CHICAGO IL ORBITZ ' SERVICE FEES 600 01/14/04 WORLD ACCESS SRV COR800-729-6021 VA INSURANCE-SALES, UNDERW INSURANCE-SALES, UNDERWRITING, AND PREMI 13.50 01/14/04 SCHWEITZER UNEN INC2122498361 NY UNEN SUPPLY 2,160.00 -18& Continued on next page EFTA01704894 DUPLICATE COPY Prepared For

UNITED AIRLINES Front. To: N.Y. NEWARK INTL A PALM BEACH INTERNA N/A N/A N/A Tkket Number: 01629228310905 Passenger Narne:SHULIAK /BULKHEAD PREMI Document Type SPECIAL SERVICE TICKET Carrier: UA YY YY YY Date of Depanum:08/29 Claw 00 00 00 00 $79.00 08/29/14 THE HEALTH NUTS 8843N