lirnited, Hagatna, Guam under Policy Numbers CRCB000000107 for EDP, CRCB000000108 for CRLDI, CRC.8000000109 for EW, CRCB000000110 for PP. and CRCB000000111 for TAI. This benefit is not available to residents of American Samoa. Federated Sta

scription Price GROCERY STORES $126.23 12/27/16 BEDBATHABEYOND40055 55 W FL $963.15 MISC HOME FURNISHINGS 12/28/16 CARMINE'S GOURNMET MAR PALM BEACH GA FL $229.48 561-775-0105 12/30/16 MOES FRESH MARKET ST THOMAS VI $199.68 340-693-0254 01/02/17 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA $20

LCOM HELP.UBER.COM CA $8.02 !El Card Endinga Monthly Spending Limit: 55.000 Amount 02/12/17 PUBLIX 8636881188 Description REFER TO RECEIPT PALMBEACH FL $8624 02/14/17 ATL GRILL EAST 00A0 212-988.2200 Description FOOD/BEVERAGE NEW YORK NY $310.90 02/14/17 SANTAMBROEUS 1000 MADISON AVEN

coverages are underwritten by Tokio Marine Pacific Insurance Lirnited, Hagatna, Guam under Policy Numbers CRCB000000107 for EDP, CRCE1000000108 for CRLDI, CRe.8000000109 for EW, CRCB000000110 for PP. and CRCB000000111 for TAI. This benefit is not available to residents of American Samoa. Federated Sta

RDEN FL $12.82 02/09/17 ATLANTIC AVIATION WEST PALM BE ATLANT1 561-6834121 WEST PALM BEACH FL 55,377.40 02/09/17 COOUNARY CAFE 5612496760 PALM BEACH GA FL $60.99 02/09/17 02/09/17 AVIS.COM PREPAY RESE RV 0000 Location Rental: PARSIPPANY NJ Return: PARSIPPANY NJ Agreement Number: 14219443

coverages are underwritten by Tokio Marine Pacific Insurance Lirnited, Hagatna, Guam under Policy Numbers CRCB000000107 for EDP, CRCEI000000108 for CRLDI, CRC.E1000000109 for EW, CRCB000000110 for PP. and CRCB000000111 for TAI. This benefit is not available to residents of American Samoa. Federated St