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9012262 Date of Departure:07/14 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET Contin

Date of Departure:07/14 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET Continued on re

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

1097174 Date of Departure:06/13 Passenger Name: INDYKE/DARREN Document Type: PASSENGER TICKET 06/07/12

Date of Departure: 06/23 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET 06/23/12 C82/E

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

et Number: 01670749012262 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET Carrier: Class

A Ticket Number: 01670749012262 Passenger Name: INDYKE/DARREN K Document Type: PASSENGER TICKET Carrie

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