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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
ST JAPANESE RESTAUNEW YORK NY DIREST EATING PLACES AND RESTAURANTS 25.68 11/21/06 AMERICAN AIRLINES JUPITER FL AMERICAN AIRLINES From: To: BALTIMORE MD SAN JUAN PUERTO RI ST THOMAS VIRGIN I Ticket Number: Passenger Name: Document Type: PA EN ER TI KET 11/21/06 AMERICAN AIRLINES JUPITER FL A
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
Passenger Name: Document Type: . R (MCOyPREPAID TICKET AUTH. 01/16/07 US AIRWAYS JUPITER FL 374.41 US AIRWAYS From: To: Carrier: Class: BALTIMORE MD LAGUARDIA INTL NP US VA NOT AVAILABLE Ticket Weber: 03776574376735 Date of Departure: 01/17 Passenger Nameilipip. Document Type: 01/16/07 S
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
Amount 3 01/24/06 EXXONMCB1L5906194898NEW YORK NY PAY AT PUMP5906194898 20.94 01/25/06 SOUTHWEST AIRUNES DALLAS TX From: To: HARTFORD CT BALTIMORE MD WEST PALM BEACH FL Ticket Number: 52627024604269 Passenger Name: Document Type: Er Carrier: Class: WN V WN V Date of Departure: 01/29 12
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