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on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten by AMEX Assurance Company, Administrative Office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, AX0916, AX0124 or Policy Form Number T
EIN 419.00 132.00 06/09/06 MARRIOTTS FRENCHMANSST THOMAS LODGING 491.02 06/10/06 HERTZ CAR RENTAL MIAMI FL 43.99 Location Date Rental: MIAMI FL 06/10/06 Return: W. PALM BCH FL 08/1W06 Agreement Num Renter Name: Reference Num 06/10/06 CARMINE'S GOURMET MAPLM BCH GRONS FL 00 FOOD AND
on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is undenvritten by AMEX Assurance Company, Adthinistrafive Office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) Axeaso, AX0916, M0124 or Policy Form Number TM
me: Document Type: ET Cartier: Class: AA LA AA L2 Date of Departure: 11/11 603.10 11/11/06 HERTZ CAR RENTAL MIAMI FL Location Rental: MIAMI FL Return: PALM BEACH FL Agreement Number: 122217314 Renter Name: Reference Num tea Date 06/11/10 06/11/11 81.58 11/11/06 T-MOBILE 800-9374
a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten by AMEX Assurance Company, Administrative ,, office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, X0916, AX0124 or Policy Form Number TM
RISTED ES $512 NEW YORK NY GROCERIES 5399-09 43.78 08/26/05 AMERICAN AIRLINES DALLAS, TX Froth: To: ST THOMAS VIRGIN I SAN JUAN PUERTO RI MIAMI FL Ticket Number: 001111.1. Passenger Name: Document Type: PASSENGER TICKET Carrier: Class: AA M2 AA LD Date of Departure: 08126 439.55 08/2
on e Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten by AMEX Assurance Company, Administrative office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, AX0916, AX0124 or Policy Form Number T
WEST WINDSOR NJ 2887.00 TRAVEL AGENCIES AND TOU 12/13105 ORBITZ LLC MANKATO MN AMERICAN AIRUNES From: To: Carrier: Class: LAGUARDIA IN MIAMI FL AA WA Ticket Number: Passenger Name: Document Type: 12/13/05 ORBITZ.COM CHICAGO IL 5.99 ORB' KK7CW4CT 177.70 12/13/05 MITCHEL LONDON FO
n a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten bqkfixAEX Assurance Company, Administrative office, De Pere, Wisconsin. Coverage is subject to the terms, conditions, and exclusions of Master Policies: (varies per state) AX0950, 0916, AX0124 or Policy Form Number TM
3342 WA INTERNET 1,074.40 1,085.48 03/17)05 PEEPERS.COM 8009555788 MN GENERAL MERCHANDISE 03/18)05 AMERICAN AIRUNES MIAMI FL From: To: MIAMI FL LAGUARDIA INTL A/P Ticket Number: 00121926969304 Passenger Mn: Document Type: ADDITIONAL COLLECTION 03/19M5 EYE OF THE NEEDLE PAPAUA BEACH FL
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