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OXIX• 01/08/06' NUAL AN MEMBERSHIP E PERIOD 0106 THRU 02/07 35.00 01/08/06 JETBLUE SALT LAKE UT AIRLINE CHARGE From: To: Carrier: Class: WEST PALM BEACH FL J F KENNEDY A/P NY 86 HK Ticket Number: Date of Departure: 01/08 Passenger Name: Document Type: PA ENGER TICKET 237.80 01/08/06 HMSHOST PS

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, WI. Coverage is subject to the terms, conditions and exclusions of Master Policy SAX0913. Al enrollees must be residents of the 50 United States, District of Columbia, Puerto Rico or the U.S. Virgin Islands and have their American Express Card billed in the U.S. Corporate Cards are excluded. The effective date of

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