DUPLICATE COPY
Gold Card
Statement of Account
Vitailat
L91:01/9?./04iSien charges are Paldi010;
slaritet0AISOP,
Prepatoi Fox
MOWN
OmegMfle
01/08/04
Page 1 of 14
New
Please Pay By
Pretiests gore. $
Pa$nerreCadrs$
New Charges $
Balance $
01/23/04
10%903.04
84,436.34
83,930.74
Please refer to page 2
for important information
regarding your account
Your payment is due in full. Please pay by 01/23/04.
The Additional Card(s) on your account renews next month. If you do not receive a new Card(s) by 02/02/04,
please call Customer Service immediately. For additional information, please refer to the Charge Card and
Statement Information section which can be found on page 2. Thank You.
Contact us at wvm.americanexpress.com or call Customer Service at 1-800-327-2177.
You Control your Finances —Notthe Other Way Around
A pre-set credit limit is fine if you have pre-set expenses, but you probably don't. So your
American Expresso Card gives you the flexibility of no pre-set spending limit*, plus, the
financial control that comes with paying your balance in full each month with no interest or
finance charges. It's a powerful combination you don't see with other cards.
Purchases are approved based on a variety of factors including your account history, credit
record and personal resources.
Activity "rd'a x4m"e
New Activity for JEFFREY E EPSTEIN
cuanm.noco-2.610m
12/19/03f
.pAym6NT,BECEtMED
12/19/03t.,
PAYMBOTIICENP TI11441(190 n
,
Total of New Activity for JEFFREY E EPSTEIN
Amount
New Charges
PaYments/CreCtts
0.00
-108,903.04
New Activ
card xca.)coca
12/16/03%
AlRyNE
:iuctBiTEA
79A0010K240:10A3r
12nare i
AMEBIC Aw
+ Meese kW on the Womb:a beisw, detach end rerun was your psymere
Payment Coupon
.5"
JP' .
• •
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
Mail Payment to:
Total Amount Due
$83,930.74
P.O. BOX 2855
NEW YORK NY 10116-2855
I...IIII
Continued on Page 3
Please pay
Please enter account
01/23/
number on all checks and
correspondence.
To avoid additional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
on reverse side. Unless
you check hero, this
change will apply to an of
your Card Accounts except
any Corporate Card
Accounts you may have.
008393074008443634 08r1r1
EFTA01703529
Prepared For
DUPLICATE COPY
)occt4ocax2-61005
Page 2 of 14
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delai(in processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
transmitting the amount of the check,
routing number, account number and check serial number to your financial institution. Your checking account may be
debited as soon as the same day we receive your payment. If we can not collect the funds electronically at first
presentment, we may issue a draft against your account for the amount of the check.
Authorization for Electronic Payments: By using the American Express Pay By Computera Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at www.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately_ at 1.800.9923404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 3.%-393-1111. You are
fully protected against an
fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional p is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the dosing date. To keep your
account current, pay by the payment due date shown on your statement.
Billing Rights Summary: In Case of Errors or Questions About Your Bill: If you think your till is wrong, or if you
need more informdmn about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or click on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserveyour rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and evlain, if you can, why you believe there is an error. If yOu need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent or take any action to collect the amount in question. Please retain any receipts
pertinent to yourclaim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase puce was more
than $50 and the purchase was made in yyoouur home state or within 100 miles of your mailing address. (If we own or . .erate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Link online at www.amencanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay Sy Phone and Pay
By Computer issues, or 1-800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRST statement on which the problem orerror appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as you can why you believe there is an error
or whyyou need more information. We will investigate your complaint and correct any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated *CR, is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more tilling cycles, a late payment fee of 1.75% of all past clue amounts will be added.
Change of Address
Ii coned on front
do nos iso
Am
Company
Name
Street Address
Gay, Slate
ZpCcde
Area Code and
Hone Phone
Area Cade and
Wo4k Phone
Emal
ri
L 1_ I LULL
--1- 1 T
] r I
_LJ
TT-7 LT-
.
a
To Pay By Phone
1-800-472-9297
Customer Service
1-800-327-2177
24 hoursf7 days
Lost or Stolen Card
1-800-992-3404
Express Cash
1.800-CASH-NOW
International Collect
1-336-393-1111
Hearing Impaired
(gam-5m EST)
Me: 1-800-221-9950
FAX: 1-800-695-9090
In NY: 1.800.552.1897
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329-7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enabte you
j
to receive special offers,
suited to your needs.
EFTA01703530
DUPLICATE COPY
Ns:prod FIX
Accord Hinter
>0Oa-XX)O(X2-61005
desire Doke
Page 3 of 14
01/08/04
New Activity Continued
Amount
12/08/03
TX
FOOD/BEVERAGE
FOOD/BEV
8640
TIP
16.00
96.40
12/09/03
CITGO0317 PRONTO FOOEULESS
TX
CITGO
GAS/MSC97 960640317010
17.00
12/09/03
EARTHUNK.NET
800-7194660
GA
125786022 30309
INTERNET SVC
21.95
12/09/03
TX
FOOD/BEVERAGE
FOOD-BEV
151.31
TIP
30.00
181.31
12/0W03
WALGREEN
038471IRVING
TX
13.78
12/10/03
105.00
12/10/03
WALGREEN
038471IRVING
TX
69.02
12/11/03
THE TRAVEL Oat I FRY JUPITER
FL
Routing Details Not Available
Ticket Number: 89 119 254612
Passenger Name:
Document Type: t
25.00
12/11/03
FL
Routing Details Not Available
Ticket Number:1 111623
Passenger Name:
Document Type:
25.00
12111/03
FL
From:
To:
DAUAS/Fr WORTH TX
ALBUQUERQUE NM
Ticket Number: 00175324549002
Passenger Name:
Document Type:
R TICKET
Carrier:
Class:
AA
O2
Date of Departure: 12/20
157.00
12/11/03
FL
From:
To:
HOUSTON TX IAH
ALBUQUERQUE NM
HOUSTON TX IAH
Ticket Number: 0
Passenger Name.
Document Type:
R TICKET
Carrier:
Class:
CO
SE
CO
SE
CO
HA
Date of Departure: 12/19
61.50
12/11/03
DICKEY'S BBO LAS COURVING
TX
FOOD
11.34
11.34
12/11/03
BELL HEUCOPTER
HURST
TX
4,420.00
12/11/03
FL
201.32
12/12/03
CITGO 7-ELEVEN 22654IFIVING
TX
CAS/MSC96 292972265431
9.39
ConUnued on reverse
_a
EFTA01703531
DUPLICATE COPY
Ploporoi For
Acctuit NUMe
Page 4 of 14
)OOO(-XXXXX2-61005
New Activity Continued
Amount
12/12/03
TX
Location
Rental:
DALLAS TX
Return:
DALLAS TX
Agreement Number: 1142
Renter Name:
Reference Num
:
Date
12/01/03
12/12/03
947.60
12/124)3
TX
Arrival Date
Departure Date
12/07/03
12/12/03
LODGING
1,18477
12/12/03
TX
FOOD_AND_BEVERAGE
FOOD•BEV
14.21
14.21
12/13/03
FL
Routing Details Not Avalatie
Ticket Number: 891111682
Passenger Name:
Document Type:
50.00
12/13/03
FL
From:
To:
MIAMI FL
Ticket Number: Cal 7 2
1120
Passenger Name:
Document Type:
R TICKET
Carrier:
Class:
AA
LI)
AA
H2
Date of Departure: 12/16
250.40
12/13/03
FL
From:
To:
MIAMI FL
Ticket Number: 00175324549131
Passenger Name: RODGERS/D
Document Type: PASSENGER TICKET
Cartier:
Class:
AA
LO
AA
Date of Departure: 12116
250.40
12/14/03
RADIO SHACK
33410
375.75
12/15/03
TX
From:
To:
MIAMI FL
Ticket Iklumber. 001 1
Passenger Name:
MR
Document Type:
KET
Carder.
Class:
AA
Y2
Date of Departure: 12/15
644,90
12/15/03
TX
From:
To:
MIAMI FL
Ticket Number 00121235445755
Passenger Name: RODGERS/DAV1D MR
Document Type: PASSENGER TICKET
Carrier.
Class:
AA
Y2
Date of Departure: 12/15
644.90
12/15/03
NY
1,140.56
12/15/03
ST THOMAS JET CENTERST1HCMAS
VI
3ER PARTY
608.82
12/15/03
VI
3ER PARTY
4,600.00
12/16/03
TRAVEL AGENCY
Routing Details Not
Ticket Number: 89)81195254774
Passenger Name:
Document Type:
JUPITER
FL
SERVICE FEE
Available
25.00
Continued on next page
EFTA01703532
DUPLICATE COPY
Prepared Foe
Amount Duane
>00000000(2-61005
Oosic Da
Page 5 of 14
01/08/04
New Activity Continued
Amounts
12/16/03
FL
From:
To:
ALBUQUERQUE NM
Ticket Number: 00175324549245
Passenger Name:
Document Type:
R TICKET
Carrier:
Class:
AA
HH
AA
NH
AA
HH
AA
Y2
Date of Departure: 12/19
1,627.90
12/16/03
GUITAR CENTER *772 W PAW BCH
FL
837.36
12/16/03
EXXONMOBIL5901286046BOCA RAT
FL
PAY AT PUMP5901286046
55.84
12/16/03
MAX & EDDIE'S CUCINASINGER ISLAND
FL
GENERAL MERCH
58.51
12/17/03
DELTA AIR UNES
MONTGOMERY AL
From:
To:
Ticket Number:
I
711
Passenger Name:
Document Type:
Cartier:
Class:
DL
UA
Date of Departure: 12/18
97.50
12/17/03
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
25.82
12/17/03
JET AVIAT
FUEL JETA 827210014
2,554.85
12/17/03
FL
DRY CLEANERS
37.80
12/18/03
DELTA AIR UNES
AUGUSTA
From:
To:
LAGUARDIA
Ticket Number:
21
Passenger Name:
Document Type: A
GA
INTL NP
CTION
Cartier:
Class:
DL
UA
Date of Departure: 12/18
25.00
12/18/03
From:
To:
ALBUQUERQUE NM
Ticket Number: 00121
119940
Passenger Name:
Document Type: A
CTION
Carrier:
Class:
AA
Y2
AA
Y2
AA
Y2
AA
Y2
Date of Departure: 12/18
538.50
12/19/03
SHOP RITE #175
HASBROUCK HTS
W
10.56
12/19/03
MARRIOTT 33710LAGRDAEAST ELMHURST
NY
Arrival Date
Departure Date
12/19/03
12/19/03
GIFTSHOP
FOOD/BEVERAGE
No of Nights
1
14.07
12/20/03
LITTLE ANITA'S #2 ALBUQUERQUE
NM
FOOD/BEVERAGE
50.02
12/21/03
WIrTRAVELVALUESPLUS80043904892
CT
7.00
12/21/03
WUMESERVATIONREWAR888-6885995
CT
7.00
12/23/03
CULUGAN BOTTLED WAT5052609999
NM
26.05
Continued on reverse
EFTA01703533
DUPLICATE COPY
Po:gond For
Aoocurt !tenter
Page 6 of 14
XXXX-XXXXX2-61005
New Activity Continued
Mica S$
12/26/03
T-MOBILE
800-937-8997
WA
T-MOBILE
119.53
12/26/03
JET AVIAT
FUEL JETA 827210034
3,709.40
12/29/03
Tx
From:
To:
Ticket Number: 00121237461335
Passenger Name:
MR
Document Type:
KET
Carrier:
Class:
AA
VD
AA
112
Dale of Departure: 12/29
308.90
12/31/03
PREMIUM SERVICES 888.265.9269
VA
ONUNE SVCS
AOL'PREMIUM SERVICE 120
8.95
12/31/03
AOL SERVICE
866-215-7772
VA
ONLINE
AOL'ONUNE SERVICE 1203
23.90
12/31/03
GOODS/SERVICES
12.72
12/31/03
JET AVIAT
MISCELLANEO 827210046
51.19
12/31/03
FL
BANYAN Al
PILOT SUPPL 5987523376
84.29
01/01/04
JET AVIAT
CATERING 827210048
456.33
01/02/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
283.98
01/02/04
SPOTO'S OYSTER BAR PALM BCH GARD FL
TIP 00001700
107.90
01/02/04
AIRPORT AMOCO
BP
GAS /MISC 426008945015
14.71
01/02/04
AMOCO 5223
BP
PAY AT PUMP789940438012
24.08
01/02/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
340.60
01/03/04
FL
240.00
01/03/04
BP CONNECT 35128 WEST PALM BEACH FL
BP
PAY AT PUMP707430564011
44.82
01/03/04
MARATHON FUGHT
KISSIMMEE
FL
PHILLIPS
00000004637005000007092
875.00
01/03/04
OCEAN'S ELEVEN NORTHSINGER ISLAND
FL
FOODIBEV00000850
01 00000400
12.50
01/03/04
FL
FOOD/BEVERAGE
FOOD/BEV
33.36
TIP
6.00
39.36
Continued on next page
EFTA01703534
DUPLICATE COPY
Prcforod For
Accaat Muter
accrq oat*
Page 7 of 14
X)00(-)000(X2.61005
01/08/04
New Activity Continued
Arnount$
01/03/04
JET AVIAT
FUELJETA 827210052
1,199.50
01/04/04
TSUNAMI
FOOD/BEV
80.58
TIP
1200
01/0404
SAN GENNAROS
FOOD/BEVERAGE
FOOD-BEV00006859
01/05/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
39.65
TIP
6.00
01/05/04
PUBUX 1050
SW PALM BEACH
FL
25.17
01/06/04
NY
From:
To:
Carrier
Class:
M
VH
Ticket Number: 001212
7 7
Date of Departure: 01/06
Passenger Name:
Document Type:
KET
01/06/04
CAFE CHARDONNAY
PALM BEACH
FL
5812/01
FOOD/BEV
102.52
01/06/04
VI
Location
Date
Rental;
ST THOMAS VI
12/31/03
Return:
ST THOMAS VI
01/02/04
92.58
83.59
45.65
122.23
10252
Agreement Num
Renter Name:
Reference Nu
153.33
01/06/04
SOUND CITY AUDIO 2125751060
NY
01/07/04
D(
From:
To:
Canter.
Class:
AA
LA
Ticket Number: 00 212 1
Date of Departure: 01/07
Passenger Name:
Document Type: P
KET
01/07/04
PARK AVENUE BBO
NORTH PALM BE
FL
FOOD/BEVERAGE
FOOD/BEV
33.85
TIP
5.00
4,317.85
87.60
38.85
Total of New Activity for
New Charges
Payments/Credits
35,153.14
-500.80
New Activity for DAVID RODGERS
Card X000)00Cd2 C4027
12/3040, 31
EFtlett”Tyt;IE
L84:' "
4?, O
TKI*0012123699478
topettfuem:AsoNts
411V3-1.M6„9.9,42q."
12/06/03
MILLVILLE
MAINTENANCE 13693100544
NJ
11,351.28
12/07/03
NJ
MILLVILLE
JET A FUEL 13693100545
2,148.00
Continued on reverse
EFTA01703535
DUPLICATE COPY
Fa
A000wt
)COO(N-0OOOO(2-61005
Page 8 of 14
New Activity Continued
AniaamiS
12/08/03
FL
Routing Details Not Available
Ticket Number: 890811
7 201
Passenger Name:
Document Type:
25.00
12/08/03
FL
DELTA AIR LINES
From:
To:
Cartier.
Class:
ATLANTA GA
DL
HA
SAVANNAH GA
DL
HA
Ticket Number: 00675324548721
Date of Departure: 12/08
Passenger Name:
Document Type: P
CKET
298.00
12/08/03
FL
Location
Date
Rental:
PALM BEACH FL
12/07/03
Return:
PALM BEACH FL
12/06/03
Agreement Number: 362525623
Renter Name:
Reference Nun,11
76.64
12/09/03
FL
Routing Details Not Available
Ticket Number: 89081193370223
Passenger Name: RODGERS/D
Document Type: MISC CHARGE ORDEFt/PREPAID TICKET AUTHORITY
25.00
12/09/D3
FL
Routing Details Not Available
Ticket Number: 89081193370234
Passenger Name
Document Type:
25.00
12/09/03
FL
From:
To:
Cartier:
Class:
MIAMI FL
AA
Y2
Ticket Number: 00175324548744
Date of Departure: 12/10
Passenger Name: RODGERS/D
Document Type: PASSENGER TICKET
643.50
12/09/03
THE TRAVEL Sall FRY JUPITER
FL
From:
To:
Canter:
Class:
MIAMI FL
AA
Y2
JACKSONVILLE FL
AA
Y2
Ticket Number: 031
Date of Departure: 12/10
Passenger Name:
Document Type: P
CKET
774.50
12/09/03
PUBLIX #338
SLANTANA
FL
38.39
12/09/03
JET AVIAT
FUEL JETA 827210270
3,282.28
12/10/03
T•MOBILE
800437-8997
WA
T-MOBILE
584.29
12/10(03
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
150.92
12/10/03
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
243.32
12/10/03
TOP OF THE PORT
MIAMI
FL
39.52
Continued on next page
EFTA01703536
DUPLICATE COPY
Pomand For
knout Motor
Closim Crate
)00000000(2-61005
01/08/04
Page 9 of 14
New Activity Continued
Amounts
12/11/03
FL
Date
49.22
Location
Rental:
MIAMI FL
12/10/03
Return:
PALM BEACH FL
12/11/03
Agreement Number: 119139182
Renter Name: RODGERS /DAVID
Reference Number: 120012
12/15/03
FL
Routing Details Not Available
Ticket Number: 89081195254715
Passenger Name: RODGERS/D
Document Type: MISC CHARGE ORDER/PREPAID TICKET AUTHORITY
12/15/03
FL
From:
To:
Carrier:
Class:
AA
KA
Ticket Number: 00175324549153
Date of Departure: 12/16
Passenger Name: RODGERS/D
Document Type: PASSENGER TICKET
12/15/03
FL
From:
To:
Carrier:
Clan:
M
KA
Ticket Number. 00175324549164
Date of Departure: 12/16
Passenger Name:
Document Type:
R TICKET
12/17/03
DELTA AIR LINES
ATLANTA
GA
From:
To:
Cartier:
Class:
DL
UA
Ticket Number: 00621697533800
Date of Departure: 12/18
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
12/18/03
DELTA AIR LINES
BOSTON
MA
From:
To:
Cartier:
Class:
DL
UA
Ticket Number: 00621697435951
Date of Departure: 12/18
Passenger Name: RODGERS/DAVID N
Document Type: ADDITIONAL COLLECTION
12/18/03
From:
To:
Cartier:
Class:
MIAMI FL
AA
Y2
Ticket Number: 00121236015964
Date of Departure: 12/18
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
12/18/03
From:
To:
Canter.
Class:
MIAMI El-
AA
Y2
Ticket Number 00121
15975
Date of Departure: 12/18
Passenger Name:
Document Type:
ET
12/19/03
MEDAIRE,INC
6024524300
AZ
809.88
12/19/03
MILUON AIR • TETERBTETERBORO
NJ
MILLION A
JET Al 132981016
12/19/03
AIRCELL INC
303-4995624
CO
58.17
12/20/03
TOP OF THE PORT
MIAMI
FL
63.03
50.00
207.50
207.50
97.50
25.00
643.50
643.50
6,045.58
Continued on reverse
EFTA01703537
Pr.:pap:4 R.
DUPLICATE COPY
Mon Nirrbx
Xthn" -)OOOO(2-61005
Page 10 of 14
New Activity Continued
Antount$
12/21/03
FL
Location
Rome
MIAMI FL
Return:
PALM BEACH FL
Agreement Number: 123768691
Renter Name: RODGERS /DAVID
Reference Number: 120022
Date
12/20/03
12/21/03
72.37
12/21/03
FL
4.16
12/22/03
FL
From:
To:
MIAMI FL
Ticket Number: 00121269930323
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
12/22/03
FL
Front
To:
MIAMI FL
Ticket Number: 00i ttioir
i
Passenger Nome:
Document Type:
CKET
12/24/03
TICKLES
ST THOMAS
VI
5812431 REST
Carrier:
Class:
AA
J2
AA
J2
Dale of Departure: 12/22
815.40
Carrier:
Class:
AA
J2
AA
J2
Date of Departure: 12/22
815.40
32.00
12/24/03
VI
3ER PARTY
57.50
12/24/03
VI
3ER PARTY
3,300.35
12/24/03
De:lair:O3n
GENERAL MDSE
10.58
12/25/03
From:
To:
MIAMI FL
Ticket Number: 00121236994785
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
12/25/03
From:
Carrier:
Class:
AA
J2
AA
J2
Date of Departure: 1225
810.90
To:
MIAMI FL
Ticket Number: 00121
7
Passenger Name:
Document Type:
KET
Carrier:
Class:
AA
J2
AA
J2
Date of Departure: 12/25
810.90
12/26/03
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
10.91
12/26/03
Desaiption
53.75
12/26103
WINN DIXIE 0337 S91 LAKE WORTH
FL
GROCERY STORE
12/26/03
VI
LODGING CHARGES
LODGING CHARGE
19.41
420.00
12/26/03
VI
LODGING CHARGES
LODGING CHARGE
420.00
Continued on next page
EFTA01703538
DUPLICATE COPY
Prep.,IS Fa
Accout Minter
acesh, Dale
)000W0000(2-61005
01/08/04
Page 11 of 14
New Activity Continued
Amount
12/26/03
PUBLIX 1338
SLANTANA
FL
12/27/03
AUTO RENTAL
12/27/03
CONCESSIONS INTL-GATE 1 ST THOMAS US VI
12/29/03
FL
12/31/03
FL
From:
To:
MIAMI FL
Ticket Number: 00121237736531
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
Y2
Dale of Departure: 12/31
01/01/04
TOP OF THE PORT
MIAMI
FL
01/02./04
FL
MISC RETAIL
01/03/04
WINN DIXIE 0260 S91BOYNTON BEACH
FL
GROCERY STORE
01/03/04
FL
FOOD/BEVERAGE
FOOD/BEV
33.36
TIP
7.00
01/05/04
DELTA AIR UNES
ATLANTA
GA
From:
To:
Ticket Number: 00621692056451
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
Cartier:
Class:
DL
TA
Date of Departure: 01/06
01/05/04
VI
3ER PARTY
01/05/04
•
JET AVIAT
FUEL JETA 827210064
01/05/04
JET AVIAT
CATERING 827210064
01/06/04
LONG DISTANCE
888-213-8406
NJ
LONG DISTANCE
01/07/04
From:
To:
Ticket Number: 00121239245215
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
LA
Date of Departure: 01/07
01/07/04
FL
Total of New Activity for DAVID RODGERS
31.96
65.00
12.25
240.00
644.90
50.72
380.54
38.29
40.36
82.60
3,206.00
3,606.65
33.92
47.61
87.60
31.80
New Charges
44,859.76
Payments/Crecits
4.80
New Ag
Th ai
l
Card IX%
12/10/03
FL
10.55
Continued on reverse
EFTA01703539
DUPLICATE COPY
Mir
of
AoaaM Nero_
XXXX40000(2-610C6
Page 12 of 14
New Activity Continued
12/11/03
3,150.00
12/12/03
T•MOBILE
800-937-8997
WA
T•MOBILE
859.80
12/1643
DENNY'S #7467
MIAMI
FL
FOOD/BEVERAGE
FOOD/BEV
11.87
•
11.87
12/17/03
CITG08919 L A CITGO VIRGINIA GARDENS FL
CITGO
GASNSC96 554738919015
14.69
12/17/03
DENNY'S #7467
MIAMI
FL
FOOD/BEVERAGE
FOOD/BEV
13.31
13.31
12/18/03
FL
Location
Rents:
PALM BEACH FL
Return:
PALM BEACH FL
Agreement Num
:121192422
Renter Name:
Reference Num r:
Date
12/15/03
12/18/03
214.98
12/19/03
AIRCELL INC
303-4995524
CO
98.33
12/23/03
BARNES & NOBLE
WELLINGTON
FL
BOOKS
50.00
12/26/03
PALM.NET SERVICE 888.756.7256
CA
INFO SERVICE
'
21.83
01/01/04
FOLDER,LETTER,1/3,24/12K
PLNR,14MO,MNDR,7-7/8X11-7/11,BK
DSKPAD,MO,DDL,22X17,BLACK
19.59
01/07/04
SATCOM DIRECT, INC 3217773000
FL
158.69
Total of New Activity for
New Charges
Payments/Credits
4,423.44
0.00
Total of New Activity
New Charges
Payments/Credits
84,436.34
-109,408.64
EFTA01703540
DUPLICATE COPY
Plipit Fee
Account Nvrbor
axing Dale
)000(40000(2-61005
01/08/04
Page 13 of 14
CustomExtrar
Mortgage Rates are Still Low!
If you're looking to buy a home or to refinance your current mortgage, Mortgages
from American Express' can save you hundreds of dollars a month in mortgage
payments. Plus, it's fast and easy to get a same-day loan decision.
'All residential mortgage loans and related services are offered and provided by
and through PHH Mortgage Services. American Express does not solicit, offer,
endorse, negotiate, or originate any mortgage loan products, and is neither a
licensed mortgage broker nor a licensed mortgage lender. Financing provided by
PHH Mortgage Services, 3000 Leadenhall Road, Mt. Laurel, NJ 08054. Arizona
Residential Mortgage Licensee #BK 00010039, Licensed by the Department of
Corporations under the California Residential Mortgage Lending Act, Georgia
Residential Mortgage Licensee, Illinois Residential Mortgage Licensee,
Massachusetts Licensed Lender #ML1653, New Hampshire First Mortgage
Banker #5625-MB and Second Mortgage Home Lender #5626-MHL.
Licensed by the N.J. Department of Banking and Insurance, Licensed Mortgage Banker--
NYS Banking Department, Rhode Island Licensed Lender, Minnesota. This is not an offer
to enter an interest rate lock-in agreement. Licensed First Mortgage Banker and Secondary
Mortgage Lender by Pennsylvania Department of Banking. PHH Mortgage Services is an
Equal Housing Lender.
Contact us today! Call
1.800-AXP-1008 or go to
www.americanexpress.
com/mortgages. Use
offer code C62.
(CE 104138)
Sign Up for American Express® Alerts
Get important information pertaining to your Account delivered to you
--whenever and wherever you want. With American Express Alerts,
you can choose to be notified when your payment is due, irregular
account activity is detected, your payment is received and when you
are approaching your line of credit/spending limit. Alerts cah be sent
to your e-mail address, mobile phone, pager or PDA.
To sign up for Alerts, visit
www.americanexpress.
com/alerts.
(CE 104153)
Global Assist®: Travel with the Card with Confidence
Leave your wallet on the Orient Express? Need to find a doctor in
Rio? Thanks to the Global Assist Hotline from American Express, you
can get the medical, legal or financial help you need when you are
100 miles or more away from home. The Global Assist Hotline can
direct you to English-speaking medical and legal professionals as
well as help you with visas, passports, lost luggage, and more.
Not all services are available M all locations and all are subject to local laws and cash
availability.
For emergency
assistance, call
1.800.554-AMEX toll-tree
or 715-343-7977 collect
from abroad. Or stop
by any of our 1,700
Amencan Express Travel
Service locations
worldwide.
(CE 104150)
FEE-FREE American Express® Travelers Cheques!
As an American Express® Cardmember, you can purchase
FEE-FREE* American Express Travelers Cheques and Cheques for
Two® at participating American Express Travel Services locations.
emergency 24/7--from placing lost or stolen Cheques, to assistance
Behind every Travelers Cheques is someone who can help in a travel
Travelers
with replacing lost credit cards and passports.**
'Not all services available at all locations. Subject to all local laws and cash availability.
"Proof of Travelers Cheques purchase may be required. Credit Card Replacement
Assistance is for major bank-issued credit cards only. Fees for passport/credit card
replacement are the sole responsibility of the customer. For complete Terms, call
1-800.221.7282.
Cheques
Buy your Fee-Free
American Express
Travelers Cheques before
you leave!
To locale your nearest
American Express Travel
Services location, call
1-888-AXP-0056.
(CE 104130)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703541
Prepare:I For
DUPLICATE COPY
haunt
=M
.100(2-61005
Page 14°114
Now Accepting the American Express® Card!
Law America - A plan that provides legal protection with law firms
nationwide. Benefits include trial representation. 1-800-453-9376.
www.lawamerica.net
The Oak Room Restaurant - Gourmet cuisine, fine wine and an
elegant and unique destination place. 263 Prospect Ave., Brooklyn,
NY. 718-788-0400. www.oakroomrestaurant.com
Creative Playthings - Manufacturer and retailer of quality wooden
swing sets. Call 1-800-24-SWING or visit us at
www.creativeplaythings.com! Creating fun since 1951!
If there are other places
where you would like to
see the Card accepted,
please call the Customer
Service number that is
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104070)
Stay with Holiday Inn® and get a S15 Lowe's Gift Card
Use your American Express® Card to book and pay for a Holiday Inn®
hotel Best Breaks'" package between January 15 and April 30, 2004
and you'll enjoy more than a comfortable room and free hot
breakfast. You'll also receive a voucher redeemable for a $15 Lowe's
Gift Card.
For use at any Lowe's store for payment of purchases. Not a cred4/debit card and has no
implied warranties. Redeemable for merchandise only unless prohibited by law and cannot
be used to make payments on any charge account. Unused amount can be used for future
purchases. Lost or stolen Gift Cards can only be replaced upon presentation of original
sales receipt for any remaining balance. It will be void if altered or defaced.
Visit
www.holidarinn.com or
call 1.800-HOLIDAY or
your travel agent to
reserve your room and get
free breakfast with Holiday
Inn's Best Breaks rate.
(CE 104137)
Get Your Tax Refund Fast With OnlineTax!
This tax season, use American Express OnlineTax to file your tax
return and get your refund fast! American Express OnlineTax is an
easy-to-use online tax preparation program that handles federal and
state income tax returns--all for $34.95 through 3/31/04!
Visit www.americanexpress.com/efile, and let OnlineTax
automatically select and complete the appropriate forms, and even
check for errors and omissions. By e-filing, you can take advantage of
a full range of refund and payment options, including direct deposit of
refund amounts. File your taxes with a name you trust with American
Express OnlineTaxl
Try American Express
OnlineTax at
www.americanexpress.
dom/efIle. Online filing is
quick and easy, and
speeds up your refund.
Just answer the questions
and let the OnlineTax
program prepare your
return. Only $34.9.5
including e-filing!
(CE 104129)
Pay your Bills Automatically with the Card
AUTOMATIC
Enjoy the time-saving convenience and added financial control of
paying virtually everything from your cable and telephone bills to your
newspaper subscription with the Card. Automatic Bill Payment is the
simple way to consolidate your payments and make sure that your
bills are paid on time, so you can avoid paying unnecessary late fees.
Plus, you'll have fewer checks to write and you can still continue to
receive a paper statement of your bill from your service provider to
with Americ n Exp ess
keep for your records. Start benefiting from the convenience and
control of Automatic Bill Payment today.
BILL
PAYMENT
Call your service providers
today and tell them you
want your bills to be paid
automatically with the
Card. For a complete list
of participating providers,
or to learn more, visit
www.americanexpress.
com/abp8
(CE 104136)
Fill your Wallet with Savings at Costco!
You are invited to take advantage of a Costco membership offer for
American Express® Cardmembers. Sign up for a Costco membership
by April 30, 2004, and receive a $10 Costco Cash card to use toward
your first purchase. The sooner you join, the more you can save.
Valid for new Costco members only.
Simply bring this
statement into your local
Costco warehouse.
Costco membership is $45
per year (plus tax where
applicable) and includes a
free spouse card. Costco
Cash card offer expires
April 30, 2004. Marketing
Campaign code 19243.
(CE 104135)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703542
Gold Card
Statement of Account
Prepand For
Freektn Balatco
83,930.74
Perwearcirou S
84A04.34
Fah:
DUPLICATE COPY
New Chug** S
60,802.36
Balance
New $
59,928.76
Clara; We
02/08/04
h4,4425 -42.1.iat.
batrabiliajat„,
o nts
•
Saisct-it-ag,g;
Page 1 of 12
Please Pay By
02/23/04
Please refer to page 2
for important information
regardng your account
Your payment is due in full. Please pay by 02/23/04.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Weer,
•
peofrg date
Activity
New Activity for JEFFREY E EPSTEIN
cam xca-x:cO0.2-6,cos
91MlineerulpIVEGEIVED,-. THANK YOU
Total of New Activity for JEFFREY E EPSTEIN
Amounts
-83,930.74 c.
New Charges
0.00
Payments/Creckts
-83,930.74
New Activity for
Card ):0300000242011
12/3W03
MICROBREWERY
ALBOUERQUE
NM
FOOD/BEVERAGE
FOOD/BEV
14.28
TIP
3.00
01/07/04
60 MINUTE PHOTO
N PALM BCH
FL
21.07
01/07/04
=OOD/BEVERAGE
•
FOOD-BEV
13.12
17.28
13.12
01/38/04
FL
Routing Details Not Available
Ticket Number: 89 1197
Passenger Name:
Document Type:
01/08/04
NJ
MILLION A
JET Al 1 32981 01 9
50.00
Plera bid entre pedflon beam crest, and rola with you. raped
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
Mail Payment to:
Total Amount Due
$59,928.76
P.O. BOX 2855
NEW YORK NY 10116-2855
l...IIII
3,297.70
Continued on Page 3
Please Pay By: Please enter account
02/23/04 number on all checks and
correspondence.
To avoid additional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Dale.
Note any address and/or
telephone number change
on reverse side. Unless
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
005992876006080236 08r1r1
EFTA01703543
DUPLICATE COPY
Prepared Far
mews Mate
)000(-)00000-81005
Page 2 of 12
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delagr processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
transmitting the amount of the check,
routing number, account number and check serial number to your financial ins itution. Your checking account may be
debited as soon as the same day we receive your payment. If we can not collect the funds electronically at first
presentment, we mayissue a draft against your account for the amount of the check
Authorization for Electronic Payments: By using the American Express Pay By Computer", Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Exress to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at www.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately at 1-800-992-3404.
Outside the U.S., contact the nearest American Egress Travel Service Office or call us collect at 336393.1111. You are
fully protected against any_ fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is 650 should you facto report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional $5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the closing date. To keep your
account current, pay by the payment due date shown on your statement.
Billing Rights Summar?: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more information about a transaction which appears on your statement, wnte or call the Customer Service
department as indicated on your paper statement, or cliok on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserveyour rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name arid account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent or take any action to collect the amount in question. Please retain any receipts
pertinent to yourdaim.
Special Rules For Charge Card Purchases: • If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase pnce was more
than $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Link online at v,ww.americanexpress.com, or you can call us at 1.800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, or 1.800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRST statement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as you can why you believe there is an error
or why you need more information. We will investigate your complaint and coned any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated 'CR') is shown on this statement, ft represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more billing cycles, a late payment fee of 1.75% of all past due amounts will be added.
Mange of Address
a correct on front
do not me
Nome
COMPOnY
Name
Street Address
City. Val*
tp C.cdo
Area Code and
Homo Phan*
Area Code and
work Phone
Email
I
T rTT C
To Pay By Phone
1-800-472-9297
Customer Service
1-800-327-2177
24 hours/7 days
Lost or Stolen Card
1-800-992-3404
Express Cash
1-1300-CASH-NOW
International Collect
1-336-393-1111
Hearing Impaired
(0am-5pm EST)
M:
1.800.221.9950
FAX: 1-800-695-9090
In NY: 1-800-552-1897
O
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329-7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your wail
address to American
Express will enable you
j
to receive special offers,
suited to your needs.
EFTA01703544
DUPLICATE COPY
Pftpad Fa
AceartNtrrber
Cooing Oahu
Page 3 of 12
)000(40000(2-61005
02108/04
New Activity Continued
Amount $
01/08/04
186.34
01/09/04
FL
901.00
00 AUDIONIDEO SLS/SVC
01/09/04
EARTHUNK.NET
800-719.4660
GA
129356590 30309
INTERNET SVC
01/11/04
FL
000860489
01/11/04
FL
48.83
GENERAL MERCH
21.95
12.32
01/12/04
DIRECTV DBS SERV 800-497-1117
SD
TV SERVICE
RTC'DIRECTV SERVICE
01/12/04
JET AVIAT
FUEL JETA 827210026
01/12/04
FL
101.77
01/13/04
OFLANAGANS
NEW YORK
NY
160.25
5812/01
FOOD/BEV
140.25
TIP
20.00
64.82
8,851.35
01/13/04
TIP 00000600
01/13/04
MEDITERRANEO
NEW YORK
NY
39.15
FOOD/BEVERAGE
FOOD/BEV
33.15
TIP
6.00
36.69
01/14/04
NY
42.00
FOOD/BEERAGE
FOOD/BEV
36.00
WAITER
6.00
01/15/04
PA
75.00
GOVT'L SERVICES -NEC
01/15/04
PA
6.00
GOVT1 SERVICES -NEC
01/15/04
MEDITERRANEO
NEW YORK
NY
44.00
FOOD/BEVERAGE
FOOD/BEV
38.00
TIP
6.00
01/16/04
FL
16.28
DRY CLEANERS
01/16/04
FOOD/BEVERAGE
FOOD-BEV
21.41
01/17/04
PALM.NET SERVICE 888-756-7256
CA
25.82
INFO SERVICE
01/17/04
CITGO1665 POMPANO BEPOMPANO BEACH
FL
CITGO
GAS/MSC96 417731665007
01/20/04
FL
33.84
DRY CLEANERS
21.41
60.52
Continued on AMMO
EFTA01703545
DUPLICATE COPY
Prop.* Fa
Axount Nurrte
Page 4 of 12
XXXX-XXXXX2-61005
New Activity Continued
Arn'unt
01/20/04
PARISINTOWN
NORTHPALMBEAC
FL
RESTAURANT
FOOD/BEV
19.50
Tip
2.00
21.50
01/20/04
BROOKSTONE 8094 PALM BEACH GARDENSFL
152.32
01/20/04
NY
2,400.00
01/20/04
JET AVIAT
FUEL JETA 827210047
9,343/6
01/21/04
GOURMET GARAGE-64TH NEW YORK
NY
7224
01/21/04
WLIsTRAVELVALUESPLUS800-8904892
CT
7.00
01/21/04
WLITIESERVATIONREWAR&98-6885995
CT
7.00
01/22/04
OUTBACK #0714
WILTON
CT
FOOD/BEV
76.28
TIP
10.00
86.28
01/23/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
38.55
TIP
6.00
44.55
01/26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
24.29
01/26/04
CITGO 7 ELEVEN 26779W PALM BEACH
FL
GAS/MSC15 761172677941
7.55
01/27/04
TIP 00000700
60.77
01/28/04
TX
From:
To:
MIAMI FL
Ticket Number: 00
Passenger Name:
MR
Document Type:
Carrier:
Class:
AA
Y2
Date of Departure: 01/28
643.80
01/28/04
NJ
MILLION A
JET Al 132981002
6,586.06
01/28/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
37.50
TIP
6.00
43.50
01/29/04
FL
Location
Rental:
MIAMI FL
Return:
PALM BEACH FL
Agreement Number: 1 jib
Renter Name:
Reference Num
:
Date
01/29/04
01/29/04
98.04
01/29/04
FRENCI-PAAN'S REEF BCHST THOMAS
VI
MISC
189.00
01/29/04
FRENCI-IMAN'S REEF BCHST THOMAS
VI
MISC
206.49
01/29/04
SOUND CITY AUDIO 2125751060
NY
2,313.72
Continued on next page
EFTA01703546
DUPLICATE COPY
Prepared For
Ac curt Number
Claim Dab
)000W0000(2-61005
02/08/04
Page 5 of 12
New Activity Continued
Amounts
01/31/04
PREMIUM SERVICES 888-265-9269
VA
ONLINE SVCS
TWrAOL PREMIUM SVCE 01
12.95
01/31/04
AOL SERVICE
800.827-6364
VA
ONUNE
TWX'AOL SERVICE 0104
23.90
02/01/04
From:
To:
Ticket Number: 001212
1315
Passenger Name:
Document Type: A
COLLECTION
Cartier:
Class:
AA
LD
AA
H2
Date of Departure: 02/01
93.50
' 02/01/04
FL
From:
To:
MIAMI FL
-Wet Number: 00121279
1
Passenger Name:
Document Type:
KET
Carrier:
Class:
PA
U3
AA
H2
Date of Departure: 02/01
257.70
02/01/04
SAN GENNAROS
FOOD/BEVERAGE
FOOD-BEV
41.56
WAITER
6.00
47.56
02/02/04
NY
From:
To:
Ticket Number: 0012127972 931
Passenger Name:
MR
Document Type:
KET
02/02/04
AMOCO 5223
BP
PAY AT PUMP789940447002
Cartier:
Class:
AA
VA
Date of Departure: 02/02
122.60
2220
02/02/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
TIP
53.25
10.00
63.25
02/03/04
PARISINTOWN
NORTHPALMBEAC
FL
RESTAURANT
FOOD/BEV
25.49
25.49
02/04/04
TX
From:
To:
Ticket Number: 00121246259871
Passenger Name:
Document Type:
KET
02/04/04
FL
FOOD/BEVERAGE
FOOD/BEV
24.75
TIP
4.00
Carrier:
Class:
AA
VA
Date of Departure: 02/04
122.60
28.75
02/04/04
FL
000172325
02/04/04
OFFICE PROD. 8 SUPPLIES,
PAPER,INKJET,95 BRIGHT,500/F1M
PEN,4FUNCT,QUAD PT,YAFA,ASTD
CRTG,REFILL,INK,BCI-11BK 3/PK
ADAPTER,OUTLET,FOUF1 LINE DUAL
21.06
174.15
Continued on reverse
EFTA01703547
DUPLICATE COPY
Prep:rod Far
AD:owl Nunter
XXXX-XXXXX2-61005
Page 6 of 12
New Activity Continued
Amount
02/05/34
MA
685.00
JET AVIAT
FUEL JETA 669410091
02/05/04
FL
16.33
a FT/NOVELTY/SOUVENIR
02/05/04
HMSHOST-PBI-AIRPT ii2West Palm Bea
FL
4.24
FOOD/BEV
02/05/04
NJ
MILLION A
JET Al 132981001
020504
NJ
MILLION A
JET Al 132981001
02./06/04
TIP 00000500
2,064.88
3,697.50
3442
02/07/D4
07001665 RIVIERA BERIVIERA BEACH
FL
CITGO
GASIMSC96 910231665015
02/07/04
4445 PGA BLVD
PALM BEACH GA
FL
29971810310039245006018
02/08/04
MASA SIGAMI
JUPITER
FL
FOOD-BEV
FOOD-BEV
TIP
22.18
25.26
70.29
10.00
80.29
Total of New Activity for
New Charges
Payments/Credits
44,102.19
0.00
New Aglycirty for DAVID RODGERS
1304
AM
1
ik9gNE
TSTOPIP0159
(02/04/04r, .,t.SiT
01-1:0MASyJET CENTERST:
4,:i:cMcl$4V. •
.
01/08/04
HMSHOST-PBI-AIRPT 261Nest Palm Bea
FOOD/BEV
FL
8.56
01/08/04
SHOP RITE *175
HASBROUCK HIS
NJ
43.17
01/119/04
T-MOBILE
800-937-8997
WA
7-MOBILE
153.24
01/10/04
WINN DIXIE 0260 691BOYNTON BEACH
GROCERY STORE
FL
60.82
01/10/04
THE HOME DEPOT #6316LAKE WORTH
FL
60.74
01/12/04
PUBUX11023
SCREEN ACRES
FL
37.85
01/14/04
MEDAIRE,INC
6024524300
AZ
1,954.00
01/14/04
GFUSTED ES 8512
NEW YORK
NY
GROCERIES 5399.09
38.77
01/14/04
01 FOOD AND BEVERAGE
FOOD/BEV
TIP
NY
33.95
7.00
40.95
01/20/04
WINN DIXIE 0260 S9IBOYNTON BEACH
GROCERY STORE
FL
14.95
01/20/04
AIRCELL INC
303-4995624
CO
81.15
Continued on next page
EFTA01703548
DUPLICATE COPY
Regal For
ACCOXf Mentor
Cksino DAM
Page 7 of 12
)CO000000(241005
02108/04
New Activity Continued
Amount $
01/22/04
STAPLES
LEXINGTON & 51: M NY
OFFICE SUPPUES
125.51
01/26/04
PALM.NET SERVICE 888.756-7256
CA
INFO SERVICE
10.91
01/26/04
JET AVIAT
FUEL JETA 827210063
3,903.40
01/28/04
From:
To:
MIAMI FL
Ticket Number: 00121244398140
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Cartier:
Class:
AA
Y2
Date of Departure: 01/28
643.80
01/29/04
HRC-MIAMI
100111MIAMI
FL
FOOD/BEVERAGE
FOOD
44.22
44.22
02/01/04
From:
To:
Ticket Number: 00121245329910
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
LD
AA
H2
Dale of Departure: 02./01
25120
02/01/04
FL
MISC RETAIL
380.54
02/02/04
NY
FIDM:
To:
Ticket Number: 00121245641023
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Cattier:
Class:
AA
VA
Date of Departure: 02/02
122.60
02/02/04
VI
3ER PARTY
5,822.26
02/04/04
From:
To:
Ticket Number: 00121246224801
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
VA
Dale of Departure: 02/04
122.60
Total of New Activity for DAVID RODGERS
New Charges
Payments/Credits
13,921.24
-873.60
New Ajar
Catl >OM-
01/08/04"
PERIOD 03/04 THRU 02/05
35.00
01/10/04
335SEARS ROEBUCK WEST PALM BCH
FL
48126
HARDWARE
71.49
01/11/04
T-MOBILE
800-937-8997
WA
T-MOBILE
124.20
01/12/04
FL
FOOD/BEVERAGE
FOOD-BEV
28.47
TIP
4.00
32.47
01/13/04
TIP 00000300
12.24
Continued on reverse
EFTA01703549
Pripancl F <It
DUPLICATE COPY
Mwjni
xxr&N-XX)OO(2-61005
Page 8 of 12
New Activity Continued
Amountt
01/13/04
NY
20.00
FOOD-BEV00001750
00 00000250
01/13/04
SINGH AND SINGH
NEW YORK
NY
01/14/04
15.13
BOOKS
9.21
01/14/04
TIP 00000300
13.50
01/14/04
SINGH AND SINGH
NEW YORK
NY
01/19/04
NY
10.50
FOOD-BEV00000750
00 00000300
11.60
01/20/04
WENDY'S 89717
LAKE WORTH
FL
12.88
FOOD/BEV
01/20/04
AIRCELL INC
303-4995624
CO
76.67
01/21/04
OFLANAGANS
NEW YORK
NY
33.25
5812/01
FOOD/BEV
28.25
TIP
5.00
01/21/04
NY
19.75
FOOD-BEV
16.75
00
3.00
01/21/04
SINGH AND SINGH
NEW YORK
NY
01/22/04
SINGH AND SINGH
NEW YORK
NY
01/22/04
BAKER STREET
NEW YORK
NY
34.98
FOOD-BEV
34.98
10.30
8.68
01/24/04
PAPER,INKJET,OD,24LB,92 BRIGHT
PAPER,HP PHOTO,4X6,PREM,60/PK
FOLDER,LTR,HANG,1/5O,256X,YEL
FOLDER HANGING LTA 16 CUT
01/25/04
LOWES
47.68
61.41
01/26/04
PALM.NET SERVICE 888.756.7256
CA
21.83
INFO SERVICE
01/26/04
PRO-LINE TOOLS
WEWNGTON
FL
119.68
01/29/04
LOWES
41.26
01/29/04
DRYCLEAN USA 871414 LAKE WORTH
FL
25.03
DRY CLEANERS
Continued on next page
EFTA01703550
DUPLICATE COPY
Prtoarod For
Amami Number
Moro Dee
Page 9 01 12
XXXX->0000(2-81005
02/08/04
New Activity Continued
Amount $
02/03/04
UNITED AIRLINES
BLOOMINGTON IN
From:
To:
CHARLOTTE NC
COLUMBUS OH
PHILADELPHIA PA
Ticket Number: 01 1 14 7
Passenger Name:
Document Type:
Carrier:
Class:
UA
05
UA
05
UA
05
UA
05
Date of Departure: 02/04
348.40
02/03/04
UNITED AIRLINES
BLOOMINGTON IN
From:
To:
CHARLOTTE NC
COLUMBUS OH
PHILADELPHIA PA
Ticket Number: 01 1061495710
Passenger Name:
Document Type: P
Carrier:
Class:
UA
05
UA
05
UA
05
UA
05
Date of Departure: 02/04
348.40
02/03/04
UNITED AIRUNES
BLOOMINGTON IN
From:
To:
CHARLOTTE NC
COLUMBUS OH
PHILADELPHIA PA
Ticket Number: 01 1 14 721
Passenger Name:
Document Type: P
Carrier:
Class:
UA
05
UA
05
UA
05
UA
05
Date of Departure: 02/04
348.40
02/03/04
UNITED AIRUNES
BLOOMINGTON IN
From:
To:
CHARLOTTE NC
COLUMBUS OH
PHILADELPHIA PA
Ticket Number: 01621051495732
Passenger Name:
Document Type:
Carrier:
Class:
UA
05
UA
05
UA
05
UA
05
Date of Departure: 02/04
348.40
02/03/04
UNITED AIRUNES
From:
WEST PALM BEACH
Ticket Number: 01
Passenger Name
Document Type:
CHICAGO
IL
To:
FL
CHARLOTTE NC
COLUMBUS OH
PHILADELPHIA PA
1 1
791
Carrier:
Class:
UA
05
UA
05
UA
05
UA
Q5
Date of Departure: 02104
348.40
02/03/04
LAKE PARK
FL
100.00
DOCTOR
02(05/04
SATCOM DIRECT, INC 321777=0
FL
68.19
Total of New Activity for
New Charges
Payments/Creclits
2,778.93
0.00
Total of New Activity
New Charges
Payments/Credits
60,802.36
44,80414
EFTA01703551
Prepared Far
DUPLICATE COPY
Osw
>socZ0000(2-61005
Pape 10 012
EFTA01703552
DUPLICATE COPY
Papaed Per
ACCCUM Number
axing Delo
)000(40000(2-61005
02/08/04
Page 11 of 12
s
„,,CustornExtras-
Your Year End Summary - Now Online and Ready for Viewing
To access your 2003 Online Year End Summary, log on to www.
americanexpress.com/yearendsummary. Your Online Year End
Summary gives you access to important information, 24/7. Flexible
new features help make organizing your expenses a snap. Download
the Summary and print it out, sort by date, merchant name, or charge
amount, view your own charges, those of an Additional Card, or
everything at once and review charges made within a category like
Travel and Restaurant. Your Online Year End Summary can be an
indispensable tool for preparing taxes and budgeting. In addition to
viewing your Year End Summary online, you will continue to receive
a paper copy for every year of Cardmembership.
For any questions
regarding your Online
Year End Summary,
please visit
www.ammicanexpress.
comtyearendsummary.
(CE 104182)
7-Night Hawaiian Vacation Packages Starting at $964/Person
CLASSIC
teal
rd
CugoM
VACATMS.
Book a 7-night Hawaiian vacation to Oahu with American Express Travel and
receive a rental car. Rates start at $964 per person at the Hilton Hawaiian
Village. Beach Resort & Spa on Oahu.
Price shown is per person, land only, based on 7-night double occupancy at
Hilton Hawaiian Village Beach Resort & Spa in a Garden View room. Airfare is
additional and not included in the rate shown. Subject to availability at time of
booking and may be changed or discontinued without notice. Cannot combine
•
with other promotional otters. Hotel blackout dates, taxes, minimum night stays,
seasonal surcharges or other restrictions may also apply. Additional packages
and hotels available at higher prices.
Valid for booking and travel dates through 4/30/04. Rental Car valid for economy-
size car with Hertz for up to 7 days--clients choosing upgraded vehicle or
additional days will receive a $199 car credit toward booking. Offer requires
minimum 7-night stay at participating hotels and purchase of Classic Hawaii's
Change and Cancellation Waiver ($59 per adult), which is additional.
Call American Express Travel at 1.888-AXP-0071 to book now! American Express Travel
Related Services Company, Inc. acts solely as a sales agent for travel suppliers and is not
liable for the acts or actions of such suppliers. CST# 1022318-10, TA-149 Registered Ohio
Travel Agency, Washington UBI# 600-469-694, ML# 1192.
Call American Express
Travel at
1-888-AXP-0071 to book
now!
(CE 104162)
Get MONEY Magazine for Only $9.99!
For practical advice and information on how to invest, save and
spend, try MONEY magazine for only $9.99 for 1 year (14 issues)--our
LOWEST PRICE AVAILABLE ANYWHERE! You'll save over 82% off
the cover price. Your subscription will be entered into the Preferred
Subscriber's Automatic Renewal Program*.
money
'Preferred Subscriber's Automatic Renewal Program--Your subscription will be
automatically renewed annually without interruption unless you tell us to stop. At the end of
your initial term and before the start of each new term, MONEY will charge your American
Expresso Card in time to lock in the savings then in effect (current savings am 82% off the
cover price). You can cancel at any time and get a full refund on all unmailed issues.
To subscribe, please call
1.888.276-2508. When
placing your order you
must mention American
Express offer code
MOEIGJU7 and pay with
your Card to qualify for
this special offer.
(CE 104222)
Odds Are, We Can Save You Money on Your Auto Insurance
That's right--we beat our competitors' prices more than half the time.*
And, besides great rates, we offer valuable extras like free roadside
assistance when you buy towing coverage, convenient payment
options and the freedom to pick your own repair shop.
More than 75,000 Cardmembers have made the switch to the
American Express Property Casualty companies. Call us today!
Trice comparison data collected from respondents at time of contact. Statistics based on a
countrywide average during a 12-mo. period ending 9/30/03. Insurance underwritten by
AMEX Assurance Company or IDS Property Casualty Insurance Company, De Pere, 1NI.
Discounts apply to certain coverages and vary by state. Not availabile in all states.
Call 1.800.842.3344
today and be sure to
mention reference code
1N9-02 to receive your
quick, no-obligation quote!
Or, if you prefer, visit
americanexpress.cornr
autohome to request your
quote.
(CE 104216)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703553
Prepted For
DUPLICATE COPY
)008(N-Tots00C1,2-61005
Page 12 of 12
. nat t" Publishing
Gold Card Events
Did you know that as a Gold Card member you have access to some
of the most sought-after tickets to the hottest shows nationwide?
Choose from Broadway, concerts, family and sporting events, and
more! If you want to be amoung the first to find out about the hottest
events and how to purchase tickets, please visit us at
www.amerIcanexpress.com/gce.
Offer only available to Card members with the American Express* Gold Card, Platinum
Card*, Centurion* Card, Corporate Platinum Card and the Executive Business Card,
Business Gold Card, Business Platinum Card and Business Centurion Card from OPEN:
The Small Business Network".. Ticket service charges and knits may apply. Sulaymt to
availability as well as to prior group sales, subscription sales and special ticket holds.
Casting, dates and prices subject to change.
For a complete listing of all
eligible and non-eligible
Card products, visit us at
www.americanexpress.
corn/goe or call
1.800.448-TIKS. Some
Gold Card Events may
not be accessible to Card
members with disabilities.
(CE 104218)
Now Accepting the American Express® Card!
Napster - Discover and buy music in a whole new way with Napster
2.0. To buy tracks, burn or transfer any albums, visit us at
www.napster.com.
Avdeals.com/Plasma.com - Your online source for home theater
equipment. For more information on plasma screens, LCD TVs and
video projectors, call 1-877-722-8948 or visit www.avdeals.com.
Times Square Brewery - Returns to Times Square at 210 West 42nd
Street in New York City with its dazzling and exciting views of
fabulous 42nd Street! 212-398-1234.
If there are other places
where you would like to
see the Card accepted,
please call the Customer
Service number that is
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104176)
Are You Overpaying for Personal Checks?
Tired of the inconvenience of ordering your personal checks through
your bank? Since 1997, American Express Publishing has been
offering personal and business checks and accessories to
Cardmembers at prices up to 50% less than financial institutions.
Other quality products we offer are address labels, deposit slips,
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security features that exceed industry standards, as well as strict
confidentiality of account information. And, we offer an unconditional
money-back satisfaction guarantee.
Order your checks now from a trusted name--American Express.
Order now at
www.amexpub.com./
checks/statement or
call 1-800-662-2314 to
request a brochure.
(CE 104173)
The 2004 South Beach Wine & Food Festival in Miami
Join Emeril Lagasse, Bobby Flay, Alton Brown, Eric Ripen, Alain
Ducasse, Ming Tsai and dozens of others for an unbeatably delicious
weekend on the beach, March 5-7, 2004, at one of the country's most
exciting wine and culinary events, the South Beach Wine & Food
Festival. The South Beach Wine & Food Festival offers a celebrity chef
and wine-makers golf tournament, a champagne barbeque on the
sand, wine and food pairing seminars, an interactive cooking lunch
and an elegant special tribute brunch. You will also receive 15% off
the purchase of a weekend pass when you use your American
Express® Card.
SOUTH BEACH
WIINE
&FOOD
FEST I VAL
Simply visit
www.sobewineandfood
fest.com or call
1.866.333-SOBE.
Mention Promo Code:
wIne&food0304 to
receive your American
Express exclusive offer.
(CE 104233)
Carry the TravelFunds® Card from American Express
The TravelFunds Card is a prepaid, reloadable card that's safer than
cash and isn't linked to your bank account. If it's lost or stolen, your
balance is refunded, usually within 24 hours. When you carry it, you
can even get help replacing a lost or stolen passport or major credit
cards*. It's accepted at millions of places worldwide, as well as
hundreds of thousands of ATMs**.
'Proof of TravelFunds Card purchase may be required. Credit card replacement assistance
is for major bank-issued credit cards only (not retail store, gasoline, calling cards, etc.).
Fees for passporVcrect4 card replacement are the sole responsibility of the customer.
"ATM Fees apply. For complete Terms, visit www.amerIcanexpress.com or call
1.888-412.6945.
The TravelFunds Card--
a new safe way to carry
your travel money.
Purchase your
TravelFunds Card,
by visiting
VAMEIMerIcanexpress.
comitravelfundscard
or by calling
1.888.412-6945.
(CE 104244)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703554
Gold Card
Statement of Account
Prepared For
Pr OVOJI) Sautes
59,928.76
PayrnenleCe eta S
DUPLICATE COPY
New
Balance $
54,67 7.24
cloebg Dale
03/09/04
-.Ak57.0i81,84;1:
iidteillthijkge
As 100401
e,
AzggamAi
Page 1 of 14
Please Pay By
03/24/04
Please refer to page 2
for important information
regardng your account
See Page 11 For A Notice Of Changes To Your Agreement
See Page 13 For An Important Privacy Notice
Your payment is due in full. Please pay by 03/24/04. Pay your bill online anytime, anywhere at www.
americanexpress.com/paybill.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Activity "nd"""`°" °2”
New Activity for JEFFREY E EPSTEIN
aled=OOO0.0(M!COS
62/21/447---JpAYMENTA8cElvED?THANISY9u-
Total of New Activity for JEFFREY E EPSTEIN
FasignSpenfry
lumum$
59 9't8126- •
New Charges
Payments/Credits
0.00
.59,928.76
New Activity for
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02/09/04
EARTHLINKNET
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132924275 30309
INTERNET SVC
GA
21.95
02/09/04
RETAIL
TX
5.00
Please Idd on the relcreicn baw.eetee we return wth your mount
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
LIMA lllll WILILIMAJJAM.MM
Mail Payment to:
Please Pay By:
03/24/04
Total Amount Due
$54,677.24
P.O. BOX 2855
NEW YORK NY 10116-2855
Continued on Page 3
Please enter account
number on all checks and
correspondence.
To avoid adational
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
on reverse side. Unless
ch
check here, this
ange will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
005467724005471201 09rlrl
EFTA01703555
Prepared Fa'
DUPLICATE COPY
)00CX-XXXXX2-6100.5
Page 2 of 14
Payments: Your monthly statement is payable in full upon receipt Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic paymenW paced in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delagy in
processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
transmitting the amount of the check,
routing number, account number and check serial number to your financial institution. Your checking account may be
debited as soon as the same day we receive your pap-rant. If we can not collect the funds electronically at first
presentment,we may issue a draft against your account for the amount of the check
Authorization for Electronic Payments: By using the American Express Pay By Computer, Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at vmv.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United. States, contact us immediately at 1.800.9923404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 3.Nr.-393.1111. You are
fully protected against anitraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liabifity is $.50 should you fail to report its lessor theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional 95 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry s damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the dosing date. To keep your
account current, pay by the payment due date shown on your statement.
▪
Rights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
nee. more inlormation about a transaction which appears on your statement, write or call the Customer Service
department as indicaledon your paper statement, or click on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserve your rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are stilt obligated to pay the parts of your bill that we not in question. While we investigate your
inquiry, we cannot report you as delinquent or take any action to collect the amount in question. Please retain any receipts
pertinent to your daim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase once was more
than $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service link online at wvnv.americanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, or 1-800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong, please contact us as soon as prwsible. We must hear from you no later than 60 days after we sent you
the FIRSTstatement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as dearly as you can why you believe there is an error
or why you need more information. We will investigate your complaint and correcl any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated 'CR'') is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or cEck on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement Indicating the credit balance, issue a check t0 you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more billing cycles, a late payment fee of 1.75%of all past due amounts will be added.
Change or Address
II correct on trent
do not use
Name
Company
Name
Street Address
CM. state
Zip Code
Area Code and
Hoene Phone
Area Code and
Week Phone
Emad
r
To Pay By Phone
1.800.472.9297
Customer Service
1-800-327-2177
24 hours/7 days
Lost or Stolen Card
1.800.992.3404
Express Cash
1.800-CASH-NOW
International Collect
1-336-393-1111
Hearircpaired
(9am
ES1)
M:
-800-221-9950
FAX: 1-800-695-9090
In NY: 1-800-552-1897
O
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329.7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
E xpress will enable you
iii
to receive special offers,
suited to your needs.
EFTA01703556
DUPLICATE COPY
Prevwee For
kaitsalNuilaie
Clog rg Dale
)000(40000(2-61005
03/09/04
Page 3 of 14
New Activity Continued
frecevn sixaneg
All1C41111$
02/1W04
TX
From:
To:
Ticket Number: 00121247434784
Passenger Name:
MR
Docurnent Type:
KET
Carrier:
Class:
AA
Y2
Dale of Departure: 02/10
842.10
02/10/04
STARBUCKS
000687HURST
TX
9.42
02/10/04
TX
Location
Rental:
IRVING TX
Return:
IRVING TX
Agreement Num r: D 12175
Renter Name:
Reference Num r:
Date
02/09/04
02/10/04
172.14
tide
02/10/04
DICKIES BAR43-OUE DALLAS
n(
FOOD/SEVERAGE
FOOD/BEV
866
02/10/04
FL
98.27
02/11/04
CAR & TRUCK DEALERS(NEW & USED)-Sal FS,SV
573.83
02/11/04
FL
12.72
02/11/04
FL
DRY CLEANERS
94.24
02/12/04
JETBLUE
SALT LAKE ' UT
From:
To:
Ticket Number: 1
101002
Passenger Name:
Document Type:
ET
Cartier:
Class:
B6
HK
Date of Departure: OW12
375.20
02/12/04
FL
Routing Details Not Available
Ticket Number:
1 8108242
Passenger Name:
Document Type:
50.00
02/12/04
DIRECT/ DBS SERV 800-497-1117
SD
TV SERVICE
RTC'DIRECTV SERVICE
69.61
02/12/04
AMOCO 5223
BP
PAY AT PUMP789940445009
59.55
02/12/04
NY
FOOD/BEVERAGE
FOOD/BEV
30.02
TIP
5.00
35.02
02/13/04
Fl.
00 AUDIONIDEO SLSISVC
699 60
02/14/04
FRANCE
VOUS REMERC1E DE VOTRE VISITE
e21O3
atepeen thew
Ego
81 21
02/14/04
FRANCE
VOUS REMERC1E DE VOTRE VISITE
17,70
Eurepean unce
Euro
23.16
Continued on reverse
EFTA01703557
DUPLICATE COPY
Prepared Far
acccurt Marta
XXXX-XXXXX2-61 005
Page 4 of 14
New Activity Continued
Foote, Spoperrp
Amounts
02/15/04
FRANCE
aoico
European Urean
Euro
105.24
02/17/04
FRANCE
21,50
Lawn Wen
Euro
28.06
02117/04
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
21.83
02/17/04
FRANCE
2179.73
&repeal Unbo
Ewe
2,863.95
02/18/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
ALBUQUERQUE NM
Ticket Number: 0
7
Passenger Name:
Document Type:
KET
Carrier.
Class:
DL
TR
DL
TR
DL
TE
DL
TE
Date of Departure: 03/06
226.40
02/18/04
NY
FOOD/BEVERAGE
FOOD/BEV
46.60
TIP
7.00
53.60
02/19/04
OFLANAGANS
NEW YORK
NY
5812/01
FOOD/BEV
47.50
TIP
7.00
54.50
02/19/04
RUDY'S INFLIGHT CATETETERBORO
NJ
278.62
02/19/04
ULTRASMITH SYSTEMS1NEW YORK
NY
680.06
02/21/04
WLPTRAVELVALUESPLUS800-8904892
CT
7.00
02/21/04
WLPRESERVATI0NREWAR888-6885995
CT
7.00
02/22/04
828 SOUTHERN BLVD WEST PALM BEACH FL
GROCERIES
52.75
02/22/04
THE HOME DEPOT 220 LAKE PARK
FL
5.13
02/22/04
EXX0NMOBIL6707733900LAKE PAR
FL
IN-STORE 6707733900
119.23
02/23/04
FL
1,901.99
02/23/04
NY
5812-01 FOOD/BEVERAGE
FOOD/BEV
0.06
TIP
25.00
25.06
02/23/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
73.85
TIP
10.00
83.85
02/24/04
INDIA'S CLAY OVEN MONTEREY
CA
FOOD/BEVERAGE
FOOD/BEV
45.31
WAITER
7.00
52.31
02/25/04
CA
GIFTS
FOR CUSTOMER SERVICE CALL 831.6439323
16.95
Continued on next pegs
EFTA01703558
DUPLICATE COPY
Piqued Fat
Acoaunt Nurrber
Cbsiog Dale
Page SW 14
YJO0C-)0000K2-61005
03/09/04
New Activity Continued
Fuego Sporoirg
Amount S
02/25104
LITTLE NAPOLI
CARMEL
CA
FOOD/BEV
93.09
TIP
17.00
110.09
02/26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
24.25
02/26/04
JET AVIAT
LANDING FEE 827210108
1,760.00
02/26/04
MONDO'S TRATTORIA CARMEL
CA
FOOD BEVERAGE
FOOD/BEV
100.33
TIP
20.00
120.33
02/26/04
STAPLES
SEASIDE
CA
OFFICE SUPPLIES
42.88
02./26/04
ID
REEDER FL
FEES 107841032
375.00
02/27/04
CA
Location
Rental:
Return:
Agreement Number: 252207981
Renter Name: EPSTEIN /JEFFREY
Reference Number: 020028
Date
02/24/04
02/27/04
534.80
02/27/04
GLADSTONES
PACIFIC PALAS
CA
01/FOOD AND BEVERAGE
FOOD/BEV
•
114.18
TIP
20.00
134.18
02/28/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/24/04
02/27/04
LODGING
No of Nights
3
1,353.68
02/28/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/24/04
0227/04
LODGING
No of Nights
3
3.00
02/28/04
NY
MISC FOOD STORE
29.33
02/28/04
YANKEE DOODLES
SANTA MONICA
CA
FOOD/BEVERAGE
FOOD/BEV
23.50
TIP
5.00
28.50
02/28/04
P.F. CHANG'S #4200 WOODLAND HILLS CA
FOOD/BEV
60.24
TIP
9.00
69.24
02/28/04
LODGING CHRGS
5.60
02/28/04
CA
Location
Date
128.66
Rental:
MONTEREY CA
02/24/04
Return:
MONTEREY CA
02/28/04
Agreement Num r: D156728
Renter Name:
Reference Num
.
181305
Contirsued on reverse
EFTA01703559
DUPLICATE COPY
rf
rc Pc,
Accast Mater
)00000000(2-61005
Page 6 of 14
New Activity Continued
Foreiir Sixrdro
Amount S
02129/04
CA
DOS...: 2/26/2004
Rest.: 04456064
Pasngr: ELMS. MAXWELL
170.24
02/29/04
LODGING CHRGS
CA
5.60
02/29/04
CA
SKYTRAILS
FEES 105631021
12.99
03/01/04
CA
DOS...: 2/26/2004
Rest.: 04457027
Pasngr: G.MS. MAXWELL
170.24
03/01/04
LODGING CHRGS
CA
490.13
03/02/04
OFLANAGANS
NEW YORK
NY
5612/01
FOOD/SEV
69.00
TIP
12.00
81.00
03/02/04
11P 00000800
59.35
03/02/04
PREMIUM SERVICES 888-265-9269
VA
ONUNE SVCS
TWX*AOL PREMIUM SVCE 02
11.90
03/02/04
AOL SERVICE
800-827-6364
VA
ONLINE
TWX'AOL SERVICE 0204
35.29
03/02/04
STARBUCKS
000082NEW YORK
NY
FOOD/BEVERAGE
8.80
03/02/04
NY
FCOD/BEE RAGE
FOOD/BEV
48.15
WAITER
7.00
55.15
03/03/04
SOUND CITY
2125750210
NY
592.00
03/04/04
CRYSTAL COMMUNICAT1OTAMARAC
FL
104.52
03/05404
AMOCO 5223
BP
PAY AT PUMP789940473022
19.57
159.68
03/05/04
NJ
03/06/04
NY
MISC FOOD STORE
42.73
03/06/04
NM
58.16
03/09/04
EARTHUNK.NET
800-719-4660
GA
136444752 30309
INTERNET SVC
21.95
03/09/04
MA
295.20
Total of New Activity for
New Charges
Payments/Credas
16,936.49
34.77
Continued on next page
EFTA01703560
DUPLICATE COPY
Prepared For
Pecan lAntei
)00000000(2.61005
Claim Oda
03/09/04
Page 7 of 14
New Activity for DAVID RODGERS
cam XX:COOCCOC243027
Foce91 SPercreg
Arnount $
02/09/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number: 18204100101000
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
B6
K_
Date of Departure: 02/09
607.80
02/09/04
T-MOBILE
800-937-8997
WA
T-MOBILE
158.68
02/09/04
JET AVIAT
FUEL JETA 827210097
8,631.89
02/12/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number: 89904400101002
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Cartier:
Class:
B6
HK
Date of Departure: 02/12
182.60
02/17/04
FRANCE
1.$33,21
Eutcpsan Una.
Euro
2,369.24
02/18/04
LONG DISTANCE
888-213-8406
NJ
LONG DISTANCE
13.66
02J20/04
AIRCELL INC
303-4995624
CO
57.92
02/22/04
JET AVIAT
FUEL JETA 827210131
8,027.76
02/26/04
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
10.91
02/27/04
CA
MONTEREY
JET Al 108531039
3,717.12
02/28/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/24/04
02/27/04
LODGING
No of Nights
3
786.36
03/01/04
FL
MISC RETAIL
MISC 8, SPECIALTY RETAIL STORES
380.54
03/01/04
SEVEN BAR
ALBUQUERQUE
NM
SEVEN BAR
CATERING 884310337
29.45
03/01/04
LODGING CHRGS
346.16
03/02/04
CA
Location
Rental:
VAN NUYS CA
Return:
VAN NUYS CA
Agreement Number: 0802035
Renter Name: EPSTEIN•JEFFREY'
Reference Number: 65888610
Date
02/27/04
03/02/04
211.06
03/02/04
CA
Location
Date
49.77
Rental:
VAN NUYS CA
02/27/04
Return:
VAN NUYS CA
03/02/04
Agreement Number: D802037
Renter Name: RODGERS/DAVID'
Reference Number: 65888612
Continued on reverse
EFTA01703561
Prepared Fn
DUPLICATE COPY
AxcW
>c<xxe4OO3,0O(2-61005
Page 8 of 14
New Activity Continued
FOrtrn. EPordrg
AllIOYMS
03/03/04
MEDAIREANC
6024524300
AZ
331.45
03/07/04
JET AVIAT
FUEL JETA 827210166
4,042.88
03/08/04
TIP 00000600
37.50
03/08/04
MI WON AIR • TETERBTETERBORO
NJ
MI WON A
JET Al 132981003
03/08/04
LEGAL SEA FOODS #22 BURLINGTON
MA
FOOD/BEV
FOODIBEV
60.69
TIP
12.00
2,915.00
72.69
Total of New Activity for DAVID RODGERS
New Charges
32,980.44
Payments/Credits
0.00
New Activ
r
Caal *2OC.
02/11/04
T-MOBILE
WA
121.12
T-MOBILE
02/12/04
FIMSHOST-P81-AIRPT $16West Palm Bea
FL
12.56
FOOD/BEV
02/13/04
41,40
Eercperen Unica
FRANCE
Ern
02/14/04
FRANCE
54.23
32,50
ampeein we
Ewe
42.57
02/1904
PATISSERIE LADUF1EE, PARIS
FRANCE
02/15/04
FRANCE
02/16/04
FRANCE
00
Eurcpcon
&No
105.24
U
Erman 7nC
Euro
10.31
European U7r2
Ewe
10.38
02/17/04
FRANCE
1.Th 71
&seinen Emu
2,372.52
02/18(04
TIP 00000300
02/18/04
OFLANAGANS
NEW YORK
NY
30.00
5812/01
FOOD/BEV
25.00
Tip
5.00
19.80
02/19/04
NY
17.00
02/20/04
AIRCELL INC
303-4995624
CO
76.67
02/21/04
DRYCLEAN USA #71414 LAKE WORTH
FL
23.46
DRY CLEANERS
02/22/04
WENDYS #9717
LAKE WORTH
FL
12.13
FOOD/BEV
Continued on next page
EFTA01703562
DUPLICATE COPY
ortptroj For
Cixro Da:
Page 9 of 14
XXXX-XXXXX2.61005
03/09/04
New Activity Continued
ForeGn Ware
Amounts
02/23/04
OFLANAGANS
NEW YORK
NY
5812/01
FOOD/BEV
23.50
TIP
4.00
27.50
02./23/04
1483 FIRST AVE RESTARUANT NEW YORK NY
TIP 00000900
84.17
02/24104
OFLANAGANS
NEW YORK
NY
5812101
FOOD/BEV
8.00
TIP
2.00
10.00
02/24/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/24/04
02/24/04
CHARACTERS
FOOD/BEVERAGE
No of Nights
1
35.50
02/25/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/25/04
02/25/04
CHARACTERS
FOOD/BEVERAGE
No of Nights
1
60.00
02/25/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/25/04
02/25/04
LOBBY BAR
FOOD/BEVERAGE
No of Nights
1
5.90
02/26/04
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
21.83
02/26/04
CA
8.53
02/27/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/27/04
02/27/04
FOOD/BEVERAGE
No of Nights
1
14.21
02/28/04
MARRIOTT 337N5MONTRYMONTEREY
CA
Arrival Date
Departure Date
02/24/04
02/27/04
LODGING
No of Nights
3
879.83
02/28)04
LODGING CHRGS
CA
18.16
02/29/04
RUBY'S DINER
00/FOOD AND BEVERAGE
FOOD-BEV
10.76
TIP
3.00
13.76
03.001/04
LODGING CHRGS
CA
395.22
03/02/04
TIP 00000300
12.84
03/03/04
NY
8.50
03/05/04
DRYCLEAN USA #71414 LAKE WORTH
FL
DRY CLEANERS
26.85
03/06/04
BUS COMML AV
HIGHTSTOWN
NJ
42.00
Continued on reverse
EFTA01703563
DUPLICATE COPY
Prepwed Fat
AmoblNwitor
MC(4OOOO(2-61005
Page 10 of 14
New Activity Continued
aegn Swam
Mloun
03/08/04
117.35
PEN,FLAIR,PNTI3RD,BLK,12PK
TAPE,LETTERING,r,BLACK/WHITE
CD-R,700MB/80MIN,MAXELL,50PK
CARTFIIDGE,INK,CANON,BCI-24C
03/08/04
LOWES
104.94
Total of New Activity for
New Charges
4,795.08
Paymeols/Crechts
0.00
Total of New Activity
New Charges
54,712.01
Paymentsstredits
-59,963.53
EFTA01703564
DUPLICATE COPY
Fo:
fria Dale
Page 11 of 14
03/09/04
Notice of Changes to Your Agreement
We are making Important Changes to your American Express Cardmember Agreement governing the American Express° Card Account
identified on this Notice. We urge you and any Additional Cardmembers on your Account to read this Notice carefully.
The changes made to the Cardmember Agreement will become effective as indicated below. This Notice formally amends that Agreement
and any contrary or conflicting language in that Agreement is replaced fully and completely. Note that the terms of your Account are subject
to change (Including increasing APRs and fees and changing fixed APRs to variable APRs) in accordance with the Agreement governing
your Account. All terms of the Agreement not amended herein remain in full force and effect.
This is an important Notice of changes to your American Express Card Account Agreement. We recommend that you carefully review the
changes, and then file this Notice for future reference. If you have questions regarding this Notice, please call the telephone number listed on
the back of your American Express Card.
Dishonored Payment Fee (Effective May 8, 2004)
We are increasing the fee to $38 whenever any check, similar instrument, electronic payment order that we receive, or a check presented at
an American Express Travel Services Office or other authorized location is not honored by your bank or other financial institution.
Accordingly, we are amending the Other Fees section of your Cardmember Agreement applicable to Dishonored Payments by replacing
"$29" with "$38." We are also replacing the "$29" with "538' In the Fees section of your 'Agreement between Cardmember and American
Express Travel Related Services Company, Inc. Concerning Electronic Funds Transfer Services?
Fee for Copies of Statements (Effective May 8, 2004)
We are increasing the fee for copies of billing statements to $5 per statement copy requested. Accordingly, we are amending the Other Fees
section of your Cardmember Agreement applicable to copies of statements by replacing 1.3" with -$5."
APR Applicable to Sign & Travel° and/or Extended Payment Option Accounts (Effective with billing periods ending in June 2004)
We are amending the Finance Charges section of your Sign & Travel and/or Extended Payment Option Agreement as follows:
petermining the Prime Rate Applicable to Your Account; We are changing the timing of when we determine the Prime Rate used to calculate
the variable APRs applicable to your Account to the higher of the 1st or 25th day of the month prior to the month in which your billing period
ends. Accordingly, the subsection of the Finance Charges section of your Sign & Travel and/or Extended Payment Option Agreement that
describes the Prime Rate Is revised to replace "20th day' with "25th day.'
APR Applicable to Accounts in Default We are changing the Default Rate applicable to your Sign & Travel and/or Extended Payment Option
Account from a fixed APR of 23.99% to a variable APR equal to the Prime Rate plus 21.99%. This change will apply to Accounts that are at
the Default Rate as of the effective date as well as Accounts that go into default in the future.
•
Accordingly, the sentence in the Finance Charges section of your Sign & Travel and/or Extended Payment Option Agreement that describes
the Default Rate Is replaced with the following sentence:
"The Default Rate is a DPR which corresponds to an APR equal to the Prime Rate plus 21.99%?
Monthly Payment-Minimum Payment (Effective with billing periods ending in June 2004)
We are changing the calculation of the Minimum Payment on your Sign & Travel and/or Extended Payment Option Account. In some cases,
as described below, we will increase the Minimum Payment by $15. Accordingly, we are revising your Sign & Travel and/or Extended
Payment Option Agreement by replacing the third paragraph of the Billing Statement-Minimum Payment section with the following:
'Each Account statement will reflect a Minimum Payment due upon your receipt of the Account statement. The Minimum Payment
for any Charges will be the total of () any previous billed Minimum Payments that remain unpaid on the Closing Date of the
statement and (ill the greatest of:
(1) 1/50th of the New Balance shown on your Account statement on the Closing Date of the billing statement (the
calculation of which is rounded up to the nearest whole dollar),
(2) the current month's billed Finance Charges, or
(3) $20 (or the New Balance if it Is less than $20).
If the greatest of the three calculations immediately above is the current month's billed Finance Charges, then we will add 515 to
the calculation of the Minimum Payment.
You may pay more than the Minimum Payment, up to the entire New Balance, at any time?
BP/C01FYI/0304
EFTA01703565
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Prtc.alc.:
Page 12 of 14
Other Important Information About Your Account
Annual EFT Error Resolution Notice
This notice is to inform you about how you should notify us of errors or questions regarding any electronic fund transfers you initiate using
your American Express Card or electronic payments you make to American Express using Pay By Phone, Pay By Computer, or any other
American Express electronic payment service.
In case of errors or questions about your Electronic Transfers, please telephone us at 1.800-IPAY-AXP for Pay By Phone and Pay By
Computer questions, and at 1-800-CASH-NOW for Express Cash and Automatic Payment questions. Alternatively, you may write to us at the
Express Cash Operations address indicated on your biting statement or E-mail us by clicking on the Customer Service Link online at
vAwv.americanexpress.com. We must hear from you no later than 60 days after we sent the FIRST statement on which the problem or error
appeared or question arose. When you contact us, please provide the following information:
(1) Tell us your name and account number.
(2) Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error
or why you need more information.
(3) Tell us the date and dollar amount of the suspected error.
If you tell us orally, we may require that you send us your complaint or question in writing within 10 business days of the call. We will
determine whether an error occurred within 10 business days and will correct any error promptly. If we need more time, however, we may
take up to 45 days to investigate your complaint or question. If we decide we need up to 45 days, we will credit your account within 10
business days for the amount you think is in error, so that you will have the use of the money during the time it takes us to complete our
investigation. If we ask you to put your complaint or question in writing and we do not receive it within 10 business days, we may not credit
your account. For errors involving new accounts, point-of-sale or foreign-initiated transactions, we may take up to 90 days to investigate your
complaint or question. We will tell you the results within three business days after completing our investigation. If we decide that there was
no error, we will send you a written explanation. You may ask for copies of the documents that we used in our Investigation.
BP/CO1 FYI/0304
EFTA01703566
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03/09/04
Page 13 of 14
An Important Notice Concerning Cardmember Privacy
This Privacy Notice is addressed to United States holders of personal American Express` Charge Cards or accounts,
Optima° Cards or accounts, and other personal credit card accounts that we issue, and to United States holders of business
charge and credit cards from OPEN: The Small Business Network from American Express. This Notice explains how we
collect and safeguard information about you and how to tell us your opt out choices. In this Notice, American Express Travel
Related Services Company, Inc., American Express Centurion Bank, and American Express Bank, FSB are called 'American
Express,"we,"our," and 'us: The cards and accounts that we issue are called 'Cards' or "Card accounts.' Holders of those
Card accounts are called tardmembers' or 'you.' Affiliates" refers to other companies in the American Express family,
related to us by common control or ownership.
What Information Do We Collect?
We obtain information about you from a variety
of sources. You provide us with information about
yourself, for example by completing Card applications.
This includes your name, address, social security
number, and income and asset information. Your use of
the Card and your other transactions with us and our
Affiliates provide us with additional information, such as
your spending and payment history.
Other sources, such as credit reporting agencies and
providers of marketing information, furnish us with
additional information about your credit history,
purchasing preferences, and other matters. We also
obtain information in connection with our efforts to
protect against fraud. We call all of this information
'Cardmember Information'
What Do We Do with This Information?
We use Cardmember Information in connection with
delivering products and services to you. To do this it is
often necessary to share it with our Affiliates and other
companies we work with. These include companies that
manage Card accounts, offer affinity, frequent-user, and
reward programs, companies that perform marketing
services and other business operations for us, and
companies whose products or services are provided as
a benefit of your Card account. We may also share
Cardmember Information with other financial
institutions with whom we jointly offer products
and services. And we may disclose it to other third
parties as permitted by law. For example„ we disclose
Cardmember Information in response to subpoenas, to
credit reporting agencies, and to help prevent fraud.
Your Opt Out Choices
You have "opt out° choices about offers that may be
sent to you and how those offers may be delivered to
you. You may also opt out from certain disclosures of
Cardmember Information. Your opt out choices and
how to opt out are explained below.
Offers for Products and Services of Other
Companies
We work with other companies, such as merchants that
accept the Card, so that you may receive offers for their
products and services. We use Cardmember
Information to help make these offers more relevant
and valuable to you. If you respond to one of these
offers, the other company will know certain information
about you, such as your name, that you are a
Cardmember, and that you met the qualifications
established for the offer.
Your choice: You may opt out from receiving these
offers by calling us at 800-297.8378 or by filling out
the attached form and returning it to the address on
the form. You may also include the form with your
regular payment.
Please Note: You may receive additional privacy notices that provide information and different opt out
Card accounts that are applicable only to those accounts.
Please complete this form if you choose to opt out and wish to mall your response rather
than use the toll-free number, which is 800-297-8378. If you have already given us your choices,
you don't need to respond unless you want to change your choices. Return this form to American
Express along with your payment coupon using the payment envelope enclosed with your
statement.
Offers for Products and Services of
Other Companies
K Do not send me offers for products and
services of other companies.
El
Credit Information Provided to
Our Affiliates
Do not share credit-related information
about me (except as described in this
Notice) with American Express Affiliates.
Offers for American Express Products
and Services
GI Mail: Do not mail me offers for American
Express products and services.
K Telephone Offers: Do not contact me by
telephone to offer me products and services.
choices for other
If you do not
have a payment
envelope, mail
your response to:
American
Express
Cardmember
Information
Services
P.O. Box 299836
Ft. Lauderdale
FL 33329-9836
Account Number
3727-686332-61005
MU/1LE/0304
FDR 706671
T5047
EFTA01703567
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Page 14 of 14
Offers for American Express Products and Services
Mail Offers
We may mail you offers for American Express products
and services.
Your choice: To opt out from receiving these mailings,
call us at 800.297-8378 or fill out the attached form and
return it to the address on the form. You may also
include the form with your regular payment
Telephone Offers
We may contact you by telephone about our products
and services or those that we offer with our business
partners.
Your choice: To opt out from receiving telephone
offers, call us at 800-297-8378 or fill out the attached
form and return it to the address on the form. You may
also include the form with your regular payment.
Information We Share with Our Affiliates
Our Affiliates include financial advisors, publishers,
insurers, and travelers cheques issuers. American
Express Travel Related Services Company, Inc., and
American Express Centurion Bank, and American
Express Bank, FSB are Affiliates of each other. We may
disclose certain Cardmember Information to our
Affiliates to provide services for your Card account and
to develop and send you offers for their products and
services. We are permitted by law to share with our
Affiliates information about our transactions and
experiences with you, such as your payment history.
But you can opt out of our sharing with our Affiliates
other credit-related information (such as your credit
history as shown on a consumer report).
Your Choice:
To opt out from our sharing credit-related information
with our Affiliates (except as permitted by law) call us at
800-2974378 or fill out the attached form and return it
to the address on the form. You may also include the
form with your regular payment
E-Mail Offers
We may send you e-mail offers for our products
and services, and those of our Affiliates and other
companies we work with. We don't share e-mail
addresses with other companies for them to market
their own products and services to you.
Your choice: To opt out from receiving these e-mail
offers, enter your preferences at the *Set E-Mall
Preferences' page of our Internet Privacy Statement at
www.americanexpress.corn/preferences.
Additional Information About Your Opt Out Choices
If you are the primary Cardmember on your Card
account, your opt out choices will also apply to any
other Cardmembers on your Card account. If you opt
out, we may still include notices and information about
the Card and other products and services when
communicating with you about your Card account
and related products and services.
Information Security
We take commercially reasonable physical, electronic
and procedural steps to help safeguard Cardmember
Information.
Former Customers
If you cancel your Card, or your Card account(s)
are closed, we will continue to treat and safeguard
Cardmember Information about you as described in
this Notice.
For Vermont Cardmembers Only
If your Card account has a Vermont billing address,
we will automatically treat your account as if you had
checked the lower-left hand box on the attached opt
out form. We may share your name and contact
information, and information about our transactions or
experiences with you, with financial institutions with
whom we jointly offer financial products and services
and with our Affiliates. This Notice describes opt out
choices about certain other uses of Cardmember
Information.
MU/iLEl0304
FDR 706671
15047
EFTA01703568
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Gold Card
Statement of Account
4.422,440
[email protected]
POI118&-AVallablt3aI: •
et,08/28/04E;t0Ornar9eS *OS:Pad*
t:tUllandaltaccountsaia Oat stancing
Prqsatexl For
qming at
04/08/04
Page 1 of 12
New
Please Pay By
Prevkra Bats-et $
PayrnenIsCreat
New Charon $
Balance $
04/23/04
54,677.24
•!..4;677.24
87,257.89
87,257.89
Please refer to page 2
for important information
regarding your account
Your payment is due in full. Please pay by 04/23/04. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
Contact US at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Gold Card Events!
With American Express@ Gold Card Events, you have access to some of the best seats to the
hottest events nationwide. If you'd like to be among the first to find out about the biggest
Broadway hits, your favorite artist's upcoming tour or sporting and family events, visit us at
www.americanexpress.com/gce to sign up for your FREE e-mail. Stay close to the action.
Sign up now!
For a complete listing of events, visit us at www.americanexpress.com/gce or
call 1-800-448-TIKS. Terms and Conditions apply.
Activity frck'
Pzfrgdthit
New Activity for JEFFREY E EPSTEIN
Cad )0CCOCnne0-61005
I -03/20/0rP
,•
New Charges
PaymentsiCredts
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't54.677..2a
Total of New Activity for JEFFREY E EPSTEIN
0.00
-54,677.24
New Activity for
Card )00X >CCOO(24:2011
03/06/04
GALISTEO INN
GAUSTEO
NM
132.62
LODGING CHARGES
03/10/04
MA
250.92
03/10/04
1642 PASEO DEL PUEBLTAOS
NM
TEXACO
40509760556072223038356
3 Rene kid co the palatal Mow. Matti end rem win your iscmnrit
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
Mail Payment to:
Total Amount Due
$87,257.89
P.O. BOX 2855
NEW YORK NY 10116-2855
I I„1111
IIIIIIIIII
11111
49.43
Continued on Page 3
Please Pay By: Please enter account
04/23/04 number on all checks and
correspondence.
To avoid additional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
cn reverse side. Unless
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
08725789008725789 08r1r1
EFTA01703569
Prepsod Fa
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bawl Manta
)000(-X)O00(2-61005
Page 2 of 12
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delagiin processing. We reserve the right to
ce
pro
ss checks electronically, at first presentment and any re-presentments,
transmitting the amount of the check,
routing number, account number and check serial number to your financial ins elution. Your checking account may be
debited as soon as the same day we receive your payment. If we can not collect the funds electronically at first
presentment, we may issue a draft against your account forth) amount of the cheek
Authorization for Electronic Payments: By using the American Express Pay By Computer Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at wenv.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately at 1-800-992-3404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 336-393-1111. You are
fully protected against any fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is$50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional $5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the closing date. To keep your
account current, pay by the payment due elate shown on your statement.
Billing Rights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more information about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or cliek on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first till on which the errors problem appeared. Although you may telephone us,
doing so will not preserveyour rigNs.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent ortake any action to collect the amount in question. Please retain any receipts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant,3rou may not have to
P
ay the remaining amount due on the goods or services. You have this protection only when the purchase price was more
han $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Unk online at www.americanexpress.com, or you can call us at 1.800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, or 1.800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong, please contact us as soon as possible. We must hear from you no later than 60 days after we
the FIRST statement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as you can why you believe there is an error
or whyyou need more information. We will investigate your complaint and correct any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated tfil is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more billing cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change of Address
correct on from
do not ea
Name
Name
Camay
Street Addles,
City. Stele
ZeD code
Area Code and
Homo Phone
Area Cede and
week Phone
Erna
r
I I IF 1_1 *PI-
+1 1
1
_L IMO
T-TT
To Pay By Phone
1-800472-9297
Customer Service
1.800-327.2177
24 hours? days
Lost or Stolen Card
1-800-992-3404
Express Cash
1-800-CASH-NOW
International Collect
1.336-393-1111
Hearing I
red
(9am-5pm ST)
TTY: 1.800-221-9950
FAX: 1.800.695.9090
In NY:1 -808552-1897
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329.7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable you
ummai
to receive special offers,
suited to your needs.
EFTA01703570
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Proparod Foe
kocan Okrnixt
Ckeito Oole
Page 3 of 12
)00000000(2-61005
04/08/04
New Activity Continued
Amounts
03/11/04
MA
112.60
03/12/04
DIRECTV DBS SERV 800-497.1117
SD
N SERVICE
RTC'DIRECTV SERVICE
03/12/04
GALISTEO INN
GAUSTEO
NM
233.15
LODGING CHARGES
03/13/04
NM
85.19
GROCERY STORE
03/14/04
TGI_FRIDAYS $10801 DFW AIRPORT
TX
46.47
FOOD/BEV
03/16)04
JET AVIAT
MISCELLANEO 827210189
69.81
49.38
03/17/04
FL
Routing Details Not Available
Ticket Number 89 81398109760
Passenger Name:
Document Type: IL
03/17/04
FL
From:
To:
Carrier.
Class:
AA
LD
AA
H2
Ticket Number 00175384 7351
Date of Departure: 03/20
Passenger Name:
Document Type:
R TICKET
03/17/04
PALM.NET SERVICE 888-756-7256
CA
21.83
INFO SERVICE
03/17/04
CITGO 7 ELEVEN 32593LAKE PARK
FL
50.27
GAS/MSC96 662973259301
03/17/04
SPOTO'S OYSTER BAR PALM BCH GARD FL
TIP 00000800
03/17/04
FL
670.87
25.00
26120
75.05
03/18/04
Routing Details Not Available
Ticket Number: 00107
30
Passenger Name:
Document Type:
KET
03/18/04
FL
11.43
03/18/04
WH SMITH *840 RENAISST THOMAS
XX
10.09
03/18/64
102.00
Description
03/18/04
VI
LODGING CHARGES
LODGING CHARGE
03/19/04
IMS AMERICAN
STUART
FL
35,000.00
ELECTRONICS
03/19/04
SOUND CITY AUDIO 2125751060
NY
1,520.75
Date of Departure: 03/18
60.00
500.98
Contimed on reverse
EFTA01703571
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['reproof for
AO:OA Hurter
)OOC(-)CCOOC2-61005
Page 4 of 12
New Activity Continued
smog
03/19/04
VI
3,334.94
3ER PARTY
03/20/04
FL
198.82
03/20/04
GODIVA CH0C0LAT-11185W.PALM BEACH GARDEFL
10.02
03/21/04
WW1' RAVELVALUESPLUS8004904892
CT
7.00
03/21/04
WU'RESERVATI0NREWAR888.6885995
CT
7.00
0324/04
WALGREENS
RIVIERA BEACH
FL
21.18
03/24/04
THE HOME DEPOT 220 LAKE PARK
FL
242.29
03/24/04
VI
73.83
Location
Date
Rental:
ST THOMAS VI
03/18/04
Reiter:
ST THOMAS VI
03/19/04
Agreement Num r:
1
1
Renter Name:
Reference Nu
r:
03/24/04
MAX & EDDIE'S CUCINASINGER ISLAND
FL
40.03
GENERAL MERCH
03/24/04
E MARINE INC
9545812505
29.18
All Other Mail Order
03/25/04
NJ
48.80
FOOD/BEVERAGE
FOOD/BEV
42.80
TIP
6.00
03/25/04
NJ
MILLION A
JET Al 132981007
03/25/04
JET AVIAT
FUEL - JETA 227210211
4,080.00
4,162.00
03/25/04
SOUND CITY AUDIO 2125751060
NY
293.30
03/25/04
FL
000798532
03/26/04
WALGREEN
034553RIVIERA BEACH FL
12.69
03/26/04
AUT0ZONE #1273
RIVIERA BEACH
FL
11.10
03/26/04
AMOCO 5223
3255
BP
PAY AT PUMP789940456017
03/28/04
PIZZA HUT 012562 5618421876
FL
1526
FOOD/BEVERAGE
03/28/04
MAX & EDDIE'S CUCINASINGER ISLAND
FL
47.13
GENERAL MERCH
03/29/04
FL
37.80
DRY CLEANERS
03/29/04
PAYPAL "TURTLECREAT 402 9357733
CA
25.87
50.00
Continued on next page
EFTA01703572
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Accan *amber
Cairo Dale
Page 5 of 12
)000(')0000(2-61005
04/08/04
New Activity Continued
"noun°
03/29/04
33409
317.99
03/29/04
GUITAR CENTER 3772 W PALM BCH
FL
413.33
03/29/04
FOOD/BEVERAGE
FOOD-BEV
22.15
22.15
03/30/04
JET AVIAT
AVOAS 100 827210223
30.40
03/30/04
MAX & EDDIE'S CUCINASINGER ISLAND
FL
GENERAL MERCH
35.38
03/31/04
PREMIUM SERVICES 888-265-9269
VA
ONLINE SVCS
TWX'AOL PREMIUM SVCE 03
11.90
03/31/04
AOL SERVICE
800-827-6364
VA
ONLINE
TWX-AOL SERVICE 0304
23.90
03/31/04
PUBLIX SIMI 0179 PALM BEACH GARDEN FL
GROCERIES
14.09
03/31/04
SHELLY'S NEW YORK NEW YORK
NY
F000/BEVERAGE
126.65
04/01/04
T-MOBILE
800-937-8997
WA
T-MOBILE
25.14
04/01/04
OFLANAGANS
NEW YORK
NY
5812/01
FOOD/BEV
31.00
TIP
7.00
38.00
04/01/04
NY
FOOD/BEVERAGE
FOOD/BEV
55.85
TIP
8.00
63.85
04/02/04
PAYPAL *DAVITHAM 402 935 7733
CA
25.87
04/04/04
FL
000865766
50.00
04/06/04
PR
Routing Details Not Available
Ticket Number: 00
2
Date of Departure: 04106
Passenger Name:
Document Type:
KET
60.00
04/06/04
TRAVEL AGENCY
Routing Details Not
Ticket Number: 89
Passenger Name:
Document Type: P
JUPITER
FL
SERVICE FEE
Available
1417
580
OF1DEFVPREPAID TICKET AUTHORITY
25.00
04/06/04
Ft.
From:
To:
Cartier:
Class:
AA
H2
MIAMI FL
PA
OD
Ticket Number: 0017
665
Date of Departure: 04/06
Passenger Name:
Document Type:
R TICKET
263.20
Continuod on reverse
EFTA01703573
Prop:sod For
DUPLICATE COPY
m'
out
axtrZOI
;c
cxxzeloos
Page 6 of 12
New Activity Continued
Amounts
04/06/04
FL
FOOD/BEV
FOOD/BEV
75.30
15.00
90.30
04/07/04
THE TRAVEL Gm I FRY JUPITER
FL
Routing Details Not Available
Ticket Number: 89081417305705
Passenger Name:
Document Type:
50.00
04/07/04
FL
From:
To:
Ticket Number: 0017
Passenger Name:
Document Type:
R TICKET
Carrier:
Class:
AA
OD
AA
H2
Date of Departure: nos
261.20
04/07/04
From:
JUPITER
FL
To:
805
Ticket Number: 00111
Passenger Name:
Document Type:
R TICKET
Carrier:
Class:
AA
OD
AA
H2
Date of Departure: 04/09
261.20
04/07/04
FL
000335203
18.85
04/07/04
NY
MISC FOOD STORE
Total of New Activity for
58.98
New Charges
Payments/Credits
54,405.01
0.00
New Activity for DAVID RODGERS
CamMOCO000)24*Og
03/09/04
MA
Location
Renter.
BEDFORD MA
Return:
BEDFORD MA
Agreement Number: 170522634
Renter Name: RODGERS /DAVID
Reference Number: 030010
Date
03/08/04
03/09/04
58.57
03/09/04
RFC—BURLINGTON RESTBURUNGTON
MA
FOOD/BEV
29.46
TIP
6.00
35.46
03/09/04
MA
JET AVIAT
FUEL -JETA 669410219
69600
03/09/04
MARRIOTT 33796BURLNGBURUNGTON
MA
Arrival Date
Departure Dato
03/08/04
03/09/04
LODGING
03/09/04
MARRIOTT 33796SURLNGBURUNGTON
MA
Arrival Date
Departure Dale
03/08/04
03/09/04
LODGING
No of Nights
1
206.51
No of NIghts
1
195.84
03/09/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
TIP
52.15
10.00
62.15
Continued on neat page
EFTA01703574
DUPLICATE COPY
Prepared For
Acoarl Mater
>C000CCOOC2-61005
Obsiro Dale
Page 7 of 12
04/08/04
New Activity Continued
Amount
03/10/04
TIP 00000400
25.40
03/10/04
MARRIOTT 33789NYMRQUNEW YORK
NY
Arrival Date
Departure Date
03/10/04
03/10/04
VIEW RESTAURANT
FOOD/BEVERAGE
No of Nights
126.35
03/11/04
T•MOBILE
800.937-8997
WA
T-MOBILE
127.32
03/11/04
MILLION AIR • TETERBTETERBORO
NJ
MILLION A
JET Al 132981004
3,785.26
03/11/04
TGI FRIDAYS #1571 WOOD-RIDGE
NJ
FOOD/BEVERAGE
FOOD/BEV
39.66
03/12/04
From:
To:
MIAMI FL
Ticket Number: 00121005135686
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
H2
AA
QD
Date of Departure: 03/12
283.20
03/12/04
From:
To:
MIAMI FL
Ticket Number: 00121005135690
Passenger Name:
Document Type:
c
CKET
Carrier:
Class:
AA
H2
AA
OD
Date of Departure: 03/12
283.20
03/13/04
JET AVIAT
FUEL -JETA 827210180
3,637.32
03/15/04
5,850.00
03/15/04
FL
03 RESTAURANT
FOOD/BEV
52.06
TIP
10.00
62.06
03/15/04
TOM'S NFL CLUB
MIAMI SPRINGS
FL
FOOD/BEVERAGE
FOOD/BEV
17.35
TIP
3.00
20.35
03/16/04
MIAMI
FL
GROCERY STORE
90.06
03/16/04
Cozy Corner
Miami Springs
FL
17.07
03/17/04
FL
03 RESTAURANT
FOOD/BEV
69.83
TIP
14.00
83.83
03/18/04
FL
From:
To:
MIAMI FL
Carrier:
AA
AA
Class:
LD
H2
267.70
Ticket Number: 00121006452891
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Date of Departure: 03/18
Continued on reverse
EFTA01703575
DUPLICATE COPY
XXXX-XXXXX2-61005
Page 8 o! 12
New Activity Continued
Amount $
03/18/04
8399 N.W. 12TH STREEMIAMI
FL
20958512020079248020277
27.07
03/18/04
RESIDENCE INN 869 MIAMI
FL
Arrival Date
Departure Date
03/15/04
03/18/04
LODGING
414.69
03/18004
RESIDENCE INN 869 MIAMI
FL
Arrival Date
Departure Date
03/15/04
03/18/04
LODGING
418.44
03/19/04
FL
Location
Rental:
MIAMI FL
Return:
MIAMI FL
Agreement Number: 173294402
Renter Name: RODGERS /DAVID
Reference Number: 030019
Date
03/13/04
03/19/04
440.17
03/19/04
AIRCELL INC
3034995624
CO
57.92
03/20/04
LONG DISTANCE
888-213-8406
NJ
LONG DISTANCE
14.94
03/26/04
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
10.91
03/31/04
JET AVIAT
FUEL - JETA 827210224
FL
9,171.60
03/31/04
JET AVIAT
TIE DOWN 827210225
FL
593.75
04/01/04
MISC RETAIL
FL
380.54
04/01/04
STAPLES
LEXINGTON & 51: M NY
OFFICE SUPPLIES
26.82
04/06/04
From:
To:
MIAMI FL
Ticket Number: 00121010225445
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier
Class:
AA
Y2
Date of Departure: 04/05
653.80
04/06/04
FL
03 RESTAURANT
FCOD/BEV
63.51
TIP
12.00
75.51
04/06/04
JET AVIAT
FUEL - JETA 827210238
FL
3864.64
Total of New Activity for DAVID RODGERS
New Charges
Payments/Credits
32,104.11
0.00
New Activity for
Card )O3O( )O:CO2 G2093
02/23/04
TIP 00000400
26.50
03/08/04
FL
48.81
Continued on next pegs
EFTA01703576
DUPLICATE COPY
Prepare] For
Azar{ Nkrrizer
Cleeho Chte
)OOO(-)OOOIX2.61005
04/08/04
Page 9 of 12
New Activity Continued
Amaint
03/10/04
ROMEO'S RESTAURANT &WEST PALM BEACH FL
FOOD/BEVERAGE 01
FOOD/BEV
22.17
TIP
400
03/13/04
T-MOBILE
800-937-8997
WA
207.00
T4AOBILE
26.17
03/19/04
FOOD/BEVERAGE
FOOD/BEV
42.45
03/22/04
SPRINT PCS 761 WELUNGTON FL
26.49
GOODS/SERVICES
03/22/04
AIRCELL INC
LOUISVILLE
CO
76.67
03/23/04
MCDONALD'S F7974 GREENACRES C
FL
6.75
03/23/04
JET AVIAT
MISCELLANEO 827210205
03/26/04
PALM.NET SERVICE 888-756-7256
CA
21.83
INFO SERVICE
03/31/04
SHELLY'S NEW YORK NEW YORK
NY
126.65
FOOD/BEVERAGE
04/01/04
JOHN'S PIZZERIA
NEW YORK
NY
37.15
FOOD/BEVERAGE
04/01/04
BAKER STREET
NEW YORK
NY
9.00
FOOD-BEV
9.00
42.45
57.54
04/01/04
SINGH AND SINGH
NEW YORK
NY
04/02/04
PETERS ON 67TH STREENEW YORK
NY
12.26
5812/01 FOOD/BEVERAGE
04/07/04
ROMEO'S RESTAURANT &WEST PALM BEACH FL
FOOD/BEVERAGE 01
FOOD/BEV
8.02
TIP
3.00
12.48
11.02
Total of New Activity for
New Charges
748.77
Payments/Credits
0.00
Total of New Activity
New Charges
87,257.89
Payments/Credits
-54,677.24
EFTA01703577
DUPLICATE COPY
Praparedfce
/Cowl Nvnter
XM-XXXXX2-61005
Page 10 of 12
EFTA01703578
DUPLICATE COPY
Ptepsed For
Amount Nutter
Claiv De.a
)000X-)0(X)0(2-61005
04/08/04
Page 11 of 12
Cys
setomExtrar
Get Started Today!
Open an American Express ONE® Financial Account* now and start
making the most of all your finances.
What is ONE? ONE is a brokerage account with banking features that
gives you access to a full array of products and services--including
•
the ONE High-Yield Savings Account, a complimentary American
Expresso Gold Card, and professional financial advice to help you
meet your goals. It's the ONE account that makes your finances
simpler.
15,000 minimum account deposit required to open an American Express ONE Financial
Account.
nanclol
Adviso
Act now! Call
1-800-297-8800 to open
an account or visit
www.amcricanexpress.
com/onefinanclal for
more information. If you
speak to a customer
service representative or
enroll online, use the
promotion code CSM.
(CE 104314)
Premium Car Rental Protection You Need at a Price You Want
Premium Car Rental Protection (PCRP) can help protect you, your passengers,
and belongings when you rent a car.
For just $24.95 per rental, the plan provides primary coverage of up to $100,000
if your rental car is damaged or stolen, accidental death and dismemberment
coverage, plus excess coverage for medical expenses and personal property.
The fee is automatically billed each time you pay for a rental car from a rental
company with your enrolled American Express Card.
Certain limitations and restrictions apply. PCRP is underwritten by AMEX Assurance
Company, Administrative Office, Green Bay, WI. Coverage is subject to the Terms,
Conditions, and Exclusions of Master Policy AX0456. This program may be modified,
terminated, or suspended upon notice to you.
To enroll in Premium Car
Rental Protection or to find
cut mere about this
special otter, call us toll-
free Monday - Saturday,
7arn-11pm CST, at
1.800.858.5947. Please
mention code 3Y2.
(CE 104336)
FEE•FREE American Express® Travelers Cheques!
As an American Express Cardmember you can purchase FEE-FREE*
American Express Travelers Cheques and Cheques for Two® at
participating American Express Travel Service locations. Behind every
Travelers Cheque is someone who can help in a travel emergency
24/7--from replacing lost or stolen Cheques, to assistance with
replacing lost credit cards and passports.**
'Not all services available at all locations. Subject to all local laws and cash availability.
"Proof of Travelers Cheques purchase may be required. Credit Card Replacement
Assistance is for major bank-issued credit cards only. Fees for passport/credit card
replacement are the sole responsibility of the customer. For complete Terms, call
1.800-AXP-8347.
Travelers
Cheques
To find your nearest
American Express Travel
Services location, call
1-800-AXP-8347.
(CE 104335)
Are You Overpaying For Personal Checks?
Tired of the inconvenience of ordering your personal checks through
your bank? Since 1997, American Express Publishing has been
offering personal and business checks and accessories to
Cardmembers at prices up to 50% less than financial institutions.
Other quality products we offer are address labels, deposit slips,
checkbook organizers, stamps, binders, and more. We adhere to
security features that exceed industry standards, as well as strict
confidentiality of account information. And, we offer an unconditional
money-back satisfaction guarantee.
Order your checks now from a trusted name--American Express.
Publishing
Order now at
www.amexpub.com/
checks/statement or call
1-800.662-2314 to request
a brochure.
(CE 104315)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703579
DUPLICATE COPY
?teamed Fa
Aoaxal Number
X>C<X->C<XXX2-81005
Page 12 of 12
laud HOJnxc
LENDER
TASICAXATIOff
Now Accepting the American Express® Card
BJ's Wholesale Club, Inc. - Now accepts the American Express
Card. Visit a Club today! For the BJ's Club nearest you, go to
www.BJS.com or call 1-800-BJS-CLUB.
Pan American Airways - Serving New England, Myrtle Beach, SC,
Florida and the Caribbean. Visit www.Flypanam.com or call
1-800-FLYPANAM and experience our comfort and convenience.
National Product Sales - NPS is focused on the customer looking
for great values. Join us on the Web at www.E-NPS.com. Also,
check out our great values at www.NPSBookie.com.
If there are other places
where you would like to
see the Card
please call the Customer
Service number that is
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104270)
New TravelFunds® Card Offer for AARP Members
A special otter for AARP members: Receive a complimentary
emergency travel kit with the purchase of $1,000 or more in
TravelFunds Cards from American Express*. It's a prepaid,
reloadable card that's safer than carrying cash, and isn't linked to
your bank account. If it's lost or stolen, your balance is refunded,
usually within 24 hours. Offer also available for purchases of
American Express Travelers Cheques and foreign currency.
li mit one kit per order. For complete Terms and Conditions, visit
WVAV.aarp.orgtamex and enter promotion code 101.
Offer available for AARP
members only at:
www.earp.org/amex and
enter promotion code
101 on the order form.
(CE 104331)
Share Our Strength's Taste of the Nation
American Express is The Official Card of Share Our Strength's Taste
of the Nation®, a series of culinary benefits supporting anti-hunger
and anti-poverty efforts. You can help support a worthy cause while
enjoying delicious tastes from talented chefs. Every spring,
thousands of chefs and restaurateurs donate their product, time and
talents at more than 70 events throughout the United States and
Canada. To find a Taste of the Nation event near you and purchase
tickets, visit www.tasteqfthenation.orgiamex. One-hundred percent
of ticket proceeds go towards anti-hunger and anti-poverty programs.
wvny.tasteofthenation.
org/amex.
(CE 104318)
It's Save - Big Time on Home Improvement
From April 1 - May 31, 2004, home improvements can be even easier
with these great rebates from top home brands. Simply use your
American Express® Card to buy participating manufacturers' featured
products. Once you're finished, mail in the required rebate
redemption materials and your American Express branded gift card
will be on its way. Happy home improving!
Qualifying products must be purchased on an American Express Card between April 1,
2004 and May 31, 2004. Redemption materials must be postmarked by June 30, 2004.
Redemption requirements vary by manufacturer. Offers are only valid in the continental
U.S. and are not redeemable in-store. Please allow 6 to 8 weeks to receive your rebates on
an American Express branded gift card. Not responsible for lost, misdirected or illegible
entries. Partners and rebate offers are subject to change without notice. C839:0001.
Go to
www.americanexpress.
com/spring for specific
information on the rebate
offers, redemption
requirements, qualifying
products, and for rebate
redemption instructions.
(CE 104312)
Mortgage Rates Are Still Low!
If you're looking to buy a home or to refinance your current mortgage,
American Express Mortgages* can save you hundreds of dollars a
month in mortgage payments. Plus, it's fast and easy to get a
same-day loan decision.
Mortgage loans are provided by American Express Bank, FSB, an FDIC-insured federal
savings bank. American Express Bank, FSB, is an American Express company and an
Equal Housing Lender.
Contact us today! Call
1.800-AXP-1008 or visit
vnvw.americanexpress.
com/mortgages. Use
offer code C72.
(CE 104337)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703580
DUPLICATE COPY
Gold Card
Statement of Account
.835;744
empe iihi
Pointe, ilabie
t/AltreiCe610, due arePh;c1 In
--bitt'are.ini good StanrinC1
Prtrsvni FCC
OWN; DS
05/08/04
Page 1 of 12
New
Please Pay By
Retina BS&ce S
unaterniCr edits S
Now Chamos S
Balance $
05/23/04
87,257.89
:788;633:08
60,072.15
58,696.96
Please refer to page 2
for important information
regarding your account
Your payment is due in full. Please pay by 05/23/04. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Free Shipping and Handling - Online and Off
You're automatically entitled to Free Shipping and Handling when you use your Gold Card to
pay for your online or catalog purchases of $50 or more at any of our participating merchants.
Take advantage of this ongoing benefit--there's no limit on the number of times you can use it.
Learn more about this exclusive benefit by visiting www.americanexprees.com/fsh.
Additional Terms and Conditions apply.
Activity .wdesn °"1ipdtle
New Act
cwl000c
Rattan Spersiog
AmountS
pat 7704
Total of New Activity for JEFFREY E EPSTEIN
New Charges
Payments/Credits
0.00
47,257.89
New Activity for
Card XXXX.X)COCX2 62011
04/39/041
FL
..-"
TKT# 0017545504379 VOIDED TKT
7,,D449/04!,,...?„.AMERICAN AIRLINES JUPITER.
FL
11fdeii0.41.AT.,ft 0017545504359 VOICED TKT
-261.20
0008/04
FL
Routing Details Not Available
Ticket Number: 89 1417
64
Passenger Name:
Document Type:
+ Ram tad cn M perforce:a below. dei=h and ream wai you' primtnt
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
IurIIIlurllOOOOO lJnl.I II .l Niuiulullnlrlrinrinlrll
Mail Payment to:
Please Pay By:
05/22104
Total Amount Due
S58,696.96
P.O. BOX 2855
NEW YORK NY 10116-2855
Irrrllllrrrrrrllrrrllrllrrrrlrllrrlrrlrlrrlrlrlrlrrlrlrrrrllrl
-261 29 f
50.00
Continued on Page 3
Please enter account
number on all checks and
correspondence.
To avoid additional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
on reverse side. Unless
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Aoocunts you may have,
005869696006007215 08rld
EFTA01703581
DUPLICATE COPY
Prepyrof Fcc
Amara Mentes
X>Da-)CCOO(2-61 005
Page 2 of 12
Payments: Your monthly statement is payable in full upon receipt Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delag in processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
transmitting the amount of the cheok,
routing number, account number and check serial number to your financial institution. Your checking account may be
debited as soon as the same day we receive your payment. If we can not coect the funds electronically at first
presentment, we massue a draft against your account forthe amount of the check.
Authorization for Electronic Payments: By using the American Express Pay By Computer, Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at www.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen In the United States, contact us immediately at 1-800-992-3404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 336-393-1111. You are
fully protected against any fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional $5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the closing date. To keep your
account current, pay by the payment due date shown on your statement.
BIIIIpq Rights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
• need more information about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or click on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserve your rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent or take any action to collect the amount in question. Please retain any receipts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase pnce was more
than $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Link online at www.americanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, or 1.800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrongr please contact us as soon as possible. INe must hear from you no later than 60 days after we sent you
the wron g
on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as dearly as you can why you believe there is an error
or why you need more information. We will investigate your complaint and correct any error promptly. If we take more than
10 business days to do this, we will credit your account fcr the amount you think is in error, so that you will have use of the
money during the lime it takes us to complete our investigation.
Credit Balance: If a credit balance (designated TR) is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or cl:ck on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more tiling cycles, elate payment fee of 1.75%of all past due amounts will be added.
Change of Address
If correct en Irced
do not use
Name
Company
name
Stirrer Address
Qty. Slate
rp Cede
Area Code and
Hama Phone
Area Code end
work Phone
Email
r
1
17- 7 -1 TT
TI
1- TTM
H=111-1_1
I I
To Pay By Phone
1.800-472-9297 .
Customer Service
1-800-327-2177
24 hours/7 days
Lost or Stolen Card
1-800-992-3404
Express Cash
1-800-CASH-NOW
International Collect
1-336-393-1111
Hearing Impaired
(9am-5pm EST)
TTY: 1 -800.221-9950
FAX: 1.800.695.9090
In NY: 1-800-552-1897
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329-7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable you
nj
to receive special offers,
suited to your needs,
EFTA01703582
DUPLICATE COPY
Priteral Fix
Accart Maker
Ctos!n2 Dalcr
Page 3 of 12
XXXX-XXXXX2-61005
05/08/04
New Activity Continued
Fceeign Spatirg
Amounts
04/08/04
FL
From:
To:
Ticket Number: 00175455043864
Passenger Name:
Document Type: P
ER TICKET
Carrier:
Class:
AA
QD
AA
H2
Date of Departure: 04/09
26120
04/08/04
FL
From:
To:
Ticket Number: 00175455043875
Passenger Name:
Document Type:
..:11 TICKET
Carrier:
Class:
AA
OD
AA
H2
Dale of Departure: 04/09
26120
04/09/04
Routing Details Not Available
Ticket Number: 00107569315165
Passenger Names...
Document Type:
KET
Date of Departure: 04/09
120.00
04/09/04
FL
MISC RETAIL
7.94
04/09/04
5812-01 FOOD & 8EV
FOOD/BEV
21.75
TIP
5.00
28.75
04/09/04
FL
96.27
04/09/04
VI
3ER PARTY
2,991.79
04/10/04
FRENCHMAN'S REEF BCHST THOMAS
VI
RESTAURANT
12.44
04/10/04
FRENCHMAN'S REEF BCHST THOMAS
VI
RESTAURANT
18.00
04/11/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
483.84
04/11/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
633.60
04/12/04
FL
1,000.00
04/12/04
BUSINESS SVCS
25.00
04/12/04
FOOD/BEVERAGE
FOOD-BEV
7.30
7.30
04/13/04
DELTA AIR LINES
ATLANTA
OA
From:
To:
Ticket Number: 00623017235116
Passenger Name:
P
Document Type:
KET
Carrier:
Class:
DL
YB
Date of Departure: 04/14
304.38
04/13/04
STARBUCKS
000828PLM BCH GRDN
FL
5.20
NA 3/04
1ST RENT-NCAR
ST. THOMAS
VI
7011-38 CAR RENTAL
210.00
Continued on Melee
EFTA01703583
DUPLICATE COPY
ACCOalt Min=
)OOOC-XXX)OC2-61005
Page 4 of 12
New Activity Continued
stabil Sperdsg
Arr.c.uniS
04/14/04
JETBLUE
SALT LAKE
U
From:
To:
Ticket Number: 3
Passenger Namernillp
Document Type:
Carrier:
Class:
B6
Y_
Date of Departure: 04/14
254.60
04/14/04
HMSHOST-PBI-AIRPT S6West Palm Bea
FL
FOOD/BEV
7.93
04/15/04
SOUND CITY AUDIO 2125751060
NY
347.60
04/16104
MA
117.00
04/16/04
MA
Location
Rental:
BEDFORD MA
Return:
BEDFORD MA
Renter Name:
Agreement Num
: 1 1111
Reference Num r
Date
04/15/34
04/16/34
66.45
04/16/04
CIRCUIT CTY S4112BURLINGTON, MA MA
20.99
04/16/04
JIMMY'S ON THE MALL BURLINGTON
MA
FOOD/BEVERAGE
29.61
04/16/04
STARBUCKS
000727BURUNGTON
MA
13.86
04/17/04
MARRIOTT 33796BURLNGBURUNGTON
MA
Arrival Date
Departure Date
04/15/04
04/16/04
LODGING
No of Nights
1
207.08
04/17/04
MARRIOTT 33796BURINGBURUNGTON
MA
Arrival Dale
Departure Date
04/15/04
04/16/04
LODGING
No of Nights
1
4.00
04/17/04
8000 JACKJAMES ROADSTUART
FL
50987450124109432017712
4.9.68
04/18/04
MA
649.44
04/19/04
JETBWE
SALT LAKE UT
From:
To:
Ticket Number: 674111
Passenger Name:
Document Type:
Carrier:
Class:
86
HK
Date of Departure: 04/19
562.80
04/19/04
JET AVIAT
FUEL - JETA 827210274
6,130.98
04/19/04
NY
FOOD/BEVERAGE
FOOD/BEV
8.15
8.15
04/19/04
NY
FOOD/BEVERAGE
FOOD/BEV
77.94
TIP
10.00
87.94
04/20/04
SBARRO 279
5616949376
FL
FOOD & BEVERAGE
5.50
Continued on m14 page
EFTA01703584
DUPLICATE COPY
Fserven1 Fee
ACCOM Number
Mein; Date
Page 5 of 12
)00C(400=2-61005
05/08/04
New Activity Continued
Fctegn µ*nerg
Amount
04/21/04
FL
Routing Details Not Available
Ticket Number: 89041420438286
Passenger Namejlit.
Document Type:
2560
04/21/04
NSTRUCT1ON/TRAINING
3,550.00
04/21/04
DORAL HOOTERS
DORAL
FL
01/FOOD AND BEVERAGE
FOOD/BEV
32.93
TIP
6.00
38.93
04/21/04
WI2TRAVELVALUESPLUS800-890-4892
CT
7.00
04/21/04
WU'RESERVATIONREWAR888-688-5995
CT
7.00
04/22/04
FL
Routing Details Not Available
Ticket Number: 001
7 180
Passenger Name:
Document Type:
KET
Date of Departure: 04/22
90.00
04/22/04
TX
From:
To:
MIAMI FL
Ticket Number: 00121 14012235
Passenger Name:
MR
Document Type:
KET
Carrier.
Class:
AA
MJ
Date of Departure. 04/22
215.10
04/22/04
STARBUCKS
000924JAMAICA
NY
3.96
04/23/04
MARRIOTT 33727MIAA/PMIAMI
FL
Arrival Date
Departure Date
04/21/04
04/23/04
LODGING
No of Nights
2
234.29
04/23/04
MARRIOTT 33727MIAA/PMIAMI
FL
Arrival Date
Departure Date
04/21/04
04/23/04
LODGING
No of Nights
2
19.79
04/23/04
FL
000649760
1 8 .80
04/23/04
FL
PARKING FEES
25.00
04/23/04
FL
DRY CLEANERS
29.40
04/24/04
HERTZ CAR•RENTAL PALM BEACH
FL
Location
Rental:
PALM BEACH FL
Retum:
PALM BEACH FL
Agreement Num r:
1 I
Renter Name:
Reference Num
.
Date
04/21/04
04/24/04
204.88
04/25/04
THE HOME DEPOT 220 LAKE PARK
FL
37.44
04)26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
30.51
04/27/04
BP
PAY AT PUMP701980518007
65.00
Confirmed on reverse
EFTA01703585
DUPLICATE COPY
Pr opal Fa
Accost: Auras
XXXX-)0000(2-61005
Page 6 of 12
New Activity Continued
Foreign SpenCerg
AMNON
04/27/04
JET AVIAT
FUEL • JETA 827210002
938.00
04/27/04
JET AVIAT
FUEL - JETA 827210010
04/27/04
NY
83.78
RESTAURANT
FOOD/BEV
73.78
TIP
10.00
8,505.10
04/28/04
FL
60.86
GENERAL MERCH
04/29/04
OK
90.00
Routing Details Not Available
Ticket Number: 00107569924165
Date of Departure 04/29
Passenger Name:
Document Type:
KET
04/29/04
TX
From:
To:
Carrier:
Class:
MIAMI FL
AA
MJ
Ticket Number: 00
Date of Departure: 04/29
Passenger Name:
Document Type:
KET
04129/04
FL
COR,PRO,80MIN,SPINDLE,25/PK
04/29/04
HMSHOST-MIA-AIRPT #3Miami
FL
6.46
FOOD/BEV
209.10
26.74
04/30/04
OFLANAGANS
NEW YORK
NY
36.00
5812/01
FOOD/BEV
30.00
TIP
6.00
04/30/04
CVS STORE • 2400 NEW YORK
NY
10.85
04/30/04
MEDITERRANEO
NEW YORK
NY
44.10
FOOD/BEVERAGE
FCOD/BEV
39.10
TIP
5.00
04/30/04
ECKERD DRUG #5556 NEW YORK
NY
41.10
05/01/04
PREMIUM SERVICES 888-265-9269
VA
ONUNE SVCS
TWrAOL PREMIUM SVCE 04
05/01)04
AOL SERVICE
800'8274364
VA
ONUNE
1WrAOL SERVICE 0404
11,90
23.90
05/01/04
MEDITERRANEO
NEW YORK
NY
46.00
FOOD/BEVERAGE
FOOD/BEV
40.00
TIP
6.00
05/01/04
NY
39.20
MISC FOOD STORE
05/02/04
1541 BELVEDERE RD WEST PALM BCH
FL
43.56
27528800009123375001328
05/03/04
FIRESTONE STORE
N PALM BEACH
FL
842.38
TIRES/SERVICES
05/03/04
SOUND CITY
2125750210
NY
869.00
Continued on not pegs
EFTA01703586
DUPLICATE COPY
Prftwool For
XXXX-XXXXX2.6100.5
:3/061M1:, Da o
05/08/04
Page 7 of 12
New Activity Continued
Fctegn*ercing
Amount*
05/04/04
OFLANAGANS
NEW YORK
5812/01
FOOD/BEV
TIP
NY
39 00
700
48.00
05/05/C4
CVS STORE • 2400 NEW YORK
NY
19.46
05/05/04
DUANE READE #238 NEW YORK
NY
8.54
Total of New Activity for
New Charges
Payments/Credts
31,682.65
-522.40
New Activity for DAVID RODGERS
Cand1CO3(400CO24X0
04/09/04
T-MOBILE
800-937-8997
WA
T-MOBILE
164.31
04/09/04
LAKE PARK
FL
195.00
04/10/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number: 26410300101000
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
86
R1
2
Date of Departure: 04/11
262.80
04/11/04
JET AVIAT
TIE DOWN 827210252
353.48
04/11/04
JET AVIAT
FUEL - JETA 827210252
12,548.94
04/14/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number 3961 06001 01 009
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
B6
Y_
Date of Departure: 04/15
254.60
04/15/04
MA
JET AVIAT
FUEL - JETA 669410368
8,968.56
04/16/04
MA
JET AVIAT
AIRPORT FEE 669410374
72.93
04/17/04
LONG DISTANCE
888-213-8406
NJ
LONG DISTANCE
15.15
04/17/04
MARRIOTT 33796BURLNGBURUNGTON
MA
Arrival Date
Departure Dale
04/15/04
04/16/04
LODGING
No of Nights
1
168.47
04/19/04
PUBUX SW 0338
LAKE WORTH
FL
GROCERIES
139.45
04/26/04
AIRCELL INC
303-499%24
CO
57.92
Continued on reverse
EFTA01703587
DUPLICATE COPY
Prepxed roc
Account Nunter
XXXX-XXXXX2-61005
Page 8 of 12
New Activity Continued
Forman Spordirg
Amount S
04/22/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number: 33211400101003
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier:
Class:
B6
K_
Date of Departure: 04/22
409.20
04/22/04
NAV CANADA
OTTAWA
ON
Description
2385142045766300
1,14532
Canzlen Oasts
862.86
04/26/04
PALM.NET SERVICE 888-756-7256
CA
INFO SERVICE
10.91
04/27/04
PUBLIX STRIt 0023 GREEN ACRES
FL
GROCERIES
88.09
04/29/04
DELTA AIR LINES
DALLAS
TX
From:
To:
GAINESVILLE FL
ATLANTA GA
Ticket Number: 00621943359100
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
Carrier.
Class:
DL
YO
DL
YO
Date of Departure: 04/30
657.70
05/01/04
FL
MISC RETAIL
392.20
05/03/04
NY
CORPORATE
CATERING 1138110163
198.78
05/04/04
PUBLIX STAR 0050 WEST PALM BEACH FL
GROCERIES
78.57
05/05/04
NY
CORPORATE
CATERING 1138110164
167.28
05/06/04
RUDY'S INFLIGHT CATETETERBORO
NJ
303.06
Total of New Activity for DAVID RODGERS
New Charges
Payments/Credits
26,370.24
-852.79
New AVIS for
Card XIX.
04/11/04
NY
FOOD/BEVERAGE
FOOD/BEV
42.36
TIP
4.00
46.36
04/12/04
FL
103.75
04/13/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number: 45 1
1 1
Passenger Name:
Document Type:
Cartier:
Class:
B6
Y_
Date of Departure: 04/15
254.60
04/13/04
WENDY'S 09717
LAKE WORTH
FL
FOOD/BEV
7.17
04/14/04
DRYCLEAN USA 071414 LAKE WORTH
FL
DRY CLEANERS
23.18
04/14/04
DUFFYS CF ROYAL PALM5614788852
FL
FOOD/BEVERAGE
24.04
Continued on nod page
EFTA01703588
DUPLICATE COPY
Axael Nutter
)OOO(4OOOO(2-61005
cc, rc 03:e
Page 9 of 12
05/08/04
New Activity Continued
Fccgr.Aardrg
Amount,
04/15/04
MARRIOTT 3379681JRLNGBURL NGTON
MA
Arrival Date
Departure Date
No of Nights
04/15/04
04/15/04
1
FITZWILLIAMS
FOOD/BEVERAGE
87.91
04/15/04
HMSHOST4P131-AIRPT It2West Palm Bea
FL
FOOD/BEV
3.29
04/15/04
NY
FOOD/BEVERAGE
FOOD/BEV
9.71
11P
2.00
11.71
04/17/04
MARRIOTT 33796BURLNGBURUNGTON
MA
Arrival Date
Departure Date
No of Nights
04/15/04
04/16/04
1
LODGING
172.47
04/19/04
WENDY'S 19717
LAKE WORTH
FL
FOOD/BEV
9.30
04/20/04
AIRCELL INC
303.4995624
CO
76.67
04/20/04
LOWES
25.94
04/22/04
MCDONALD'S F7974 GREENACRES C
FL
6.44
04/23/04
COMPUSA10611
WEST PALM BEA
FL
33409
13535
04/24/04
CARTRIDGE,INISCANON,BCI-24B
CLIP,PAPER,JUMBO,PREM,100BX
STAPLE,1/411,15-25SH7,5000BX
39.45
04/26/04
WALGREEN
050781LAKE WORTH
FL
GENERAL MDSE
4.23
04/27/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
Carrier:
Class:
DL
BA
ism.
Ticket Number: 0
36045
Date of Departure: 04/27
Passenger Name:
Document Type:
207.60
04/27/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
Cartier.
Class:
DL
BA
Ticket Number: 0
Date of Departure: 04/27
Passenger
Document Type:
KET
207.60
04/27/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
Carrier:
DL
Class:
BA
207.60
Ticket Number: 00621944936060
Date of Departure: 04/27
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Continued on reverse
EFTA01703589
Prepace For
DUPLICATE COPY
Aoo
;(1°M)0000(2-61005
Page 10 of 12
New Activity Continued
Fctecp Sperckg
MaunlS
04/29/04
DELTA AIR LINES
CINCINNATI OH
From:
To:
Carrier:
Class:
DL
BA
Ticket Number: 00621949893880
Date of Departure: 04/29
Passenger Name.
Document Type:
207.60
04/30/04
MEDITERRANEO
NEW YORK
FOOD/BEVERAGE
FOOD/BEV
TIP
NY
39.10
5.00
44.10
04/30/04
DUNKIN DONUTS
MANHATTAN
FOOD/BEVERAGE
NY
4.55
05/01/04
OFLANAGANS
NEW YORK
5812/01
FOOD/BEV
TIP
NY
35.00
6.00
41.00
05/01/04
MEOITERRANEO
NEW YORK
FOOD/BEVERAGE
FOOD/BEV
Tip
NY
39.85
5.00
44.85
05/05/64
NY
22.50
Total C)f New Activity for
New Charges
Payments/Credits
2,019.26
0.00
Total of New Activity
New Charges
Payments/CredIts
60,072.15
-88,633.08
EFTA01703590
DUPLICATE COPY
Papaw] For
Axourt Hinter
Ckeng Dal*
X)OO(-)OOO<X2-61005
05/08/04
Page 11 of 12
AUTOMATIC
BILL
PAYMENT
with Americ n Express
Affordable Australia
Australia with American Express Travel
For those who long to take home more from a vacation than pictures
and souvenirs, American Express Travel is offering 8-night air and
hotel vacations to Sydney and the Great Barrier Reef from $1,519 per
person from Los Angeles. Call American Express Travel at
1-800-AXP-6989 to find out how 8 nights can change your life.
Rates USD, based on double occupancy, lowest hotels/room categories, Monday -
Wednesday LAX departures. Travel 4/28-6/19 or 7/21.8/28/04. Rates available for other
dates/hotels/air gateways. Add $35 for each Thur-Sun trans-Pacific flight. Seats limited and
may not be available on every flight. Hotels subject to availability. U.S/foreign taxes of
approximately $180, including September 11th Security Fee and $5 PFC, additional.
Change, cancellation and other restrictions apply.
Travel
To plan your vacation and
for details on additional
Australia offers, call
American Express Travel
at 1.800-AXP-6989. CST
41022318-10, TA-149
registered Ohio travel
agency, ML-1192,
Washington UBI
1I600-4O-694. PROMO
CODE: C7560001.
(CE 104401)
Pay Your Wireless Phone Bill Automatically
Sign up for Automatic Bill Payment and enjoy the time-saving
convenience of paying your wireless phone bill with your American
Express® Gold Card. Automatic Bill Payment is the simple way to
consolidate your payments and make sure that your bills are paid on
time. You can even continue to receive a paper statement of your bill
from your service provider to keep for your records. Start benefiting
from the convenience of Automatic Bill Payment today.
To get started, visit
vivny.americanexpress.
comfabp34 or contact
your wireless service
provider directly.
(CE 104412)
Holland America Line Offer from American Express Travel
ligandAmerka Line
A T• /Nom
rtah.tun
Book a Holland America Line cruise with American Express Travel between
April 19 and June 30, 2004, and receive a complimentary 2-Category Upgrade
OR up to $100 per person Shipboard Credit.
2-Category Upgrade offer is available with the purchase of an outside stateroom
only. Shipboard Credit offer is available in the following amounts: $50 per person
7- to 11-day cruises, $100 per person 12+ day cruises, with the purchase of a
deluxe stateroom or higher (excluding A-BB on Vista Class ships).
Upgrade and Shipboard Credit offers are valid on new bookings only for select
2004 and 2005 sailings.
Offers are not combinable, are subject to availability and may be modified, withdrawn or
sailing dates may be substituted without prior notice. Additional Terms and Conditions
apply. American Express acts solely as the sales agent for travel suppliers and is not liable
for the actions or inactions of such suppliers. CST# 1.22318.10, TA-I49 Registered Ohio
Travel Agency, Washington UBIN 600.469.694, MIA 1192.
Call American Express
Travel at 1-888-AXP-0066
to book now!
Promo Code O8730001.
(CE 104435)
Give American Express Gift Cheques® Today!
Give American Express Gift Cheques for any occasion--Father's
Day, weddings, birthdays, graduations or even just to say "thank
you." Unlike store gift cards or certificates, American Express Gilt
Cheques® have no expiration date and are available in a variety of
prepaid denominations.* Gift Cheques come elegantly wrapped in a
gold envelope and you can include your own personalized message.
Gift Cheques are available for purchase at participating American
Express Travel Services locations. Ask for them today!
Denominations are available in $25, $50 and $100. For complete Terms and Conditions,
call 1-877-AXP-GIFT. Gift Cheques are available for purchase at participating American
Express Travel Services locations using your American Express* Card.
To find your nearest
Amerencan ExpressTravel
Services locations, call
1.888-AXP-0084.
(CE 104421)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet those criteria.
EFTA01703591
RoomedFa
DUPLICATE COPY
≥Criataxx2-61005
Page 12 of 12
Get Started Today!
Open an American Express ONE' Financial Account* now and start
making the most of all your finances. What is ONE? ONE is a
brokerage account with banking features that gives you access to a
full array of products and services--including the ONE High-Yield
Savings Account, the complimentary American Expresso Gold Card,
and professional financial advice to help you meet your goals.
It's the ONE account that can make your finances simpler.
15,000 minimum account deposit required to open an American Express ONE Financial
Account.
nand&
Adviso
Act now!
Call 1-800497-5300 to
open an account or visit
www.americanexpress.
com/onefinanclal for
more information. If you
speak to a customer
representative or enroll
online, use the promotion
code CSM.
(CE 104397)
Now Accepting the American Express® Card!
Stonebridge Life - Need financial security for your family? Check out
what Stonebridge Life can do for you. Call 1-800-362-6900 or visit
www.takingcarelife.com.
Despatch of Southampton Moving & Storage - Local and overseas
moves. Full-service storage facility. Southampton, NY. Call us at
631-283-3000 or 1-800-827-MOVE. www.despatchmovers.com.
Famous Footwear - Now finding shoes is made more convenient
than ever, because we welcome the American Express Card. For a
store near you, call 1-800.40FAMOUS.
If there are other places
where you would like to
see the Card accepted,
pleaSe call the Customer
Service number that is
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104361)
Carry the TravelFunds® Card from American Express
Whenever you travel, consider taking the prepaid, reloadable
TravelFunds Card from American Express--instead of cash or debit
cards. It's safer than cash and is a convenient way to carry money
while you travel. Unlike debit cards, it's not linked to your bank
account and you'll have access to valuable travel services such as
passport/credit card replacement assistance.*
Proof of TravelFunds Card purchase may be required. Credit card replacement assistance
is for major bank-issued credit cards only (not retail store, gasoline, calling cards, etc.).
'Fees for passport/crecfit card replacement are the sole responsibility of the customer. ATM
fees apply. For complete Terms, visit vormamericanexpross.convbuyttc or call
1.888.412.6945.
TravelFunds Card from
American Express is
accepted at millions of
places that accept
American Express.
Purchase yours today at
www.americanexpress.
cornawyllc or by calling
1-888-412-6945.
(CE 104424)
FEE-FREE American Express® Travelers Cheques!
As an American Express Cardmember you can purchase FEE-FREE*
American Express Travelers Cheques and Cheques for Two® at
participating American Express Travel Service locations. Behind every
Travelers Cheque is someone who can help in a travel emergency
24/7—from replacing lost or stolen Cheques, to assistance with
replacing lost credit cards and passports.**
'Not all services available at all locations. Subject to all local laws and cash availability.
"Proof of Travelers Cheques purchase may be required. Credit card replacement
assistance is for major bank-issued credit cards only. Fees for passport/credit card
replacement are the sole responsibility of the customer. For complete Terms, call
1.800.221.7282.
Travelers
Cheques
To find your nearest
American Express Travel
Services location, call
1.800-AXP-8347.
(CE 104422)
Simplified, Convenient Access to Your Accounts
Financial Accounts is an easy-to-use service that allows you to view
your consolidated financial information online. To date, more than
170,000 users have already registered. You'll have the ability to view
all your registered accounts, such as investment, Card, Bank and
Workplace 401(K) accounts. You can even add non-American
Express accounts! A recently added feature allows money to be
transferred from a bank account directly into your investment
accounts. Financial Accounts is convenient and current. You'll have
access to your information when you want it and all with just one user
ID and password. And, account information is updated daily so the
most current account values are always displayed.
Register with Financial
Accounts today al
www.americanexpress.
corn. Be sure to select
Financial Accounts in the
drop down log-in box. If
you have questions or
need help with
registration, please call
toll-free 1-800-3154460.
(CE 104415)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703592
Gold Card
Statement of Account
Pmpirel For
PrenCVS Balance
58,696.96
net $
-c69,098.PE
DUPLICATE COPY
MIS
new Ch4rges
72,497.40
Now
Balance $
72,497.40
cucing Cale
06/08/04
Page 1 of 12
Please Pay By
06/23/04
Please refer to page 2
for important Information
regarcing your account
Your payment is due in full. Please pay by 06/23/04. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybIll.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
You Are Eligible For Gold Card Events
With American Express® Gold Card Events, you have access to some of the best seats, to
some of the hottest events nationwide. Want to be among the first to find out about the biggest
Broadway hits, your favorite artist's upcoming tour or sporting and family events? Visit us at
www.amerlcanexpress.com/gce to sign up for your weekly e-mail. Entertainment news right
to your inbox!
For a complete listing of events, visit us at www.amerloanexpress.com/gce or call
1-800.448-TIKS. Terms and Conditions apply.
Activity Irdca°°°"
New Azgycly for JEFFREY E EPSTEIN
Cad ?X%
41076
14...441444; 4
7MME59 ,E9EIMED Ti IANK YOU
Total of New Activity for JEFFREY E EPSTEIN
Foreign .7.4>encirg
Amouni
-58,696.96
New Charges
Payments/Credits
New Activity for
Card )00000000:242011
05/06/04
FRANCE
05/07/04
FRANCE
0.00
58,696.96
70,00
European Lictai
Eon
86.93
Pirose bid on 0.0 pettatiai taw, &Arai aq (Cum well
paymeri
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
,,,,,
Mail Payment to:
2540
Eon:poen Unto
Euro
Please Pay By:
06/23/04
Total Amount Due
$72,497.40
P.O. BOX 2855
NEW YORK NY 10116-2855
11111111
I III II II III
31.05
Continued on Page 3
Please enter account
number on all checks and
correspondence.
To avoid addtional
Finance Charges on
Purchases, pay New
Balance bebre Payment
Duo Date.
Note any address andlor
telephone number change
on reverse side. Unless
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
007249740007249740 08rIrl
EFTA01703593
Prepared For
DUPLICATE COPY
ACCOM Number
XXXX-XXXXX2-61005
Page 2 of 12
Payments: Your monthly statement is payed.° in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send foost-dated checks. They will be deposited
upon re rd. If payment is made at any other location, there may be a delay n processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments, by transmitting the amount of the check,
routing number, account number and check serial number to your finandal institution. Your chedeng account may be
debited as soon as the same day we receive your payment. If we can not collect the kinds electronically at first
presentment,we may issue a draft against your account forlhe amount of the check.
Authorization for Electronic Payments: By using the American Express Pay By Computer Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By omputer, please
visit us at vnvw.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately at 1-800-992-3404.
Outside the U.S., contact the nearest American Evress Travel Service Office or call us collect at 3W-393-1111. You are
fully protected against any_fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and $3500 for each
Additional Card. An additional $5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your tilledcharges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received after the dosing date. To keep your
account current, pay by the payment due date shown on your statement.
Billing Rio hts Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more information about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or click on the Customer Service link online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserve your rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent or lake any action to collect the amount in question. Please retain any receipts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase once was more
than $50 and the purchase was made in
ur home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardess of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Unk online at vnvw.americanexpress.com, or you can call us at 1.800-IPAY-AXP for Pay Sy Phone and Pay
By Computer issues, or 1-800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRST statement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as dearly as you can why you believe there is an error
or whyyou need more information. We will investigate your complaint and corred any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated 'CR'") Is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due fortwo or more billing cycles, a late payment fee of 1.75%of all past duearnaunts will be added.
Change of Address
N correct collect
do rapt use
Name
Company
Name
Street Addre
City. State
Zip Code
Area Code and
Herne Phone
Ain Code and
V/orh Phone
Email
I I I
rr
U L
To Pay By Phone
1.800.472.9297
Customer Service
1.800.327.2177
24 hours/7 days
Lost or Stolen Card
1.800.992.3404
Express Cash
1-800-CASH-NOW
International Collect
1.336.393.1111
Heari
(9am-?rgInpaired
ST)
We:
-80E0-221-9950
FAX: 1-800-695-9090
In NY: 1.800552.1897
lu
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
3W9.7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329.7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable you
j
to receive special offers,
suited to your needs.
EFTA01703594
DUPLICATE COPY
Prepsed For
Accant Mater
Ckeig Dale
>00000000(2-61005
06/08/04
Page 3 of 12
New Activity Continued
peen Spondee;
aunt $
05/08/04
FRANCE
05/08/04
FRANCE
European Union
Euro
32.75
913,10
European Union
Elmo
1,171.24
05/0W04
ZIZZI ST ALBANS
UNITED KINGDOM
Description
GOODS/SERVICES
05/10/04
UNITED KINGDOM
Description
GOODS
05/10/04
ZIZZI ST ALBANS
UNITED KINGDOM
Description
GOODS/SERVICES
05/11/04
PATRIOT-X CAFE REST. PRAHA 1 CZECH
CZECH REPUBLIC
RESTAURANT
05/11/04
PATRIOT-X CAFE REST. PRAHA 1 CZECH
CZECH REPUBLIC
RESTAURANT
05/12/04
FRANCE
05/12/04
PRAGUE MARRIOTT HOTEL PRAHA 1 CZECH
CZECH REPUBLIC
HOTEL
05/12/04
PRAGUE MARRIOTT HOTEL PRAHA 1 CZECH
CZECH REPUBUC
HOTEL
8039
Panels SWAN
74.61
30026
545.28
Parris Sieving
11.50
Panne Slerirg
20.88
71300
27.09
creel sauna
.39.00
18.96
Czech Mann
71,80
European Uaon
Euro
91.14
485.00
18.38
Devon Koons
7.18
Czech /
23.13
0ran
876.90
05/13/04
FRANCE
05/13/04
PHARMACIE ANGLAISE, PARIS 8
FRANCE
05/13/04
FRANCE
05/14/04
782,60
EtecoOra Unkel
FRANCE
Euro
05/15/04
EINSTEIN NOAH BAGEL 5614910492
FL
11.73
BAKERIES
05/16/04
FL
000990023
05/16/04
MAX & EDDIE'S CUCINASINGER ISLAND
FL
42.45
GENERAL MERCH
cps
Etw
on=2
Sao
302.98
European Vosn
Euro
35.81
24.10
European U eta
Euro
30.18
948.43
41.12
Continued on rovorso
EFTA01703595
DUPLICATE COPY
P.q.vcc Ft,
ACCCuilhun
Xic<X - XXXXX2 -61005
Page 4 of 12
New Activity Continued
Fara, artrtro
Amapa s
05/17/04
FL
Routing Details Not Available
Ticket Number: 890814248
Passenger Name:
Document Type:
50.00
05/17/04
FL
Routing Details Not Available
Ticket Number:891W
Passenger Name:
Doctrnent Type:
50.00
05/17/04
FL
DELTA AIR LINES
From:
To:
Ticket Number:
5
Passenger Name:
Document Type:
R TICKET
Cartier:
Class:
DL
TW
Date of Departure: 05/18
87.60
007/04
FL
DELTA AIR UNES
Fran:
To:
Ticket Number: 00675521604516
Passenger Name: RODGERS/D
Document Type: PASSENGER TICKET
Cartier:
Class:
DL
TW
Date of Departure: 05/18
87.60
05/17/04
JET AVIAT
CATERING 827210049
789.67
05/17/04
JET AVIAT
FUEL - JETA 827210050
5,220.00
05/17/04
JET AVIAT
FUEL - JETA 827210050
5,676.38
05/17)04
MEDITERRANEO
NEW YORK
NY
FOOMIEVERAGE
FOOD/BEV
47.00
TIP
10.00
57.00
05/18/D4
FL
000312593
17.67
05/19/04
FL
Routing Details Not Available
Ticket Number: 8908142 547 2
Passenger Name:
Document Type:
±
25.00
05/19/04
DELTA AIR UNES
From:
WEST PALM BEACH
Ticket Number 00
Passenger Name:
Document Type:
JUPITER
Ft.
To:
FL
7 21 4704
R TICKET
Carrier:
Class:
DL
BA
Date of Departure: 05/20
204.38
05/19/04
SAKS FIFTH AVE -024 BOCA RATON
FL
MENS SHOES
Description
DELIVERY FEES
287.30
05/20/04
PALM BEACH POST
561-820-3110
FL
CLASSIFIEDAD
98.85
Continued on mud page
EFTA01703596
DUPLICATE COPY
P•epated Fee
kOtord PM-bet
Mac OEM
YOOOC4OOOO(2-61005
06/08/04
Page 5 of 12
New Activity Continued
raegn Soxrckg
05/20/04
NY
FOOD/BEVERAGE
FOOD/BEV
51.50
05/20/04
VI
105.00
3ER PARTY
05/20/04
NY
8.00
FOOD/BEVERAGE
FOOD/BEV
8.00
05/21/04
WISTRAVELVALUESPLUS800-89O4892
CT
7.00
05/21/04
WU'RESERVATIONREWAR888-688-5995
CT
7.00
51.50
05/22/04
PENCIL,IP2,WARRIOR,12/PicBLACK
CORD,UNE,12',IVORY,BELKIN
CARTRIDGE,INK,CANON,BCI-24C
CARTRIDGE,INK,CANON,BCI.24S
05/24/04
FL
Routing Details Not Available
Ticket Number: 89081424854903
Passenger Name:
Document Type:
05/24/04
FI.
From:
To:
Cartier:
Class:
M
82
AA
ND
Ticket Number: 0017 21604904
Dale of Departure: 05/24
Passenger Name:
Document Type:
ER TICKET
05/24/04
FL
9627
05/24/04
JET AVIAT
FUEL - JETA 827210014
05/24/04
FL
000059497
05/24/04
FL
44.68
000061859
05/25/04
PR
60.00
Routing Details Not Available
Ticket Number: 00107570676934
Date of Departure: 05/25
Passenger Name:
Document Type:
KET
05/25/04
:OAKBROOK CLEANERS NORTH
FL
50.09
DRY CLEANERS
60.82
25.00
29420
424321
12.91
05/25/04
LNA Pilot Shop
Lantana
FL
299.03
05/26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
25.14
05/26/04
JET AVIAT
HANGAR RENT 827210063
3,710.00
Continued on mom
EFTA01703597
DUPLICATE COPY
Prepared Foe
'rage 6 of 12
>666C-Vikxx2-610C5
Feceign4Nnes9
New Activity Continued
Amount $
05126104
JET AVIAT
HANGAR RENT 827210063
3,710.00
05/26/04
PR
Arrival Date
Departure Date
No of Nights
05/24/04
05/25/04
LODGING
CARDEPOSIT
18.25
0512604
PR
Arrival Cate
Departure Date
No of Nights
05/24/04
05/25/04
1
LODGING
CARDEPOSIT
25024
05/28/04
SOUND CITY AUDIO 2125751060
NY
1,167.72
05/30/04
FL
000530917
50.00
05/31/04
PREMIUM SERVICES 8662654269
VA
ONUNE SVCS
TWX*AOL PREMIUM SVCE 05
11.90
05/31/04
AOL SERVICE
800-827-6364
VA
ONUNE
TIA/rAOL SERVICE 0504
30.84
.05/31/04
NY
FOOD/BEVERAGE
FOOD/BEV
11.73
11.73
05/31/04
TIMES SC! BAR JFK AIRJAMAICA
NY
FOOD/BEVERAGE
FOOD/BEV
25.42
TIP
400
29.42
06/01/04
FRENCHMAN'S REEF MST THOMAS
VI
MISC
206.10
06/01/04
BONEFISH 17017
FOOD/BEV
51.17
TIP
10.00
61.17
06/02/04
FL
1,523.50
06/02/04
SAKS FIFTH AVE -010 PALM BCH GARDEN FL
SPECIAL
633.52
06/03/04
JETBLUE
SALT LAKE UT
From:
To:
Carrier:
Class:
B6
Y_
Ticket Number: 3711 au 1 s 1 r rp
Date of Departure: 06/03
Passenger Name:
Document Type: -
ET
257.60
06/03/04
TRAVEL AGENCY
Routing Details Not
Ticket Number: 89
Passenger Name:
Document Type: k
JUPITER
FL
SERVICE FEE
Available
142
25.00
06/03/04
NY
FOODBEERAGE
FOOD/BEV
41.65
WAITER
7.00
48.65
06/03/04
SINGER ISLAND AUTOMOSINGER I$LAN
FL
000435229
33.20
Continued on next page
EFTA01703598
DUPLICATE COPY
Frep.Noi Foe
Tart Hurter
Clccirg Dale
Page 7 of 12
XXXX-X)0(0(2.61005
06/08/04
New Activity Continued
Fcrogn efendr9
Antuni $
06/03/04
EINSTEIN NOAH BAGEL 5614910492
FL
BAKERIES
8.13
06/03/04
SAN GENNAROS
FOOD/BEVERAGE
FOOD-BEV
37.79
WAITER
7.00
44.79
06/04/04
CT
ROBINSON
JET A FUEL 5602101219
3,904.56
06/04/04
NJ
JET AVIAT
FUEL - JETA 978210573
558.00
06/05/04
SPOTO'S OYSTER BAR PALM BCH GARD FL
75.09
06/07/04
FL
00000000 45653543
WEST PALM BEACH F10406040000WEST PALM
BEACH FLO406070000VISOSKI
113.77
Total of New Activity for
New Charges
Payments/Credits
38,932.30
0.00
New Activity for DAVID RODGERS
awn
cerof000c
05/08/04
FRANCE
59
Barcpean12
Ewo
73421
05/10104
T-MOBILE
800-937-8997
WA
T-MOBILE
126.14
05/10/04
UNITED KINGDOM
Description
GOODS
21:a7S
Parris Slating
531.60
05/12/04
PRAGUE MARRIOTT HOTEL PRAHA 1 CZECH
CZECH REPUBUC
HOTEL
13.028.60
Czech Kaunas
493.79
05/13/04
PRAGUE MARRIOTT HOTEL PRAHA 1 CZECH
CZECH REPUBUC
HOTEL
300.00
Cttch Karma
11.37
05/14/04
FRANCE
10
Emmen U
637n6
Euro
796.34
05/15/04
JET AVIAT
FUEL - JETA 827210045
2,662.00
05/18/04
LONG DISTANCE
888-213.8406
NJ
LONG DISTANCE
15.79
05/19/04
DELTA AIR UNES
ATLANTA
GA
From:
To:
Ticket Number: 00623013353550
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
Carder:
Class:
DL
BA
Date of Departure: 05/20
204.38
05/20/04
AIRCELL INC
303-4995624
CO
57.92
05/21/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
160.92
Continued on obverse
EFTA01703599
Repoid Fa
DUPLICATE COPY
AxWdlMeber
)300(-)C00042-61005
Pace 8 of 12
New Activity Continued
rear Spectna
Amou $
05/21/04
FRENCHMAN'S REEF BCHST THOMAS
VI
160.92
MISC
05/21/04
NU
MILLION A
JET Al 132981010
05/24/04
From:
To:
Carrie':
Class:
MIAMI FL
AA
Y2
Ticket Number: 00121638585065
Date of Departure: 05/24
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
05/24/04
VI
94.80
3ER PARTY
05/26/04
PALM.NET SERVICE 868-156-7256
CA
10.91
INFO SERVICE
05/30/04
FL
From:
To:
Carrier:
Class:
MIAMI FL
AA
Y2
Ticket Number 00121023265852
Dale cf Departure: 05/30
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
05/30434
FL
From:
To:
Cartier:
Class:
MIAMI FL
AA
Y2
Ticket Number: 00121023265863
Date of Departure: 05/30
Passenger Namemappiii
Document Type:
05/30/04
FL
85.91
Location
Date
Rental:
PALM BEACH FL.
05/3W04
Return:
MIAMI FL
05/30/04
Agreement Number: 585616124
Renter Name: RODGERS /DAVID
Reference Number: 050031
5,575.26
673.80
675.20
675.20
05/31/04
JETBLUE
SALT LAKE UT
From:
To:
Carrier
Class:
56
0_
Ticket Number: 86915300101003
Date of Departure: 05/31
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
05/31/04
VI
6,236.61
469.20
3ER PARTY
06/01/04
FRENCHMAN'S REEF BCHST THOMAS
VI
133.72
MISC
06/01/04
FL
100.93
Location
Date
Rental:
06/01/04
Return:
PALM BEACH FL
06/01/04
Agreement Number: 585938080
Renter Name: RODGERS /DAVID
Reference Number: 060002
06/01/04
FL
MISC RETAIL
06/02/04
DELTA AIR UNES
ATLANTA
GA
From:
To:
Carrier
Class:
DL
LW
Ticket Number: 00623026351581
Date of Departure: 06/03
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
392.20
124.60
Continued on text page
EFTA01703600
DUPLICATE COPY
Prepared Fu
Account Hunter
Moir. Duet
X)0000000(2-61005
06/0W04
Page 9 of 12
New Activity Continued
ra010000.0;k0
amounts
06/07/04
JET AVIAT
FUEL - JETA 827210079
4,232.82
Total of New Activity for DAVID RODGERS
New Changes
Payments/Credits
25,436.54
0.00
New Ajoiovoitaiii
Celt >XIX-
05/06/04
A25
European Unk.
FRANCE
Eta°
05/06/04
FRANCE
05/07/04
FRANCE
'
05/08/04
FRANCE
71.10
7020
Engem Unica
Roo
86.93
aura
ro
31.05
702.00
European Union
Euro
872.56
05/08/04
TIE RACK, PARIS 8
FRANCE
05/08/04
FRANCE
&MOM=
Eiro
37.08
720
European Uricc,
Euro
9.78
05/09/04
UNITED KINGDOM
Description
GOODS
05/10/04
UNITED KINGDOM
Description
GOODS
05/10/04
UNITED KINGDOM
Description
GOODS
05/12/04
PRAGUE MARRIOTT HOTEL PRAHA 1 CZECH
CZECH REPUBLIC
HOTEL
05/13/04
FRANCE
1020
19.50
Poen. Nang
Pouxls 29 78
468.07
Slorie;
625
Pardo Sista
12.44
22X6.18
Czech ICorunaa
834.03
24,00
arcpean Union
Eon
34.12
05/13/04
FRANCE
European At?.
ELCO
72'7
05/14/04
FRANCE
05/17/04
BONEFISH CREEK
W PALM BEACH
FL
19.12
FOOD/BEV
FOOD/BEV
16.12
TIP
3.00
05/20/04
AIRCELL INC
3034995624
CO
88.27
sew
Euttaxian Union
Roo
714.29
Continued on worse
EFTA01703601
DUPLICATE COPY
Prepatei Fa
iotiontxritiow-61cios
Page 10.3112
New Activity Continued
Forosn Sccning
Amounts
05/20/04
DRYCLEAN USA #71414 LAKE WORTH
FL
DRY CLEANERS
17.60
05/22/04
ROMEO'S RESTAURANT &WEST PALM BEACH
FOOD/BEVERAGE 01
FOOD/BEV
14.84
TIP
3.00
FL
17.84
06/02/04
FL
125.10
06/04/04
DUNCAN AVIATION
LINCOLN
NE
DUNCAN AV
OTHER 10803102174
4,662.41
Total of New Activity for
New Charges
Payments/Credits
8,128.56
0.00
Total of New Activity
New Charges
Payments/Credits
72,497.40
-58,696S6
EFTA01703602
DUPLICATE COPY
Prepared For
tceeent Nvrber
Clow° Dale
)00000000(2-61005
06/08/04
Page 11 of 12
LENDER
CustomExtras-
Mortgage Rates are Low! Get the Guaranteed Best Price*!
If you're looking to buy a home or to refinance your mortgage, American Express
Mortgages" can save you hundreds of dollars a month in mortgage payments.
With mortgage rates near all-time lows, the time to purchase or refinance is now.
The application is easy to complete and most loan decisions are made in minutes
--plus you will receive the best price guaranteed or you could receive $500*.
*A customer must provide a complete, system-generated Good Faith Estimate,
listing a specific lenders name, that is dated the same day as the rate quoted by
us. If such Good Faith Estimate indicates a lower interest rate than our rate,
inclusive of points and loan fees for the same loan program that is offered by us
and we have verified the accuracy of the rate and fees listed, then we will have
the option of beating that lender's total loan costs by $100, or paying the
customer $500 ($750 for properties located in California) when they close with
that lender and then provide us with a copy of the signed Note and Final HUD-1
Settlement Statement.
**Mortgage loans are provided by American Express Bank, FSB, an FDIC-insured federal
savings bank. American Express Bank, FSB, is an American Express company and an
Equal Housing Lender.
Contact us today! Call
1.800-AXP-1008 or visit
www.americanexpress.
com/mortgages. Use
offer code C79.
(CE 104543)
Magical Cancun - 90+ Offers and up to $150 Statement Credit
Travel
Escape to Cancun this summer or fall. A perfect mix of nature and culture--
amazing beaches and breathtaking waters, great shopping and dining, Mayan
ruins and cultural riches, world-class hotels, watersports and other adventures.
Simply reserve your vacation with American Express Travel to receive 90+ offers
for shopping, dining, car rentals and some of the region's most popular
excursions'... and if you qualify, take advantage of your Cardmember Annual
Travel Benefir--a statement credit up to $150.
'On new bookings from 6/1/04. Travel through 11/30/04. Restrictions may apply
and vary by merchant.
"On purchase offered by a vacation package operator through participating American
Express Travel Services U.S. locations of $2,000 or more per booking for $100 credit, or
only for Gold, Platinum Cards & Centurion* charge Card members, $2,500 or more for
$150 credit. Not valid on Independent air/hotel/car rental reservations. Available 1 per Card
account per year--redeem 1 per booking. Other Terms, Conditions and Restrictions apply.
To plan your vacation to
Cancun and for details on
your Cardmember Annual
Travel Benefit, call
American Express Travel
toll-free at
1-866-AXP-0001.
CS-NH022318-10, TA-149
Registered Ohio Travel
Agency, Washington UBI#
600.469-694, ML*1192.
PROMO CODE:
0322:0001.
(CE 104553)
Keep Track of Your Everyday Expenses with Your Card
Earn DOUBLE Membership Rewards® points when you use your
Card at supermarkets, drugstores, gas stations, the U.S. Postal
Service, and for your wireless phone bill. These everyday expenses
can add up quickly--and by using your American Express® Card, you
benefit from a variety of expense control tools including: online
access to your account so you can see how and where you've spent
money, a pay-in-full feature so you won't incur any credit card debt or
interest charges, and a detailed monthly statement so you can stay
on budget.
Terms, Conditions and Restrictions apply.
Access your account at
www.americanexpress.
com/mycardaccount
for more financial control.
(CE 104460)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703603
DUPLICATE COPY
Prepared Fer
XXXX-XXXXX2-61005
Page 12 of 12
Claim Your FREE VIP "Thank You" Worth Up to $100.00
As an American Express® Cardmember, you're entitled to a FREE VIP
"Thank You" worth up to $100.00. Simply call by July 10, 2004, to
claim up to two of your favorite magazines FREE for one year--
compliments of American Express. Quantities are limited. So call now
to guarantee your selections and find out full magazine subscription
details.
FREE VIP
THANK YOU
Call 1.800.586.9303 now
for details to claim your
favorite VIP magazines
worth up to $100.00.
Quantities are limited.
Call now to claim your
FREE VIP "Thank You".
Campaign Code 27272.
(CE 104470)
Now Accepting the American Express® Card!
Gooseberry Patch - Where you can find all the comforts of home.
Shop online at www.gooseberrypatch.com or call 1-800-854-6673
for more information.
Montauk Home Center - A friendly staff to help you with your
plumbing specialty/hardware, lumber service and all building needs.
94 Industrial Road, Montauk, NY. 631-668-6800.
Arcade Department Store - 30,000 items including bed, bath,
kitchen, toys and clothing. Located in the Historic Whaling District at
14 Front St. Greenport, NY. 631-477-1440.
If there we other places
where you would like to
see the Card accepted,
please call the Customer
Service number that is
located at the top of your
statement or the number
that Is on the back of your
Card.
(CE 104481)
Are You Overpaying for Personal Checks?
Tired of the inconvenience of ordering your personal checks through
your bank? Since 1997, American Express Publishing has been
offering personal and business checks and accessories to
Cardmembers at prices up to 50% less than financial institutions.
Other quality products we offer are address labels, deposit slips,
checkbook organizers, stamps, binders, and more. We adhere to
security features that exceed industry standards, as well as strict
confidentiality of account information. And, we offer an unconditional
money-back satisfaction guarantee.
Order your checks now from a trusted name--American Express.
Order now at
vAvw.amexpub.corn/
checks/statement or call
1-800-662-2314 to request
a brochure.
(CE 104541)
American Express® Gift Card - For All Occasions
The American Express Gift Card is a perfect solution for all of your
gift-giving needs. Whether buying gifts for your loved ones for
Father's Day or special events like graduation and weddings, the Gift
Card makes a perfect gift for any occasion because it is accepted all
over the place.* The Card is available in denominations from $25 to
$500 and is packaged in a gold envelope with a personalized
message card.**
'Accepted at millions of retailers and restawants throughout the U.S. where American
Express° Cards are accepted.
"Card and shipping fees apply. For complete Terms and Conditions, PleaSe visit
www.amerIcanexpress.comfbestgift or call 1-877-AXP-GIFT.
American Express Gilt
Card:
- Prepaid
- Accepted in millions of
restaurants and retailers
in the U.S.
- Funds never expire
Available at:
wwwamericanexpress.
com/bestgift or
1.866-256-GIFT.
(CE 104533)
Share the Rewards - The American ExpreSs Donation Site
Charitable giving is now even easier when you use your Card at the
American Express Donation Site.
Make a donation to any of over 850,000 U.S. charitable organizations.
You can give to multiple charities in one transaction or set up
Recurring Donations to a favorite charity. Donations are tax
deductible and you will receive an instant e-mail receipt for tax
purposes.
Use your Card to donate
to a favorite charity at
www.amertcenexpress.
comfdonate.
(CE 104469)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703604
Gold Card
Statement of Account
Prepared Fa
PrehaasElabrmS
72,497.40
PaprenttCredts
772;516.95
DUPLICATE COPY
=MI
New Chios
68,899.42
New
Balance $
68,87 9.87
Gal-4O/3:e
07/09/04
5,131;084.:;,y,
Membership
rpt05/31/04,..*hen charges Cilq,.'tn paid iin
lullendataccountsareuigobdstanctmg:',!
Page 1 of 14
Please Pay By
07/24/04
Please refer to page 2
for important information
regenzing your account
Your payment is due in full. Please pay by 07/24/04. Pay your bill online anytime, anywhere
at wwvi.amerIcanexpress.com/paybIll.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Best Value Guarantee - Getting the Lowest Price Is Easy
You just bought a N --then you see it advertised in the paper for less. Fortunately, you bought
the covered item with the Card. With our Best Value Guarantee, let us know within 60 days
where you saw the identical item advertised in print for less than you paid, and we'll reimburse
the difference up to 5250 per item and $1,000 annually per Card account. For more details or to
file a claim, call 1-800-557-8317. Refunds exclude taxes, shipping and handling and must be for
a savings of $10 or more.
Coverage is subject to additional Terms, Conditions and Exclusions.
Activity hicab""angda*
New Activityfor JEFFREY E EPSTEIN
CardXKK
Faegn Spends"
AMOVM
.,,t16/20f94alp&F:1LNT'FOECEIVF.R:*llaNicga
listAr
72;41)72401
Total of New Activity for JEFFREY E EPSTEIN
New Charges
PaymentelCrecitS
0.00
-72,497.40
New Activity for
cammax.xmamon
06/08/04
NOBU
NEW YORK
NY
FOOD/BEVERAGE
94.38
08/08/04
NY
FOOD/BEVERAGE
FOOD/BEY
70.00
TIP
10.00
80.00
06/08/04
CT
98.70
+ Pleas kid on the portend". bet" Mich and man wt your pap'a'l
Payment Coupon
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022-6843
It I I ill
lllll I
II 111111 II III II I
I I I
Mail Payment to:
Total Amount Due
$68,879.87
P.O. BOX 2855
NEW YORK NY 10116-2855
11111111
11,1,1111111111111..11111I1,1rlrlrl11111111,1111
Continued on Page 3
please pay By: Please enter account
07/24/04 number on all checks and
correspondence.
To avoid addtional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
on reverse side. Unless
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
006887987006889942 09rirl
EFTA01703605
Prepared For
DUPLICATE COPY
Amoui
)000(N40000(2-61005
Page 2 of 14
Payments: Your monthly statement is payable in fug upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
q
upon receipt. If payment is made at any other location, there may be a dela n processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
transmitting the amount of the check,
routing number, account number and check serial number to your financial ins
transmitting
Your checking account may be
debited as soon as the same day we receive your payment. If we can not collect the funds electronically at first
presentment, we may issue a draft against your account forte amount of the check.
Authorization for -Electronic Payments: By using the American Express Pay By Computer, Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Ekpress to initiate an
electronic debit to the financial account you specify in the amount you request-. To use Pay By Computer, please
visit us at www.americanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately at 1.800-9923404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 3M-393-1111. You are
fully protected against any fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional $5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. If the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
discontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your baled charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous months statement was received after the closing date. To keep your
account current, pay by the payment due date shown on your statement.
Billing Rights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more information about a transaction which appears on your statement, wnte or call the Customer Service
department as indicated on your paper statement, or click on the Customer Service fink online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserve your rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error.Ifyou need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent or take any action to collect the amount in question. Please retain any receipts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to correct the problem with the merchant, you may not have to
pay the remaining amount
was
n the goods or services. You have this protect
only when the purchase pnce was more
than $50 and the purchase
made in your home state or within 100 miles of your mailing address. (If we ovm or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Link online at www.americanexpress.com, or you can call us at 1.800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, or 1-800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong, please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRST statement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as you can why you believe there is an error
or why you need more information. We will investigate your complaint and correct any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to complete our investigation.
Credit Balance: If a credit balance (designated "CR, is shown on this statement, it represents money owed to, you. You
may make charges against the credit balance or request a refund. Requests for refunds should be made in wnting to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a checkto you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for biro or more billing cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change or Address
rearm( on iron
do no use
Name
Company
Name
Street Address
Coy, Slate
Zip Cole
Area code and
Nano Phone
Area Code and
Y/ork Phone
Erna
r MEM
MEMNON
To Pay By Phone
1.800.472-9297
Customer Service
1.800.327.2177
24 hours/7days
Lost or Stolen Card
1.800.9923404
Express Cash
1.800-CASH-NOW
International Collect
1.336.393.1111
Hearing Impaired
(9am-5pm EST)
TTY: 1-800-221.9950
FAX: 1.800.695-9090
In NY: 1.800.552.1897
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, FL
33329-7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329.7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable you
••
j
to receive special offers,
suited to your needs.
EFTA01703606
DUPLICATE COPY
Ftepo.ed Fee
Ac court Malt,
dosIra OS
Page 3 of 14
XXXX-XXXXX2.61005
07/09/04
New Activity Continued
=CM
ATVS $
06/09/04
LEGAL SEAFOOD 922 BURUNGTON MA
67.64
TIP 00000600
06/09/04
MA
3,140.00
JET AVIAT
FUEL - JETA 669410624
06/09/04
MILUON AIR • TETERBTETERBORO
NJ
590.00
MILLION A
JET A 132981015
06/09/04
SOUND CRY
2125750210
NY
244.40
06/10/04
MEDITERRANEO
NEW YORK
NY
54.40
FOOD/BEVERAGE
FOOD/BEV
44.40
TIP
10.00
06/10/04
FL
124.90
TELECOMIWPHONE EQUIP. '
06/11/04
MA
83.80
06/11/04
MA
177.12
06/12/04
TIP 00000700
06/13/04
JET AVIAT
FUEL -JETA 827210087
•
06/14/04
OFLANAGANS
NEW YORK
NY
61.25
5812/01
FOOD/BEV
53.25
TIP
8.00
06/14/04
IL
95.91
C16/14/04
NY
119.57
FOOD/BEVERAGE
FOOD/BEV
101.57
TIP
18.00
06/16/04
IL
180.37
06/16/04
Arrival Date
Departure Date
04/06/15
04/06/16
FOLIO NUMBER: 39973
06/16/04
BLOWFISH
WEST PALM BCH
FL
FOOD/BEVERAGE
FOOD/BEV
107.86
TIP
20.00
06/16/04
TC
524.99
MISC
54.17
9,939.42
630.16
127.86
OW 7/04
FL
Routing Details Not Available
Ticket Number: 89 1 1 27
Passenger Name:
Document Type:
25.00
Continued on remise
EFTA01703607
DUPLICATE COPY
ACCalit NUrrebef
XXXX4OOCa2-61005
Page 4 of 14
New Activity Continued
Fereign Speedo:I
Arnoont S
06/17/04
THE TRAVEL Gal I FRY JUPITER
FL
Routing Details Not Available
Ticket Number: 89019614827964
Passenger Name:
Document Type:
25.00
06/17/04
FL
From:
To:
HOUSTON TX IAH
ALBUQUERQUE NM
O HARE FIELD IL
MIDWAY ARPT IL
Ticket Number: 00 11
7
Passenger Name:
Document Type:
TICKET
Carrier:
Class:
CO
NL
CO
NL
AA
I-2
Date of Departure: 06/21
778.40
06/17/04
FL
From:
To:
HOUSTON TX IAH
ALBUQUERQUE NM
HOUSTON TX IAN
Ticket Number: 00511
73886
Passenger Name:
Document Type:
R TICKET
Carder:
Class:
CO
NL
CO
NL
CO
NL
CO
27
Date of Departure: 06/21
958.40
06/17/04
LAKE PARK
FL
100.00
185.80
DOCTOR
06/17/04
FL
Arrival Date
Departure Date
06/16Aµ
06/17/04
LODGING
DELAYED CHARGE
06/17/04
SPDWAY 0613759001PALM BEACH GA
FL
0000406 017012995
28.64
06/17Aµ
FL
BANYAN Al
PILOT SUPPL 5987544591
115.33
06/18/04
DIXIE AVIATION
CROSS CITY
FL
101818
FUEL PRODUCTS
257.98
06/18/04
TARGET STORES
MOBILE
AL
10.97
06/18Aµ
JET AVIAT
FUEL - JETA 827210094
456.50
06/18/04
Tx
FOOD/BEV
27.00
TIP
5.00
32.00
06/18Aµ
MILLION AIR
MOBILE
AL
PHILUPS
00000008860173000005165
290.83
06/18Aµ
PRIDE INTL FLT
ALEXANDRIA
LA
PHILLIPS
000C0008694173000012356
25724
06/19/04
JET AVIATION TEXAS !DALLAS
TX
JET AVIAT
FUEL • JETA 976511259
23128
Continued on ned page
EFTA01703608
DUPLICATE COPY
F:erzeed Fcr
Account Water
0=49 Dale
)00000000C2-61005
07/09/04
Page 5 of 14
New Activity Continued
FV•911 Swan,
cunt$
06/19/04
SANTACAFE JV
SANTA FE
NM
FCOD/BEVERAGE
FCOD/BEV
TIP
6455
9.00
73.55
0611W04
CHAPARRAL INC
LUBBOCK
TX
PHIWPS
•
00000003895173000003469
06/20/04
Routing Details Not Available
Ticket Number 00
Passenger Name:
Document Type:
ET
06/20/04
From:
ALBUQUERQUE NM
238.68
Date of Departure: 06/20
DALLAS
TX
To:
ALBUQUERQUE NM
AIN
MR
KET
Ticket Niumber. 00121
Passenger
Document Type:
Name:
Calder
AA
AA
AA
AA
Date of Departure: C6/20
150.00
Class:
KR
KR
LR
LR
06/20/04
NM
SANTE FE
FUEL -JETA 872110222
06/20/04
NM
SANTE FE
FUEL -JETA 872110224
06/20/04
NM
FOOD/BEVERAGE
FOOD/BEV
7.04
06/21/04
MEZZALUNA
NEW YORKNY
01 FOOD AND BEVERAGE
FOOD/BEV
TIP
06/21/04
JET AVIAT
FUEL - JETA 827210099
06/21/04
TRAVELVAUJESPLUS.COM800-890-4892
CT
06/21/04
RESERVATIONREWARDS 888.688.5995
CT
06/22/04
EASY CHOICE 45 U.C. NEW YORK
NY
06/22/04
ECKERD DRUG 85556 NEW YORK
NY
997.40
144.58
55.61
7.04
110.25
20.00
130.25
4048.87
7.00
7.00
18.17
71.67
06/22/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
TIP
4425
6.00
50.25
06/22(04
NY
208.40
06/22/04
NY
157.31
06/22/04
SOUND CITY
2125750210
NY
06/23/04
SHOP RITE 4175
HASBROUCK HTS
NJ
347.60
22.93
Continued on worn
EFTA01703609
DUPLICATE COPY
Page 6 of 14
XXXX-XXXXX2.51005
New Activity Continued
Fere84 &atm
ftenealnt $
06/23/04
W
0100
2,589.31
06/24/04
SEVEN BAR
ALBUQUERQUE
MA
SEVEN MR
FUEL -JETA 884310121
122.22
06/24/04
NM
RENTALS/SALES
200.06
06/25/04
WAL-MART 0829
SANTA FE
NM
78.11
06/25/04
7510 AIRPORT BLVD SANTA FE
NM
53078960175178518018563
17.74
06/25/04
THE HOME DEPOT #3503SANTE FE
NM
106.85
06/25/04
SANTACAFE JV
SANTA FE
NM
FOOD/BEVERAGE
FOOD/BEV
107.25
107.25
06/26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
25.14
06/26/04
CHEVRON 0208836
SANTA FE
NM
FACILITY 4208836
Description
UMISCELLANEOUS
49.23
06/26/04
NM
FOOD/BEV
75.70
TIP
20.00
95.70
06/26/04
NM
SANTE FE
FUEL -JETA 872110230
30.88
06/27/04
TX
From:
To:
ALBUQUERQUE NM
ALBUQUERQUE NM
Ticket Number: 00121030318890
Passenger Name:
MR
Document Type:
ET
Career:
Class.
AA
LR
AA
LA
AA
LR
AA
LIR
Date of Departure: 06/27
688.40
06/28/04
Routing Details Not Available
Ticket Number: 00106161444262
Date of Departure: 06/28
Passenger Name:
MR
Document Type:
100.00
08/28/04
Routing Details Not Available
Ticket Number: 001 7 71573332
Passenger Name:
Document Type:
ET
Date of Departure: 0628
30.00
06/28/04
STEAKSMITH LTD
SANTA FE
NM
01 FOOD AND BEVERAGE
FOOD-BEV
26.74
TIP
4.00
30 74
06/28/04
TX
86.00
06/28/04
JET AVIAT
TIE DOWN 827210107
814.25
Continued cn next pap
EFTA01703610
DUPLICATE COPY
Prepand For
Clocry Dale
Page 7 of 14
XXXX-XXXXX2-61005
07/09/04
New Activity Continued
Faegn axnang
Amounts
06/29/04
COMIDA BUENA
ALBOUEROUE
NM
10.85
FOOD/BEVERAGE
FOOD/BEV
10.85
06/28/04
PAYPAL 'TERRY HACK 402 9357733
CA
149.50
06/29/04
IL TRULLO
JUPITER
FL
FOOD/BEV
TIP
59.50
10.00
69.50
07/01/04
PREMIUM SERVICES 888-265-9269
VA
ONUNE SVCS
TWX•AOL PREMIUM SVCE 06
11.90
07/01/04
AOL SERVICE
800.827.6364
VA
ONLINE
TWX'AOL SERVICE 0604
07/01/04
PF CHANG'S *9915 GARDENS
FL
67.98
FOOD/BEV
60.96
TIP
7.00
23.90
07/02/04
FL
000887888
07/02104
86.73
FOOD/BEVERAGE
07/03/04
SPDWAY 0613759001PALM BEACH GA
FL
21.70
0000237 018609341
07/05/04
FL
26.66
GENERAL MERCH
49.87
07/07/04
FL
BP
PAY AT PUMP425855441004
07/08/04
AMOCO 5223
BP
PAY AT PUMP789940456014
07/08/04
MAVIS BEACON TYPING DELUXE V16
PENCILAIC,02,5MM
ERASER,BEVEL,ASSORTED CLRS,6PK
PEN,BP,DYNAGRIP,5/CD
07/09/04
AOL SERVICE
800.256-9089
TX
Total of New Activity for
33.52
24.97
74.43
15.00
New Charges
Payments/Credits
32,914.11
0.00
New Activity for DAVID RODGERS
con, n<YX KOCOare
O6/25/C4'
62960913 GENERAL MERCHANDISEjfc
06/09/04
T-MOBILE
800-937-8997
WA
T-MOBILE
347.38
.19:55
06/1W04
NJ
MILUON A
JET A 132981015
4,475.26
06/11/04
IL
ATLANTIC
LANDING FEE 128683498
94.64
Continued on reverse
EFTA01703611
DUPLICATE COPY
Prepared For
Aap
M r&
N-XXXXX2-61005
Page 8 of 14
New Activity Continued
ccegn Sctreg
O6/14/04
From:
To:
MIAMI FL
Ticket Number: 00121027080900
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Cartier:
Class.
PA
Y2
Date of Departure: 06114
673.80
06/15/04
FL
Agreement Number: 001058032
Reference Number: 061504
32.62
06/15/04
NY
CORPORATE
CATERING 1138110176
286 23
06/17/04
LONG DISTANCE
888.213-8406
NJ
LONG DISTANCE
14.90
06/17/04
FL
Agreement Number: 001058032
Reference Number: 061704
44.39
06118/04
From:
To:
Ticket Number: 00121312634733
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Cartier:
Class:
AA
Y2
AA
Y2
Date of Departure: 06/18
679.20
06/18/04
From:
To:
Ticket Number: 00121 1
Passenger Name:
Document Type:
Cartier.
Class:
AA
Y2
AA
Y2
Date of Departure: 06/18
679.20
06/18/04
From:
To:
Ticket Number: 00
Passenger Name:
Document Type:
Carrier:
Class:
AA
Y2
AA
Y2
Date of Departure: 06/18
679.20
06/19/04
JETBLUE
SALT LAKE UT
From:
To:
J F KENNEDY A/T1 NY
Ticket Number: 57117
1 1
Passenger Name:
Document Type:
Cameo
Class:
B6
Y_
Date of Departure: 06/20
257.60
06/20/04
VI
3ER PARTY
8,666.99
06/21/04
AIRCELL INC
303-4995624
CO
65.06
06/22/04
MEDAIRE,INC
6024524300
AZ
1,097.25
06/22/04
13037999090
CO
245.00
MAIL ORDER
06/22/04
*037999090
CO
86.83
MAIL ORDER
06/23/04
NJ
MILLION A
JET A 132981019
5,850.26
Continued on next page
EFTA01703612
DUPLICATE COPY
Prepared Fee
Acccurt Numteg
Cicero Daie
)00000000(2-61005
07/09/04
Page 9 of 14
New Activity Continued
Faetn Spend-iv
Ameum$
06/24/04
From:
To:
Carrier:
Class:
ALBUQUERQUE NM
AA
ORLANDO FL
AA
KA
Ticket Number: 00121643258862
Date of Departure: 06/24
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
427.70
06/25(04
FL
Location
Date
Rental:
ORLANDO FL
06/25/04
Return:
PALM BEACH FL
06/25/04
Agreement Number: 607885891
Renter Name: RODGERS /DAVID
Reference Number: 060026
9053
0626/04
PALM.NET SERVICE 888456.7256
CA
INFO SERVICE
10.44
02428/04
TX
Routing Details Not Available
Ticket Number: 00106161496084
Date of Departure: 0648
Passenger Name: RODGERS/DAVID
Document Type: MISC CHARGE ORDER/PREPAID TICKET AUTHORITY
50.00
06/28/04
TX
Routing Details Not Available
Ticket Number: 00106161496095
Dale of Departure: 06/28
Passenger Name:
Document Type:
50.00
06/29/04
From:
To:
Carder:
Class:
AA
MA
ALBUQUERQUE NM
AA
L2
Ticket Number: 00121030507422
Date of Departure: 06/28
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
520.70
06/28/04
From:
To:
Cartier:
Class:
AA
MA
ALBUQUERQUE NM
AA
L2
Ticket Number: 00121
7
Date of Departure: 06/28
Passenger Name:
Document Type: P
520.70
06/29/04
NAV CANADA
OTTAWA
ON
Description
9445N2045766300
1030.62
Cana/tan Dollars
1,440.84
07/01/04
TIP 00001500
87.87
07/01/04
FL
MISC RETAIL
392.20
07/02/04
JIFFY LUBE 1735
SANTA FE
NM
002816104
GAS/MISC. 00463521
20.00
07102104
TIP 00000600
47.55
07/02/04
NM
SANTE FE
FUEL - JETA 872110241
3,885.24
Co ted on reverse
EFTA01703613
DUPLICATE COPY
Preprad For
Account
x>c&N-XXXXX2-61005
Page 10 of 14
New Activity Continued
Fano, Spereav
Amount 3
07/02/04
ROY'S $15202
LAS VEGAS
NV
FOOD/BEV
103.74
TIP
20.00
123.74
07/03104
NV
TRANSPORTATION
84.00
07/03/04
NV
TRANSPORTATION
84.00
07/03/04
SANTA FEMM
FOOD/BEV
FOOD/BEV
40.33
TIP
8.00
48.33
07/03104
TIP 00000800
60.38
07/04/04
TIP 00000400
22.35
07/04/04
NM
SANTE FE
FUEL - JETA 872110243
799.12
07/04/04
CO
ASPEN GAS
CATERING 135518551
76.60
07/05/04
CO
75.00
Total of New Activity for DAVID RODGERS
New (barges
Payments/CredIts
33,193.10
-19.55
New Ap_tly14, for
Caxl )0CCO
O•tEr2060
06/11A)4
T-MOBILE
800-937-8997
WA
T-MOBILE
586.75
06/13/04
LOWES
44.66
06/14/04
TIP 00000400
27.62
06/14/04
1483 FIRST AVE RESTARUANT NEW YORK NY
TIP 00000900
81.51
06/14/04
AOL FOR BROADBAND 888-889-7201
VA
INTERNET SVC
1WrAOLFORBROADBAND 060
24.95
06/14/04
SINGH AND SINGH
NEW YORK
NY
12.89
06/15/04
TX
From:
To:
MIAMI FL
Ticket Number: 00121 7
Passenger Name:
Document Type:
Carrier.
Class:
AA
Y2
Date of Departure: 06/15
673.80
06/20/04
FL
9.53
06/21/04
AIRCELL INC
303-4995624
CO
80.53
Continued on next pegs
EFTA01703614
DUPLICATE COPY
Prepare! Few
Atom* Ntrrter
>000C-X)000C2-61005
Cbsina Dale
07/09/04
Page 11 of 14
New Activity Continued
Fair SWOrli
Amounts
06/29/04
DUNCAN AVIATION
LINCOLN
NE
1,100.97
DUNCAN AV
OTHER 10803102291
07/01/04
FL
149.00
Total of New Activity for
New Charges
2,792.21
Payments/Cradle
0.00
Total of New Activity
New Charges
Payments/C
Its
68,899.42
-72,516.95
EFTA01703615
Prepared For
)OCa-)OO=2-61005
DUPLICATE COPY
ACCart Hinter
Page 12 of 14
EFTA01703616
DUPLICATE COPY
Pceparod For
Account Mater
Closing DS
)000(40000(2-61005
07/09/04
Page 13 of 14
LENDER
CustornExtrar
Online Fraud Protection Guarantee
When you use the American Express. Card Online, you won't be
responsible for any unauthorized charges. Period. No fine print, no
deductible--just pure protection, so you can shop with confidence
anywhere on the Internet. Should any unauthorized charges appear
on your statement, simply notify us at the 800 number on the back of
your Card.
To learn more, visit
WWW.a M ericanexpress.
comlbeneflts.
(CE 104575)
Mortgage Rates Are Low! Get the Guaranteed Best Price
If you're looking to buy a home or to refinance your mortgage, American Express
Mortgages" can save you hundreds of dollars a month in mortgage payments.
With mortgage rates near all time lows, the time to purchase or refinance is now.
The application is easy to complete and most loan decisions are made in
minutes--plus, you will receive the best price guaranteed or you could receive
$500..
'A customer must provide a complete, system-generated Good Faith Estimate,
listing a specific lender's name that is dated the same day as the rate quoted by
us. If such Good Faith Estimate inclicates a lower Interest rate than our rate,
inclusive of points and loan fees, for the same loan program that is offered by
us--and we have verified the accuracy of the rate and fees listed, then we will
have the option of beating that lenders total loan costs by $100 or paying the
customer $500 ($750 for properties located in California) when they close with
that lender and provide us with a copy of the signed Note and Final HUD-1
Settlement Statement.
—Mortgage loans are provided by American Express Bank FSB, an FDIC-insured federal
savings bank. American Express Bank, FSB, is an American Express company and an
Equal Housing Lender.
Contact us today! Call
1-800-AXP•1008 or visit
WWW.americanexpress.
corn/mortgages. Use
offer code CM.
(CE 104580)
Puerto Rico $100 Value Card & Up to $150 Statement Credit
You're not dreaming, you're In Puerto Rico. Escape to Puerto Rico, the Island of
Enchantment, now through October 31, 2004. A perfect mix of natural beauty and
rural landscapes--amazing beaches and turquoise waters, world-class shopping,
dining, Old San Juan and cultural riches, world-class hotels, outstanding golf
courses, watersports and other adventures. Simply reserve your vacation of four
nights or more with American Express Travel to receive $100 American Express
Shopping Card good at participating merchants for shopping, dining, car rentals
and some of the region's most popular excursions' and if you quality, take
advantage of your Cardmember Annual Travel Benefits statement credit up to
$150."
'On new vacation package bookings from 6/15/04 to 9/30/04. Travel through
10/31/04. Restrictions may apply. American Express Shopping Card of $100 can
be used towards purchases at participating merchants. Not redeemable for cash.
Other material Terms, Conditions and Restrictions apply.
"On purchase offered by a vacation package operator through participating American
Express Travel Services U.S. locations of $2,000 or more per booking for $100 credit or,
only for Gold, Platinum Cards & Centurion' charge Card members, $2,500 or more for
$150 credit. Not valid on independent airihoteVcar rental reservations. Available once per
Card account per year. May only redeem 1 per booking.
To plan your vacation to
Puerto Rico and for details
on your Cardmember
Annual Travel Benefit,
call American Express
Travel toll-free at
1.888-AXP-0059. CST#
1022318-10, TA-149
Registered Ohio Travel
Agency, Washington UBI#
600-469694, ML#1192.
PROMO CODE:
C9810001.
(CE 104661)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703617
Prepared Fee
DUPLICATE COPY
44a` xiTiedoc<2-sloos
Page 14 of 14
Are You Overpaying for Personal Checks?
Tired of the inconvenience of ordering your personal checks through
your bank? Since 1997, American Express Publishing has been
offering personal and business checks and accessories to
Cardmembers at prices up to 50% less than financial institutions.
Other quality products we offer are address labels, deposit slips,
checkbook organizers, stamps, binders, and more. We adhere to
security features that exceed industry standards, as well as strict
confidentiality of account information. And, we offer an unconditional
money-back satisfaction guarantee.
Order your checks now from a trusted name--American Express.
flea.
Publishing
Order now at
www.amexpub.com/
checks/statement or call
1.600662.2314 to request
a brochure.
(CE 104586)
A Special TravelFunds Card Offer for AARP Members
Receive a complimentary emergency travel kit with the purchase of
$1,000 or more in TravelFunds Cards from American Express.* It has
the safety and security of Travelers Cheques and the convenience of
a Card. The TravelFunds Card is prepaid and reloadable. It is safer
than carrying cash and is not linked to your bank account. If it is lost
or stolen, your balance is refunded, usually within 24 hours. Offer also
available when purchasing American Express Travelers Cheques and
foreign currency.
Limit one kit per order. There is a $14.95 issuance fee per TravelFunds Card purchase,
which includes standard shipping and processing. For complete Terms and Conditions,
visit
vnws.aarp.orgfamex.
Offer available for AARP
members only et
vivmaarp.org/amex
and at 1-800.721-9754.
Members must enter or
mention promotion code
101.
(CE 104632)
Your Auto Insurance Rates Should Be Reviewed Often
Because rates vary considerably from company to company,
comparing auto insurance rates could save you a significant amount
of money.The American Express Property Casualty companies offer
outstanding rates, world-class service and friendly, fair claims
handling. We invite you to receive a no-obligation quote to ensure you
are not paying too much.
Property Casualty insurance is underwritten in De Pere, WI by AMEX Assurance Company
(licensed in all 50 states, Puerto Rico and Canada) or IDS Property Casualty Insurance
Company (licensed in AZ, CA, IL, IN, MN, SD, TX and WI). Both are wholly owned
subs4diaries of American Express. Insurance not available in all states.
Call 1.800.842.3344 today
and be sure to mention
reference code 1N9 to
receive your quick,
no•obligation quote.
Or, if you prefer, visit
americanexpress.corn/
autohome to get your
quote.
(CE 104630)
Now Accepting the American Express® Card!
Wendy's@ - Enjoy hot 'n juicy@ hamburgers, Garden Sensation"'
Salads and Chicken Temptations'. Applies to locations that accept
American Express Cards. www.wendys.com.
Staybrldge Suites Hotel - All new upscale suites with complimentary
daily breakfast, family-friendly Jersey shore location. 732-380-9300.
www.staybridge.com.
Bruegger's Bagels - For breakfast and lunch meetings. Fresh-baked
bagels, cream cheese, sandwiches and coffee. For participating
locations: 1-888-8BAKERY or www.brueggers.com.
If there are other places
where you would like to
see the Card accepted,
(lease call the Customer
Service number that is
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104594)
How to Save up to 15% Off a Shopping Bill in Europe
When shopping in the European Union countries, VAT (equivalent to
sales tax) is included in the prices that you see, rather than added on
at the cash register. As a resident outside of the European Union, one
can reclaim up to 15% off the purchase price when leaving the
country. And, so not to waste time at the airport foreign exchange
desks, one can simply indicate on the form that they would like the
refund to be credited to their American Express@ Card.
A person must be resident outside of the European Union in order to benefit from tax-free
shopping. VAT rates and minimum spending requirements vary by country. Please refer to
vnwtamedcanexpress.cornaraveltIps for further details.
To find out more about
tax-free shopping, please
visit www.amerlcan
express.com/traveltips.
Please don't forget to ask
a representative from
Customs and Excise to
stamp the form upon final
departure.
(CE 104591)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01703618
Gold Card
Statement of Account
PrcpwWFa
Pre/i0U. BeWoolf
68,879.87
Penmen-stele:WS
9,634.67
• '
DUPLICATE COPY
New Chagos 5
69,428.45
Now
•
Balance
60,673.65
ace ir Date
08/08/04
Na
Sitagaj720.1
oMberilttfhsillitta
]'.'sit,06/3W04:.ialioreatrolteiyidalb
ufl and alrathotintecaleite
Page 1 of 14
Please Pay By
0823/04
Please refer to page 2
for important information
regarding your account
Your payment is due in full. Please pay by 08/23/04. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
Contact us at www.americanexpress.com or call Customer Service at 1-800-327-2177.
Best Value Guarantee - Getting the Lowest Price is Easy
You just bought a TV--then you see it advertised in the paper for less. Fortunately, you bought
the covered item with the Card. With our Best Value Guarantee, let us know within 60 days
where you saw the identical item advertised in print for less than you paid, and we'll reimburse
the difference up to $250 per item and $1,000 annually per Card account. Refunds exclude
taxes, shipping and handling and must be for a savings of $10 or more. For more information,
please visit www.americanexpress.com/benefits. Coverage is subject to additional terms,
conditions, and exclusions.
Activity 1.4cal" Pz'43:ida5)
New Acx.fgycigiar JEFFREY E EPSTEIN
irowtorytdMitET;:it
ygpfatqw
,
d.
Total of New Activity for JEFFREY E EPSTEIN
FweignSpercim
Agnom4
araiSANifilaiM79tel
New Charges
0.00
Pa
-68,879.87
New Activity for
Card=00a000(2-Mil
07/09/04
US AIRWAYS
From:
To:
CHARLOTTE NC
Ticket Number: 03710803749885
Passenger Name:
Document Type:
R TICKET
4 P
. bid on the refloadon Nkm, death ant Mum %rib wts pownset #
Payment Coupon
Carrier:
Class:
US
68
US
VA
Date of Departure: 07/11
=OM
4TH FLOOR
457 MADISON AVE
NEW YORK NY
10022 - 6843
..... 1,1111 I.IIa11a111a11 ll0111111111...I .1,11
Mail Payment to:
Total Amount Due
$68,673.65
P.O. BOX 2855
NEW YORK NY 10116-2855
'Milli
lion'111looa1111la1I1oI1laalal1l11aoIIIIIIalIil
446.20
Cordlnuod on Page 3
Please Pay By: Please enter account
08/23/04 number on all chocks and
correspondence.
To avoid additional
Finance Charges on
Purchases, pay New
Balance before Payment
Due Date.
Note any address and/or
telephone number change
on reverse side. Un!ess
you check here, this
change will apply to all of
your Card Accounts except
any Corporate Card
Accounts you may have.
006867365006942845 08r1r1
EFTA01703619
Precorei Fcc
DUPLICATE COPY
)006( N-XXXXX2-61005
te
Page 2 of 14
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
the account number indicated on your check Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a dell in processing. We reserve the right to
process checks electronically, at first presentment and any re-presentments,
twanging the amount of the check,
routing number, account number and check serial number to your financial ins itution. Your checking account may be
debited as soon as the same day we receive your payment. If we can not collect the funds electronically at first
presentment, we may issue a draft against your account forte amount of the check.
Authorization for Electronic Payments: By using the American Express Pay By Computer, Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Express to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
visit us at vnviv.amencanexpress.com.
Lost or Stolen Card: If the Card is lost or stolen in the United States, contact us immediately at 1-800-992-3404.
Outside the U.S., contact the nearest American Express Travel Service Office or call us collect at 336-393-1111. You are
fully protected against any fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum hability is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual tee is $75.00 for the Basic Gold Card and$35.00 for each
Additional Card. An additional ys5 is charged for billing addresses outside the U.S. Renewal Cards are issued every three
years. It the Card you carry is damaged, you may have it replaced sooner by calling Customer Service. You may
cfmcontinue your Membership by calling Customer Service. Be sure to keep your copy of the charge slips for comparison
to your billed charges.
The Statement Closing Date is the last date that charges and credits are processed to appear on the statement. Your
account will be Past Due if payment for your previous month's statement was received afterthe closing date. To keep your
account current, pay by the payment due date shown on your statement.
Rights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more intonation about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or chi* on the Customer Service fink online. We must hear from you no
later than 60 days after we sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing so will not preserve your rights.
What We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected error; 3. Describe the error and explain, if you can, why you believe there is an error. If you need
more information, describe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your
inquiry, we cannot report you as delinquent ortaloa any action to collect the amount in question. Please retain any receipts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or services that you
purchased with the Card, and you have tried in good faith to coned the problem with the merchant, you may not have to
pay the remaining amount due on the goods or services. You have this protection only when the purchase Pow was more
than $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicking on the Customer
Service Unk online at vnwtamericanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay Sy Phone and Pay
By Computer issues, or 1-800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction
is wrong, please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRST statement on which the problem or error appeared.
When contacting us: 1. Tell us your name and account number; 2. Provide the dollar amount of the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as you can why you believe there is an error
or why you need more information. We will investigate your complaint and correct any error promptly. If we take more than
10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the
money during the time it takes us to comptete our investigation.
Credit Balance: If a credit balance (designated "CR") is shown on this statement, it represents money owed to you. You
may make charges against the credit balance or request a refund. Requests for refundsshould be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration of the six-month period following the date of the first statement indicating the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for hvo or more billing cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change of Address
a coned on front
do nol out
Name
Cn—emny
Name
Street Address
Cty. Sate
ZoP Code
Ana Ccdo and
Hemp Phone
Area Godsend
wait Phone
Emai
L
LIJ
•
To Pay By Phone
1-800472-9297
Customer Service
1.800.327.2177
24 hoursf7 days
Lost or Stolen Card
1-800-992-3404
Express Cash
1-800-CASH-NOW
International Collect
1.336.393-1111
Hearing Impaired
(9am-5pm EST)
M:
1-800-221-9950
FAX: 1-800-695-9090
In NV: 1.800.552.1897
Correspondence
Customer Service
P.O. Box 297804
Ft. Lauderdale, Ft.
33329.7804
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable frou
to receive special offers,
suited to your needs.
EFTA01703620
DUPLICATE COPY
Prwand For
to! Ntrnte
Cbsig Date
Page 3 of 14
=COOO=2-61005
08/08/04
New Activity Continued
Fawn Swag
Amount $
07/09/04
US AIRWAYS
From:
To:
CHARLOTTE NC
Ticket Number: 03710808749896
Passenger Name..
Document Type:
R TICKET
Carrier:
Class:
US
B8
US
VA
Date of Departure: 07/11
446.20
07/09/04
US AIRWAYS
From:
To:
CHARLOTTE NC
Ticket Number: 0371
749900
Passenger Name:
Document Type:
R TICKET
Carrier.
Class:
US
68
US
VA
Date of Departure: 07/11
446.20
07/09/04
CLASSBOOK.COM
EAST GREENWIC
NY
BOOK STORE
456.26
07/09/04
AUTOZONE #1273
RIVIERA BEACH
FL
11.10
07/09/04
380 W LINTON BOULEVADELRAY BEACH
FL
20922050917192247017333
50.00
07/09/04
EXXONMOBIL6707733900LAKE PAR
FL
IN-STORE 6707733900
16427
07/10/04
FL
DRY CLEANERS
77.70
07/10/04
SAN GENNAROS
FOOD/BEVERAGE
FOOD-BEV
4203
WAITER
8.00
50.03
07/11/04
JET AVIAT
FUEL - JETA 827210124
4,463.65
07/11/04
NY
14.58
07/11/04
SINGH AND SINGH
NEW YORK
NY
30.38
07/12/04
DIRECTV DBS SERV 800-497-1117
SD
TV SERVICE
107.86
07/12/04
FL
228.33
07/12/04
NY
FOOD/BEERAGE
FOOD/BEV
35.95
WAITER
5.00
40.95
07/12/04
SOUND CITY AUDIO 2125751060
NY
375.85
07/13/04
ZEYTINIA MARKET
WILTON
CT
SUPERMARKET
54.48
07/14/04
NY
17.37
07/14/04
CABANA
NEW YORK
NY
FOOD/BEVERAGE
FOOD-BEV
50.25
WAITER
7.00
57.25
Continued on reverse
EFTA01703621
DUPLICATE COPY
Prepared For
Page 4 of 14
rotxxl4-)OOOCX2-61005
New Activity Continued
Focavi Sporrthre
Arrogant
07/15/04
GENERAL MDSE
524.49
07/15/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
35.30
TIP
5.00
40.30
07/16/04
From:
To:
ALBUQUERQUE NM
Ticket Number: 00121035314381
Passenger Name...
Document Type:
KET
Carrier:
Class:
AA
LR
AA
IA
AA
KR
AA
KR
Date of Departure: 07/16
997.40
07/16/04
FL
000589189
20.91
07/16/04
FL
FOOD-BEV
15.25
01
5.00
20.25
07/17/04
Routing Details Not Available
Ticket Number: 001 7 7
1
Passenger Name:
Document Type:
KET
Date of Departure: 07/17
150.00
07/17/04
PIZZA HUT
DFW AIRPORT
TX
6.95
07/17/04
NM
00REST
FOOD/BEV
29.00
TIP
5.00
34.00
07/17/04
WAL-MART 0829
SANTA FE
NM
67.66
07/17/04
GAUSTEO INN
GAUSTEO
NM
LODGING CHARGES
158.65
07/18/04
Routing Details Not Available
Ticket Number: 00
7
Passenger Wane:
Document Type:
KET
Date of Departure: 07/18
60.00
07/18/04
FL
48.00
07/18/04
HMSHOST-DFW-AIRPT e7DALLAS/FT. WO
TX
FOOD/BEV
17.77
07/18/04
FL
000097189
9.31
07/18/04
MICROBREWERY
ALBQUERQUE
NM
FOOD/BEVERAGE
FOOD/BEV
10.08
TIP
2.00
12.08
07/19/04
OK
180.00
Routing Details Not Available
Ticket Number: 00
Passenger Name:
Doctrnent Type:
KET
Date of Departure: 07/19
Continued on nat page
EFTA01703622
DUPLICATE COPY
Prepared For
Actard Number
Ckcirg De.9
Page 5 of 14
=0000=2-61005
08/08/04
Now Activity Continued
Fuego 4x-ncing
Amounts
07/19/04
TX
From:
To:
0 HARE FIELD IL
ALBUQUERQUE NM
Ticket Number: 00121035915574
Passenger Namejimpiiiii
MR
Document Type:
Carrier:
Class:
AA
B2
AA
MD
AA
L2
Date of Departure: 07/19
899.84
07/19/04
JET AVIAT
FUEL - JETA 827210136
12,271.97
07/20/04
SEVEN BAR
ALBUQUERQUE
NM
SEVEN BAR
FUEL-JETA 884310169
31.32
07/20/04
HMSHOST-ORD-AIRPT #8Chicago
IL
FOOD/BEV
14.34
07/21/04
TRAVELVALUESPLUS.COM800-890-4892
CT
7.00
07/21/04
RESERVATIONREWARDS 888-688-5995
CT
7.00
07/21/04
NM
SANTE FE
FUEL - JETA 872110266
138.97
07/21/04
NM
TAOS AVIA
JET A FUEL 1238010124
75.00
07/22/04
GAUSTEO INN
GAUSTEO
NM
LODGING CHARGES
91.08
07/23/04
CHEF DU JOUR
ALBUQUERQUE
NM
FOOD/BEV
FOOD/BEV
56.14
56.14
07/24/04
CHEVRON 0208836
SANTA FE
NM
FACILITY 6208836
Description
UMISCELLANEOUS
mos
07/24/04
SANTACAFE JV
SANTA FE
NM
FOOD/BEVERAGE
FOOD/BEV
57.65
57.65
07/25/04
From:
To:
ALBUQUERQUE NM
0 HARE FIELD IL
Ticket Number 00121037237642
Passenger Name:
Document Type:
ET
Cartier:
Class:
AA
KB
AA
KB
Date of Departure: 07/25
573.20
07/25/04
ALLSUPS #319
TAOS
NM
038394374
GAS/MISC. 00280172
57.06
07/26/04
Routing Details Not Available
Ticket Number 001 7572258201
Passenger Name:
Document Type:
KET
Date of Departure: 07/26
90.00
07/26/04
T-MOBILE
800-937-8997
WA
T-MOBILE
74.44
07/26/04
NM
7.84
Continued on reverse
EFTA01703623
DUPLICATE COPY
Pliavod Foe
Accowl Nutting,'
XXXX-XXXXX2-61005
Page 6 014
New Activity Continued
oreal SOftdeV
Amount
07/26/04
MICROBREWERY
ALBQUERQUE
NM
FOOD/BEVERAGE
FOOD/BEV
5.04
TIP
1.00
6.04
07/26/04
VA
148.50
07/26/04
SEVEN BAR
ALBUQUERQUE
NM
SEVEN BAR
FUEL - JETA 884310179
142.35
07/27/04
OFLANAGANS
NEW YORK
NY
5812101
FOOD/BEV
13.00
TIP
4.00
17.00
07/27/04
BLOOMINGDALES
NEW YORK
NY
MENS UNDERWEAR
11.12
07/27/04
CABANA
NEW YORK
NY
FOODrEIEVERAGE
FOOD-BEV
60.56
WAITER
9.00
69.56
07/28/04
OFLANAGANS
NEW YORK
NY
5812/01
FOOD/BEV
30.00
TIP
5.00
35.00
07/28/04
MEDITERRANEO
NEW YORK
NY
FOOD/BEVERAGE
FOOD/BEV
65.15
TIP
9.00
74.15
07/29/04
OFLANAGANS
NEW YORK
NY
5812/01
FOOD/BEV
22.00
TIP
6.00
28.00
07/29/04
NY
CORPORATE
CATERING 1138110202
361.72
07/30/04
FL
Routing Details Not Available
Ticket Number: 890196220
76
Passenger Name:
Document Type:
50.00
07/30/04
FL
From:
To:
Carver:
Class:
MIAMI FL
AA
VL
AA
HH
MIAMI FL
AA
HH
Ticket Number: 00
Date of Departure: 06/05
Passenger Name:
Document Type: P#1.TICKET
777.40
07/30/04
FL
From:
To:
Carrier:
Class:
MIAMI FL
AA
VL
AA
HH
MIAMI FL
AA
HH
Ticket Number: 00111637395240
Date of Departure: 06/05
Passenger Name:
Document Type:
TICKET
777.40
07/30/04
FRANCE
R
aacpsn Union
Euro
59.72
Continued on next page
EFTA01703624
DUPLICATE COPY
Prepared For
Accord Nurrtor
Ckaire oat.
Ma -X=0(2-61005
08/08/04
Page 7 of 14
New Activity Continued
F0,09nEcerdnp
Amount
07/31/04
PREMIUM SERVICES 888.265.9269
VA
ONLINE SVCS
TWX*AOL PREMIUM SVCE 07
2.95
07/31/04
AOL SERVICE
800.827.6364
VA
ONUNE
TWX•AOL SERVICE 0704
23.90
07/31/04
FRANCE
Euro
86.37
07/31/04
FRANCE
11.50
armor,. Union
Ego
16.66
07/31/04
FRANCE
Ewe
15.92
08/01/04
L APPART, PARIS
FRANCE
70.80
Eumpron Urion
Eire
87.54
08/02/04
FRANCE
Eurcpeen
39.92
08/02/04
L APPART, PARIS
FRANCE
7005
atcpsen Unto
Eue
93.97
08/02/04
PHARMACIE ANGLAISE, PARIS 8
FRANCE
Eurcpcon lerenetS
to
Euro
83.21
08/03/04
Tx
From:
To:
MIAMI FL
Ticket Number: 00121039566144
Passenger Name...mi.
MR
Document Type:
KET
Carrier:
Class:
AA
Y2
Date of Departure: 08/03
681.80
08/03/04
FRANCE
WACO
Emitter, Unbn
&so
2,575.75
08/03/04
SPAIN
118.77
Eurcpcan Uti
Ego
146.37
08/05/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
138.21
08/05/04
FL
Location
Rene
MIAMI FL
Return:
PALM BEACH FL
Agreement Num r: 49.1
Renter Name:
Reference N
r:
Dale
08/04/04
08/05/04
106.04
08/05/04
EXXONMOBIL590128357I PALM BEA
FL
PAY AT PUMP5901283571
74.88
08/06/04
BLOWFISH
WEST PALM BCH
FL
38.33
FOOD/BEVERAGE
FOOD/BEV
32.33
TIP
6.00
Continued on reverse
EFTA01703625
DUPLICATE COPY
Proved for
Areourl Marne(
)000(-XXXXX2-61005
Page 8 of 14
New Activity Continued
Foregn *arcing
Arnount
08/07/04
CIRCLE K S4865
FT LAUDERDALE
FL
CIRCL4865
GASNISC 000000376434
08/07/04
REDFIRE GRILL
PIN BCH GRDNS
FL
MISC
FOOD/BEV
WAITER
24.59
69.85
10.00
79.85
08/07/04
EXXONMOBIL3401266535WEST PAL
FL
PAY AT PUMP340126m$
39.86
Total of New Activity for
New Charges
Payments/Credits
31,279.41
0.00
New Activity for DAVID RODGERS
CateDOCCGX, C0X24:427
1
p28/04
FRENCHMAN'S REEF BCHSITHO‘IASI
IC : l' , .,...,MISC
. ,8, ,
07/10/04
T-MOBILE
800-937-8997
WA
T-MOBILE
07/10/04
FL
07/11/04
DELTA AIR LINES
CINCINNATI Oil
From:
To:
NEWARK NJ
ATLANTA GA
Ticket Number. 00621979971900
Passenger Name: RODGERS/DAVID N
Document Typo: PASSENGER TICKET
07/14/D4
From:
To:
NEWARK NJ
Ticket Number: 00521850344875
Passenger Name: RODGERS/DAVIDNMR
Document Type: PASSENGER TICKET
07/15/04
NJ
MILLION A
JET A 132981025
07/18/04
LONG DISTANCE
888-213-8406
NJ
LONG DISTANCE
07/21/04
FL
Routing Details Not Available
Ticket Number: 89019620913635
Passenger Name:
Document Type:
07/21/04
FL
From:
To:
MIAMI FL
:se
,754 80
133.61
551.18
Carrier
Class:
DL
HA
DL
HA
Date of Departure: 07111
258.20
Carrier
Class:
CO
NA
Date of Departure: 07/14
252.60
4,475.26
14.74
25.00
Ticket Number: 00111 7
Passenger Name:
Document Type: P
R TICKET
Carrier:
Class:
AA
MD
AA
B2
Date of Departure: 07/22
496.70
07/21/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
07/21/04
AIRCELL INC
3034995624
CO
07/22/04
VI
3ER PARTY
07/23/04
FRENCHMAN'S REEF BCHST THOMAS
VI
MISC
198.22
140.30
7,975.24
23544
Continued on next page
EFTA01703626
DUPLICATE COPY
Pseprod For
Asaul Ntreter
Ckeiv Date
)000(-)0000(2-61005
08/08/04
Page 9 of 14
New Activity Continued
Faegn Spen:Ing
*mown$
07/23/04
FRENCHMAN'S REEF BCHST THOMAS
VI
432.91
MISC
07/23/04
FRENCHMAN'S REEF BCHST THOMAS
VI
754.80
MISC
07/25/04
JETBLUE
SALT LAKE UT
From:
To:
Carrier:
Class:
86
Y_
Ticket Number: 43520800101000
Date of Departure: 07/25
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
07/25/04
JET AVIAT
FUEL - JETA 827210143
07/25/04
PUBLIX STFIS 0338
LAKE WORTH
FL
72.92
GROCERIES
07/25/04
TIMES SO BAR JFK Al RJAMAICA
NY
55.33
FOOD/BEVERAGE
FOOD/BEV
45.33
TIP
10.00
763.80
9,230.11
07/26/04
JETBLUE
SALT LAKE UT
Routing Details Not Available
Ticket Number 14320900101009
Passenger Name: RODGERS/DAVID
Document Type: MISC CHARGE ORDER/PREPAID TICKET AUTHORITY
07/26/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
Cartier:
Class:
DL
OW
Ticket Number: 00623039136893
•
Date of Departure: 07/27
Passenger Names...
Document Type:
07/26/04
DELTA AIR LINES
ATLANTA
GA
From:
To:
Cartier:
Class:
DL
QW
Ticket Number: 08623039136882
Date of Departure: 07/27
Passenger Name: RODGERS/DAVID N
Document Type: PASSENGER TICKET
07/26/04
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR UNES
From:
To:
Carrier.
Class:
DL
UW
Ticket Number: 00610840665293
Date of Departure: 07/27
Passenger Name: RODGERS/D
Document Type: PASSENGER TICKET
07/26/04
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR UNES
From:
To:
Cartier.
Class:
DL
UW
Ticket Number:
1
665304
Date of Departure: 07/27
Passenger NM*:
Document Type:
ICKET
07/26/04
PALM.NET SERVICE 888.756.7256
CA
10.44
INFO SERVICE
07/26104
FL
87.82
Location
Date
Reds:
07/26/04
Return:
PALM BEACH FL
07/26/04
Agreement Number: 643729144
Renter Name: RODGERS /DAVID
Reference Number: 070027
184.60
144.60
144.60
87.60
87.60
Continued on reverse
EFTA01703627
DUPLICATE COPY
Fnc—
cc;
Axoult %robot
MOCX-)OOOO(2-61005
Page 10 of 14
New Activity Continued
eon Scendog
Amount $
07/26/04
TRAVELOCITY.COM
800-256-9089
TX
10.00
07/27/04
STAPLES
LEXINGTON & 51: M NY
OFFICE SUPPLIES
59.06
08/01/04
FL
MISC RETAIL
392.20
08/02/04
From:
To:
MIAMI FL
Ticket Number: 00121323301661
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carrier.
Class:
AA
Y2
Date of Departure: 08/02
681.80
06/02/04
AOL SERVICE
800-827-6364
VA
ONUNE
TWXAOL SERVICE 0704
36.80
08/02)04
AOL FEES & TAXES 888.849.3200
VA
ONLINE SVC
TWX'AOL FEES & TAXES 07
5.52
08/02/04
BROADBAND SVC
888-849.3200
VA
ONUNE SVC
TWXAOLFORBROADBAND 070
31.05
06/03/04
FRANCE
1.41870
European Union
Euto
2,401.58
06/03/04
SPAIN
nen
Eurcpom thion
Euro
146.37
08/05/04
From:
To:
Ticket Number: 00121039922805
Passenger Name: RODGERS/DAVID
Document Type: PASSENGER TICKET
Carder.
Class:
AA
SD
AA
82
Date of Departure: 08/05
340.20
08/05/04
From:
To:
Ticket Number 00121
1
Passenger Name:
Document Type:
Carrier.
Class:
AA
SD
AA
B2
Date of Departure: 08/05
34020
08/05/04
From:
To:
Ticket Number. 0012103 922
Passenger Name:
Document Type:
Carrier
Class:
AA
SD
AA
B2
Date of Departure: 08/05
34020
08/05/04
FL
Location
Rental:
MIAMI FL
Return:
PALM BEACH FL
Agreement Number: 649382941
Renter Name: RODGERS /DAVID
Reference Number: 080005
Date
08/04/04
08/05/04
80.69
08/05/04
VI
MISC
120.72
Continued on need page
EFTA01703628