ayment to: Total Amount Due $4,795.97 AMERICAN EXPRESS P.O. BOX 2855 NEW YORK NY 10116-2855 I. II III II III II III II III III II 11111111 III 'Jill II III II II I II III 442.02 37.50 Continued on Page 3 Please Pay By: Please enter* account 07/27104 number on WI checks and correspondence. Payable in U.S