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se call Customer Care. • Please print dearly In blue or black Ink only In the boxes provided. Street Address City, State Zip Code Area Code and Horne Phone Area Code and 1Vork Phone Email Website: americanexpress.com Mobile Site: amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981

tion DESIGN WITHIN' $50212 10/21/11 PATTERSON FLYNN AND NEWARK DE $2,213.70 10/21/11 LEX SOUPS LL

se call Customer Care. • Please print dearly In blue or black Ink only In the boxes provided. Street Address City, State Zip Code Area Code and Horne Phone Area Code and 1Vork Phone Email Website: americanexpress.com Mobile Site: amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981