Text extracted via OCR from the original document. May contain errors from the scanning process.
Platinum Card®
Statement of Account
Premed For
G MAXWELL
Nona* Warne $
23,013.10
-2 Y 538. 69
DUPLICATE COPY
Now Chaves $
15,630.02
232,334
Membership Rpwards,-,
Points f~{ir~ile e:
*ma-
:n tun
c: al
01/08/04
Mire.
standing'
Page 1 of 6
Please Pay By
01 /23/04
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Special Access Packages at Madison Square Garden
With your Platinum Card®, this season experience the action with Hockey Legends Nights and
Basketball Courtside Nights tickets. With this special VIP package, you can meet with an
alumnus of the home team or another special guest, enjoy a buffet dinner and open bar at the
Club restaurant, and watch the competition heat up with premium seats. For available dates,
visit www.amerIcanexpross.com/luxurysuites. All sales are final and non-refundable and
resale is prohibited. Details and prices are subject to change. Packages are limited and
available on a first-come, first-served basis. Call 1-800-321-RSVP, 8am to 11pm EST to
purchase your seats today.
Activity • weer Mar° cid°
12/15/M
r G MAXWELL
Amount $
CAGO
25 OAK STREET
IL
....,a135 SALES
CNICAGO
002‘iiia9 SALES
25 OAK STREET
IL
12.118/03*
WATERWORKS
PALM BEACH
H.
033000CCI -i:DME SUPPLIES
la1
9413'
02/1',/
NIS
qggDWILL ADJUSTMENT
WILLADJUSTMENT
+ Please Mon Me perkiest*, below, detach and Mtn, web your payffitf4
Payment Coupon
AA WE LL
I,' ,I 014.M lllll
Mail Payment to:
ft Nut&r
41:46/
-15.96
Continued on Pape 3
Please Pay By: Please enter account
01123104 number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processatie through the
Total Amount Due ff.S. banking system.
$11,104.43
P.O. BOX 2855
NEW YORK NY 10116-2855
LAIN
I
To Pay by Phone call
1.800-l-PAY-AXP or
1-800-472-9297.
Check here it address or
telephone number has
changed. Note changes
on reverse side.
0000371385847238009 001110443001563002 08rirl
EFTA01704093
DUPLICATE COPY
Pmparmlfor
G MAXWELL
Page 2 of 6
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Daus 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 acre+, int number indicated on your check. Do not send cash. Payments recanted after 12:00 noon oron 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 delay in processing. We reserve the right to process
checim electronically, at first presentment and any re-presentments, by transmitting the amount of the oheck, routng
number, account number and check serial number to your financial rbxUution. Your checking account may be debited
as soon as the same day we receive your payment. If we can not collect the funds e!ectroncally 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 vetv.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 liabhity is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. Tne annual fee for
the Additional Platinum Card is $175.00and br each Addtiora Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 amual subscription lee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do net wish to receive Departures magazine, please call 1-877-509-3993, Monday
through Friday, Sam - 5pm EST. 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 Riahts Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, qpr if you
need more ink:melon about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or dick on the Customer Service link online. We must hew from you no
later than 60 days after wo sent you the first bill on which the error or problem appeared. Although you may telephone us,
doing sowill not presence 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 molain, 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 Mk 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 gocds or servicee. You have this protection only when the purthwe 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 locatbn of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by clicihro on the Customer
Service Link online at vnvw.americanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay By Phone and Pay
By Computer issues, cr 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 wrong,
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 wit 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 crick on the Customer Service link
online. If you do not make sufficient charges against the credit banes or request a refund, we will, within 30 days after
expirationof the six-month period folcwing the date of the first statement indcaim the credit balance, issue a che da to you
for the credit balance in your account if the amount is $1.00 or more. mportant Notice to North Dakota Residents: If
an account is past due for two or more biting cycles, a late payment fee of 1.75% of all past duo amounts will be added.
along° of Address
tl COITOCI on 11001
do not Inc
Name
COrtanY
Name
Suml AcItess
Cry Slate
Zi) Cade
as Code and
Home Paco*
Mn Coda and
Work Phone
Email
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and al
other services
1-800-525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1.800338.1670
Hearing impaired
(9am-5pm EST)
STY: 1-800-221-9950
FAX: 1-800-695-9090
In NY: 1.800.522.1897
Travel Emergency and
Wortchvide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800.443.76722
Platinum Card
By Invitation Only
1.800.321-RSVP
Correspondence
Customer Service
P.O. Box 7825 as
Ft. Lauderdale, FL
33329-7825
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
to receive special offers,
suited to your needs.
EFTA01704094
DUPLICATE COPY
Proposed For
Cleokg DM
0 MAXWELL
01/08/04
Page 3 of 6
New Activity Continued
WAS19371•1. cIP9RWq. DAF IYIENT,catt;
10/15/03
MI
CHIASSO ITEMS
325.60
12/09/03
BARNEYS NEW YORK 660 MADISON
NY
SALES
2,130.14
12/09/03
BNY CHICAGO
25 OAK STREET
IL
SALES
556.18
12/10/03
546.96
12/10/03
SLEEPYS ES
NEW YORK
NY
1,357.77
12/11/03
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
NEWARK NJ
Ticket Number 00174746020934
Passenger Name
Document Type: PASSENGER TICKET
Gather:
Class:
9f<
O1
AA
M3
Dale of Departure: 12/14
334.40
12/11/03
WATERWORKS
PALM BEACH
FL
HOME SUPPLIES
5,399.97
12/11/03
TRAVELOCITY
18002569089
TX
29.95
12/12/03
EXPEDIA INC
ATLANTA
GA
From:
To:
LAS VEGAS NV
Ticket Number: 40175334791955
Passenger Name•
Document Type: PASSENGER TICKET
Carrier
Class:
HP
OO
HP
WA
Date of Departure: 12/27
395.00
12/12/03
EXPEDIA INC
ATLANTA
GA
From:
To:
LAS VEGAS NV
Ticket Number: 40
Passenger Name:
Document Type: PASSENGER TICKET
Carrier.
Class:
HP
OO
HP
WA
Date of Departure: 12/27
395.00
12/12/03
EXPEDIA SVC/DLVRY FE800.397,3342
WA
NON•REFUNDABLE
10.00
12/15/03
BARNEYS NEW YORK 660 MADISON
NY
SALES
52.14
12/15/03
BARNEYS NEWYORK
BEVERLY HILL
CA
SALES
74.11
12/15/03
TN
ARTS/CRAFTS
77.53
12/15/03
FRONTGATE CATALOG 800-626-6488
OH
HOUSEHOLD IT
800-626-6488
274.80
12/18/03
FAO SCHWARZ
800426.8697
PA
FAO SCHWARZ
519.01
12/18/03
WA
MERCHANDISE
19.84
12/18/03
AMAZON.COM SUPERSTORAP.4AZON.COM
WA
MERCHANDISE
21.35
Continued on reverse
EFTA01704095
Prepared For
G MAXWELL
Page 4 of 6
New Activity Continued
Arnount
1224/03
SIMPLY PC USA
BOYNTON BEACH
DFUL
900.00
PLICATE COPY
12/24/03
TX
111.86
1227/03
VVWW.EBAY.CONVCC/ 8887493229
CA
34.10
DIRECT MARKETER
Total of Now Activity for G MAXWELL
New Charges
13,565.71
Payments/Credds
-27,538.69
ISIS
BRENT TINDALL
12/08/03
SARA
NEW YORK
NY
209.65
POTTERY
12/09/03
DEAN & DELUCA 5169NEW YORK CITY
NY
64340
12/26/03
208.37
28 GOURMET FOOD
01/04/04
MUVICO PARISIAN 20 W PALM BEACH
FL
31.00
01/04/04
767.50
28 GOURMET FOOD
01/04/04
Nutrition World-PaImPALM BEACH GAR FL
Total of New Activity for BRENT TINDALL
204.39
New Charges
2,064.31
Payments/Credits
0.00
Total of New Activity
New Chews
15,630.02
PaymentslCi
ts
-27,538.69
EFTA01704096
DUPLICATE COPY
Pepped For
G MAXWELL
ft‘oxxint Kanter
CustornExtraS"
e
.-Ne e
Mao ow
01/08/04
Page 5 of 6
Discontinuation of Amtrak® Benefit
As of January 11, 2004, Platinum Card® members will no longer
receive complimentary access to Amtrak® ClubAcelC lounges with
the purchase of a same-day ticket. We regret any inconvenience this
may. cause. For a complete list of your Platinum Card benefits and
services—including our newest partners and programs-please visit
our Web site, www.americanexpress.com/platinumbenefits.
Log on to
www.americanexpress.
com/platinumbenefits for
more information on the
benefits available to you
as a Platinum Card
member.
(CE 104121)
Share the
"t:o6,444ehiett.
NPR;
Benefits of the Platinum Card®
Give someone close to you an Additional Platinum Card. They can
enjoy many of the unique Card member benefits you are currently
entitled to as a Platinum Card member, such as the International
Airline Program, the Fine Dining Program and Platinum Card®
Concierge. What's more, they will benefit from the convenience of
world-class American Express® Customer Service, 24 hours a day.
Terms, Condtions and Restrictions apply. The Additional Card member must be 18 years
or older, and must have never had defaulted account with American Express. Any account
you have with American Express must not be in default.
To apply or learn more,
call 1.800-525.3355. The
Annual Fee for each
Additional Platinum Card
is $175.
(CE 104098)
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 IJcensee #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
vnyvtamericanexpress.
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 can be sent
to your e-mail address, mobile phone, pager or PDA.
To sign up for Alerts, visit
wvm.americanexpress.
corn/alerts.
(CE 104153)
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.
EFTA01704097
DUPLICATE COPY
Prcpand Foe
G MAXWELL
Page 6 of 6
A Tax-Time Aid Now Available Online
The Year End Summary--a detailed report of all charges billed to your
account during 2003--provides you with an invaluable aid at tax time.
And with the improved online version, you will continue to view a
report of all your charges, but with increased flexibility and
functionality. The online version enables Platinum Card members to
sort transactions by date, merchant name, or charge amount. You
can also view your own charges, just the charges of an Additional
Card, or all your charges on your account at once. With the easy
navigation toolbar you can choose from categories such as Travel,
Restaurant, and Merchandise to get a comprehensive look at the
charges you've made in a particular category.
Look for your 2003 Yew
End Summary in the mail
beginning January 2004.
You will be able to access
your Online Year End
Summary starting
Febr
X5,2004.
(CE 104126)
28 New Properties Added
The Fine Hotels & Resorts program has added 28 exciting properties
to its exclusive membership for 2004. When you make your Fine
Hotels & Resorts reservations through Platinum Travel Service, you'll
receive valuable amenities, including a room upgrade at check-in
when it is available, daily Continental breakfast for two, a guaranteed
4pm late checkout, and a special gift, service or benefit that varies by
property.
Program Terms, Con Lions and Restrictions apply. American Express acts solely as sales
agent for travel suppliers and is not liable for the actions or inactions of such suppliers. CST
1022319-10, Washington UB1I600-469-694, ML *1192, TA-149. Registered Chic travel
agency. Program Code: 0312:0000.
To make reservations of
to learn more about Fine
Hotels & Resorts, call
PTS at 1-800-4434672
or refer your travel
professional to PTS.
(CE 104123)
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 19511
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)
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 yew (plus tax where
applicable) and iidudes a
free spouse card. Costco
Cash card offer expires
Apri 30, 2004. Marketing
Campaign cods 19243.
(CE 104135)
Stay with Holiday Inn® and get a $15 Lowe's Gift Card
Use your American Express® Card to book and pay for a Holiday Inns
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 credit/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
vwnv.holIday4nn.00m 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)
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.
EFTA01704098
Platinum Card®
Statement of Account
Prclaved For
G MAXWELL
Prerieus Marco $
11,104.43
Parrerr.rroitt. $
!
-11,104.43
DUPLICATE COPY
New ChrgesS
4,044.02
A
rt
New
Balance $
4,044.02
Clccirg Da:it
02/08/04
283,106
Membership Rewards
Points Available
02[Said3;. Vi115 :1SS.:11 . Sal
d
and !
anz,d,irtn
n dd n.d standincL;
Pagel of 6
Please Pay By
02/23/04
Please refer to page 2
tor important information
regarding your account
Terms - Payable in full upon receipt of statement.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-5254355 and press option 1-1.
Contact us at vAvw.amerIcanexpress.com or call Customer Service at 1-800-5254355.
Activity
trdca:ea
pcang
r G MAXWELL
Forego Speldng
Amount $
AVflOmMm,15fkvF,RcPAP-41kcYRY4MMflN,!,
;$1t00Wv VIMMOM
01/07/04
NY
75.00
01/14/04
ORBITZ LLC
MANKATO
MN
From:
To:
LOS ANGELES CA
LOS ANGELES CA
Ticket Number: 00115746621955
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
L7
AA
L7
Date of Departure: 01/25
216.70
01/14/04
ORBITZ LLC
CHICAGO
IL
ORBITZ • SERVICE FEES
6.00
01/20/04
FREDERIC FEKKAI
NY
NY
.234.47
01/22/04
SWITZERLAND
GOODS/SERVICES
90.00
esis$ Fmree
74.69
01/23/04
WA
MERCHANDISE
15.83
3 Please bid en the perforatieff bebw. detach and darn wan adz Garrard
Payment Coupon
G MAXWELL
NEW YORK NY
10022-6843
Mail Payment to:
Continued on Page 3
Please Pay By: Please enter account
02r23104 number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable thrown the
U.S. banking system.
Total Amount Due
$4,044.02
P.O. BOX 2855
NEW YORK NY 10116-2855
00003713858 Ll 7238009 000404402000404 1402 08rirl
To Pay by Phone ad
1.600-I-PAY-AXP or
1-800-472-9297.
Check here if address or
telephone number has
changed Note changes
on reverse side.
EFTA01704099
DUPLICATE COPY
Pre:paved Far
G MAXWELL
Page 2 of 6
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 frotr check Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited unta 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 delay in processing. We reserve the nght to process
checks electronically, at first presentment and any re-presentments, by transmitting the amount of the dieck, 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. It we can not collect the funds electronically at first presentment,
we may issue a draft against your account for the amount of the chock
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 vnwr.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 550 should you fa4 to report its loss or theft.
Charge Card and Statement Information: The annual fee Is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription lee forDepartures magazine is inducted in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please cal 1.877509.3993, Monday
through Friday, 9am - 5pm EST. 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 aopear 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 information about a transaction which appPars on your statement, write or call the Customer Service
department as indicated on your paper statement, or eta on the Customer Service inkonline. 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.
Vlhal We Need From You When You Have A Billing Inquiry: 1. Your name and account number; 2. The dollar
amount of the suspected erten 3. Describe the error and explain, if you can, why you behove there is an error. If you need
more information, descrbe the item you are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still obhgated to pay the parts of your bill that are not in question. While we :nyestigate your
inquiry, we cannot report you as delnauent <utake 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 price was more
than $50 and the purchase was made in your home state or within 100 miles of your mane 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 ckcking on the Customer
Service Link online at www.americanexpress.com, or you can call us at 1-8004PAY-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 pctiem 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 u can why you believe there is an error
or whyyou need more information. We will investigate your complaint and
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 daring thetime it takes us to complete our investigation.
Credit Balance: If a credit balance (designated "IC R") 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 cn the Customer Service link
online. If you do net 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 wit be added.
Change of Address
correct on ham
do nor WO
Name
Company
Name
Sheol Ached,
City. Stele
ZO Code
Area Code and
Hama Phone
Area Colo and
Work Phoro
Email
r
1
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1.800.525.3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1.800.338.1670
Heating Impaired
(9am-5pm EST)
TTY: 1-800-221-9950
FAX: 1.800.695.9090
in NY: 1.800.522.1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800.345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1.800-443-7672
Platinum Card
By Invitation Only
1.800-321-RSVP
•
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
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
mi
to receive special offers,
suitedto your needs.
EFTA01704100
DUPLICATE COPY
Account Numtxr
G MAXWELL
CIoc
DMo
02/08/04
Page 3 of 6
New Activity Continued
Focecm Sperchnp
Amount $
01/23/64
CRATE&BARREL-914 800-967-6696
IL
112.37
INTERNET
01/24/04
SWITZERLAND
GOODS/SERVICES
01/24/04
SWITZERLAND
GOODS/SERVICES
01/26/04
UNITED KINGDOM
Description
GOODS
01/27/04
WWW.EBAY.COWCa 8887493229
CA
3.12
DIRECT MARKETER
01/28/04
VIRGIN RETAIL LTD LONDON SW3
UNITED KINGDOM
GOODS
01/28/04
UNITED KINGDOM
Description
Price
GOODS
70.00
02/03/04
APPLE COMPUTER
CUPERTINO
CA
57.22
02/03/04
APPLE COMPUTER
CUPERTINO
CA
85.82
COMPUTEFt/SOFTWARE/ACC
02/04/04
NY
48.79
OFC SUPLY 914381.4964-
02/04/04
UNITED KINGDOM
Description
Price
GOODS
186.00
02/05/04
ITSU LONDON SW3
UNITED KINGDOM
GOODS/SERVICES
90.03
&Mu Frees
74.01
93.03
Swiss Fiona
74.01
28.17
Pccords Selling
52.61
99.95
Pounds Sletirg
186.97
7050
Pounds Sleirg
130.47
198.0
Pound, Stoat°
349.10
41.00
Pouncht 3torleg
77.08
02/07/04
NJ
PAPER,KRAFT,840,36*
Total of New Activity for G MAXWELL
67.73
New Charges
1,941.99
Payments/Credits
-11,104.43
lailiar
BRENT TINDALL
01/08/04
GRACE'S MARKET
NEW YORK
NY
115.11
09GROCERIES
01/10/04
377.32
28 GOURMET FOOD
.01/14/04
GRACE'S MARKET
NEW YORK
NY
90.87
09GROCERIES
01/16/04
SABLE'S
NEW YORK
NY
61.38
RESTAURANT
01/16/04
GRACE'S MARKET
NEW YORK
NY
285.14
09GROCERIES
Confirm& on memo
EFTA01704101
DUPLICATE COPY
Pwased For
G MAXWELL
Pago 4 of 6
New Activity Continued
F°,0CP -Ponied)
Amount
01/17/04
DELTA AIR LINES
LOS ANGELES CA
From:
To:
Ticket Number: 00621906885681
Passenger Name: TINDALL/BRENT
Document Type: PASSENGER TICKET
Carrier:
Class:
DL
BA
Date of Departure: 01/17
202.23
01/18/04
PUBLLX 4161
SPALM BEACH
FL
74.02
01/19/04
PUBUX 4050
SW PALM BEACH
FL
43.51
01/22/04
DEAN & DELUCA 5169NEW YORK CITY
NY
256.41
01/27/04
NY
183.55
01/28/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
192.58
02/04/04
GRACE'S MARKET
NEW YORK
NY
09GROCEFUES
76.85
02/05/04
HOUSE OF HEALTH
NEW YORK
NY
143.06
Total of New Activity for BRENT TINDALL
New Charges
Payments/Credits
2,102.03
0.00
Total of New Activity
New Charges
Payments/Credlts
4,044.02
-11,104.43
EFTA01704102
DUPLICATE COPY
Premed For
G MAXWELL
ACCOari Mae
CustomExtrar
Cloth; Dde
02/08/04
Page 5 of 6
Get MONEY Magazine for Only 39.991
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*.
Preferred Subscriber's Automatic Renewal Program--Your subscription will be
automatically renewed annual without interruption unless you tell us to stop. At the end of
your initial torm and before the start of each new term, MONEY win charge your American
Express* Card in time to lock in the savings then in effect (current savings are 82% off the
cover price). You can cancel at any time and get a full refund on all urwnailed issues.
money
To subscribe, please call
1.888.276.2508. When
placing your order you
must mention American
Express offer code
PAORGJU7 and pay with
your Card to qualify for
this special offer.
(CE 104222)
Enjoy Access to Once-in-a-Lifetime Experiences
These exclusive and unique experiences range from sports and fine
dining to the visual and performing arts. They are custom designed
for Platinum Card® members and are unavailable to the general
public. Past offerings have included a wine dinner with an
appearance by a world-renowned wine critic, and the opportunity to
watch a famous artist at work in his private studio. You can also
choose to redeem Membership Rewards® points for By Invitation
Only!, events.
Terms and Conditions apply.
For a list of By Invitailon
Onffr events, call
1.800321-RSVP from
Sam - 11pm EST, or visit
us online at
www.ornedcanexpress.
comibylnyttatIononly.
(CE 104166)
Premium Global Assist - Travel with Confidence
Leave your wallet on the Orient Express? Need to find a doctor in
Rio? Thanks to Premium Global Assist® from American Express, you
can get the medical, legal or financial help you need when you are
100 miles or more away from home. Premium Global Assist can direct
you to English-speaking medical and legal professionals, guarantee
hotel check-in even if you've lost your wallet, provide free emergency
roadside assistance, coordinate emergency medical transportation,
as well as help you with visas, passports, lost luggage, and more.
Terms and Conditions apply.
Cal 1.800-345.2639 for
assistance.
Outside the U.S., can
715-343-7979 collect.
(CE 104165)
Platinum Card® Concierge - Assistance 24/7
It's like having a personal assistant available around the clock to help
you accomplish the extra touches to make each day and each event
exceptional. When you simply don't have enough time to get
everything done, tum to Concierge, your valuable resource and
guide. Assistance is available for tasks as straightforward as reserving
a table for dinner, as exhausting as planning activities for your
vacation, plotting a surprise party or finding a gift for the person who
has everything.
You are responsible for any purchases and/or shipping charges you authorize.
Platinum Card Concierge
is available to you around
the dock, 365 days a year.
Cal 1.800.345-AMEX,
option 2.
(CE 104249)
Luxury Suites & Premium Tickets Program
Enjoy access to some of the best seats in the house through
our Luxury Suites and Premium Tickets Program offered as part of
Platinum Card membership. Luxuriate in our suites at venues in New
York and Los Angeles while you take in the best in professional
entertainment. Whether for a night of client entertaining or a special
family occasion, the private suite offers great seats to some of the
most sought-after sporting events and live performances.
All sales are final and non-refundable and resale is prohibited. Details and prices are
subject to change. Suites are available on a first-come, first-served basis. All ticket orders
are subject to service changes. Ticket limits may apply. Availability is limited.
For a complete list of the
games and events
currently available, visit
www.amedcaexpress.
corn/ uxurysuites
or call
1.800.321-RSVP.
(CE 104248)
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.
EFTA01704103
DUPLICATE COPY
Prepared For
G MAXWELL
Page 6 of 6
Enjoy Access to Delta Crown Room Clubs®
As a Platinum Card® member, enjoy access to 41 Delta Crown Room
Clubs in airports worldwide. Present your Platinum Card, Delta, Delta
Connection®, or Song"' ticket valid for same-day travel, and a
government-issued ID to gain access for you, your spouse and
children under the age of 21, or up to two traveling companions.
Enjoy complimentary newspapers, magazines, and fully stocked bar
as well as access to dataports, computers, fax machines, telephones
and photocopy machines.
Program Terms and Conditions apply.
For full program details
and a list of locations, visit
www.americanexpress.
corn/platinum or call
Platinum Customer
SenAce at the number on
the back of your Card.
(CE 104245)
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.
ss
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 limes 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 pdaces
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)
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 Cheques is someone who can help in a travel emergency
24/7-- from placing lost or stolen Cheques, to assistance with
replacing lost credit cards and passports.**
'Net all services available at allocations. Subject to as local laws and cash availability.
"Proof of Travelers Cheques purchase may be required. Credit Cad Replacement
Assistance is for major bank-issued milt cards only. Fees for passport/credit card
replacement are the sole responsibility of the customer. For complete Terms, call
1$00.221-7282.
M
.
Trawlers
Cheques
Buy your Fee-Free
American Express
Travelers Cheques
before you leave!
To locate your nearest
American Express Travel
Services location, call
1-888-AXP-0056.
(CE 104193)
The 2004 South Beach Wine & Food Festival in Miami
Join Emeril Lagasse, Bobby Flay, Alton Brown, Eric Ripert, 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
WINE
&FOOD
FEST IVAL
Simply visit
vAvve.sobewineandlood
festcom 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 passport/credit card replacement are the sole responsibility of the customer.
"ATM Fees apply. For complete Terns, visit www.americanexpress.com or call
1.888412.6945.
The TravelFunds Gard-
a new safe way to carry
your travel money.
Purchase your
TravelFunds Card,
by visiting
www.amerfcanexpress.
com/travelfundscard
or by calling
1-M-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.
EFTA01704104
Platinum Card®
Statement of Account
Pupated Fa
G MAXWELL
Prep/ion Balarcs$
4,044.02
St$
4;044:02
•
ittyrs•-%:
DUPLICATE COPY
Mew Chazges $
8,871.44
Aexoun Maxtor
New
Si
Clairg ors
03/09/04
383,; 7ltittir-
Itew*ershifolBetwarlut
flints AvallatilitIZMT;
}xwhen 0 01*
paid infull
unts
good standing%
Page 1 of 10
Please Pay By
03/24/04
Please refer to page 2
for irrconant information
regarding your account
See Page 7 For A Notice Of Changes To Your Agreement
See Page 9 For An Important Privacy Notice
Terms - Payable in lull upon receipt of statement. Pay your bill online anytime, anywhere at www.
americanexpress.com/payblii.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1.800.992.3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at vAvw.americanexpress.com or call Customer Service at 1-800-5254355.
Activity
E#T.1:„IgS yApptlASyCa,
-4,C44 02.:
02/11/04
FREDERIC FEKKAJ
NY
NY
02/13/04*
UNITED KINGDOM
02/17/04
WA
MERCHANDISE
45.65
1503
Peon& Stet kg
29.00
184.49
02/19/04
' OFFICE DEPOT, INC. WESTHAMPTON
NJ
DISPENSER,TAPE,DSKTOP,3/4
02/20/04
LL BEAN INC
FREEPORT
ME
U3 ADVENTURE DUFFLE
007LG ADVENTURE DU0000490000034300
000
4.28
3 Plopso kb en be Ferforafian below. Stich ard return Mt) your menet
Payment Coupon
G MAXWELL
.11.111•11.1.
Account Waist
I.rrIIllrrrllr111111111111,lI11LJ1d1d11IL1I1LL..I11 ,II
mail Payment to:
1,145.95
Continued on Page 3
Please Pay By: Please enter account
03/24/04 number on all checks and
Correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processede through the
U.S. banking system.
Total Amount Due
$8,871.44
P.O. BOX 2855
NEW YORK NY 10116-2855
0000371385847238009 000887144000887144 09r1r1
To Pay by Phone can
1.8004-PAY-MP or
1-800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704105
DUPLICATE COPY
Prepared For
G MAXWELL
Page 2 of 10
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 °ran 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 delay in processing. We reserve the right to process
checks electronically, at first presentment and any re-presentments, by transmitting the amount of the amok, 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 Computer, Pay By Phone or any
other American Express electronic payment service, you wal 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.americanexpressoom.
Lost or Stolen Card: If the Gard is lost or stolen in the United States, contact us immediately at 1-80C-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 fiablity is 550 should you fail to report its loss or theft.
Charge Card and Statement Information: Tne annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $ I 75.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee !or
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1.877.509-3993, Monday
through Friday, 9am • 5pm EST. You may discontinue your Membership by calling Customer Service.' Be sure to keep
your copy of the charge slips for companson to your billed charges. The Statement Closing Date is the last date that
charges and credits we processed to appear on the statement. Your account will be Past Due it 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 cur 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 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 sowill 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 befieve there is an error. If you reed
more information, describe the item you are unsure about. You do not have to pay any amount in question white we are
investigating, but ,vou 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 yourdaim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of goods or seances 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 prix 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 clickino on the Customer
Service Link online at vnvw.americanexpness.00m, 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 thirds 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 why you need more information. We will investigate your complaint andcorrecl any error promptly. If we take more than
10 business days to do this, we will credit your account for Me amount you think Is in error, so that you will have use of the
money during thetime t takes us to complete our investigation.
Credit Balance: If a credit balance (designated "CRI) 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, cr click on the Customer Sennae link
online. II 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 marebilling cycles, a late payment fee of 1.75%of all past due amounts will be added.
Change of Address
a owed on front
do not use
Name
Company
Name
Stmt Addrokt.
City, Side
zp corm
Nee Code and
Hems Phone
Piet Code and
Work Moe
enta
1 L
EFT-
T
-OW
1_1_1_ I_ _I
To Pay By Phone
1-800-472-9297
Customer Service, Los!
or Stolen Card and all
other services
1.800.525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800-338-1670
Hearing Impaired
(9am-
EST)
M':
-800-221-9950
FAX: 1.800-695-9090
In NY: 1-800.522.1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1.800-443-7672
Platinum Card
By Invitation Only
1-800-321-RSVP
tV
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329.7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2856
NEW YORK NY
10116-2855
Providing youremail
address to American
Express will enable you
j
to receive special offers,
suited to your needs.
EFTA01704106
DUPLICATE COPY
PrepatedFer
G MAXWELL
cia"Oas
03/09/04
Page 3 of 10
New Activity Continued
F coign ...porting
Amount
02/20/04
WA
MERCHANDISE
47.40
02/21/04
BC BG 11636
LOS ANGELES
CA
14722
02/21/04
UNITED KINGDOM
BOOKS
Pow* Swing
22.08
02/22/04
BORDERS BKMALIS000005LOS ANGELES
CA
26.20
02/24/04
TBIZ TRAVEL
SAN ANTONIO TX
From:
To:
Ticket Number: 00174878555725
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
LL
AA
LL
Date of Departure: 03/09
431.90
02/24/04
TRAVELOCITY
18002569089
TX
5.00
02/25/04
UUNE SHIP SUPPLIES 800-295-5510
IL
G 60044
SHIPPING SUP
56.36
02/26/04
NY
OFC SUPLY 914426-9821-
24.42
02/27/04
NJ
PAPER,COPY,PLUS,11',201t,W
CARTRIDGE,INK,TO15201,BLA
CARTRIDGEJNK,COLOR,TO162
269.88
03/01/04
FR
From:
To:
Ticket Number 00121286622571
Passenger Name:
Document Type: ADDITIONAL COLLECTION
Cartier:
Class:
AA
HL
AA
HL
Date of Departure: 03/01
877.30
03/02/04
TBIZ TRAVEL
SAN ANTONIO TX
From:
To:
Ticket Number: 00174894113531
Passenger Name:
Document Type: PASSENGER TICKET
Cartier:
Class:
AA
LX
AA
LX
Date of Departure: 03/15
355.50
03/02/04
TBIZ TRAVEL
SAN ANTONIO TX
From:
To:
Ticket Number: 001..1.
Passenger Name:
Document Type: PASSENGER TICKET
Carrier.
Class:
AA
LX
AA
LX
Date of Departure: 03/15
355.50
03/02/04
TRAVELOCITY
18002569089
TX
10.00
03/03/04
SHANGHAI TANG
NEW YORK
NY
MISC RETAIL
38.02
03/03/04
MAD. 61
NEW YORK
NY
30.00
Continued on reverse
EFTA01704107
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New Activity Continued
Forman Srendrp
cuntt
03/04/04
CA
FOR CUSTOMER SERVICE CALL 1.800344-5555
112.86
03/04/04
FREDERIC FEKKAI
NY
NY
269.71
03/04/04
AMAZON.COM •BORDERSSEATTLE
WA
BOOKSWEDIA
WWW.AMAZON.COM
145.79
03109/04
HOME BISTRO
800443-5588
NY
40.34
Total of New Activity for G MAXWELL
New Charges
Payments/Crecits
4,674.85
4,044.02
irENT TINDALL
02/10/04
GENERAL MDSE
130.00
02/10/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
139.77
02/1W04
NY
144.83
02/10/04
ZEYTUNA MARKET
NEW YORK
NY
GROCERY STORE
72.78
02/11/04
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
203.58
02/12/04
DEAN & DELUCA 5169NEW YORK CITY
NY
421.29
02/12/04
GRACIOUS HOME 1
NEW YORK
NY
HOME FURNISHING
115.13
02/18/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
12&63
02/20/04
828 SOUTHERN BLVD WEST PALM BEACH FL
GROCERIES
179.54
02/21/04
FL
85.00
02/23/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
403.37
02/24/04
SAVEUR
877-717-8925
IA
MAGAZINE
19.95
0224/04
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
168.09
02/24/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
256.74
02/24/04
HOUSE OF HEALTH
NEW YORK
NY
135.24
03/02/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
102.80
03/07/04
GRACIOUS HOME 1
NEW YORK
NY
HOME FURNISHING
801.27
03/07/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
431.25
03/08/04
GENERAL MDSE
105.00
Continued on nod page
EFTA01704108
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•
Cairo Date
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03/09/04
Page 5 of 10
New Activity Continued
nctrg
Amount 3
00/08/04
GRACE'S MARKET
NEW YORK
NY
154.33
(*GROCERIES
Total of New Activity for BRENT TINDALL
Now Charges
4,196.59
Payments/Credts
0.00
Total of New Activity
New Charges
8,871.44
Payments/CredIts
-4,044.02
EFTA01704109
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Clag
03/09/04
Page 7 of 10
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 (inducing 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, vie are amending the Other Fees section of your Cardmember Agreement applicable to Dishonored Payments by replacing
129" with "$38." We are also replacing the "$29" with "$38' in the Fees section of your `Agreement between Cardmember and American
Express Travel Related Services Company, Inc. Concerning Electronic Funds Transfer Services."
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 °pion Agreement as follows:
Determining the Prime Rate Aoolicable 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/cr 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.
Accortingly, 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 (I) any previous billed Minimum Payments that remain unpaid on the Closing Date of the
statement and 00 the greatest of:
(1) 1/50th of the New Balance shown on your Account statement on the Closing Date of the biting 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 S20).
if the greatest of the three calculations immediately above is the current month's billed Finance Charges, then we will add $15 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/CO2FYI/0304
EFTA01704111
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Other Important Information About Your Account
Annual EFT Error Resolution Notice
This notice is to inform you about how you shcu:d 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 billing statement or E-mail us by clicking on the Customer Service Link online at
vmw.americanexpress.cam. 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 s an error
cr 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 waling within 10 business days of the call. We will
determine whether an error occurred within 10 business days and
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 wl1 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. Fcc errors involving new accounts, point-of-sale or foreigninibated 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/CO2FYI/0304
EFTA01704112
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03/09/04
Page 9 of 10
An Important Notice Concerning Cardmember Privacy
This Pri
cy Notice is addressed to United States holders of personal American Exprese 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," lour," and 'us.- The cards and accounts that we issue are called 'Cards" or "Card accounts." Holders of those
Card accounts are called "Cardmembers" 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 choices for other
Card accounts that are applicable only to those accounts.
........
........
Please complete this form if you choose to opt out and wish to mail your response rather
than use the toll-free number, which is 800-2974378. If you have already given us your choices,
you don't need to respond unless you want to change your choices. Retum 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
El Do not send me offers for products and
services of other companies.
Credit Information Provided to
Our Affiliates
Do not share credit-related information
about me (except as described In this
Notice) with American Express Affiliates.
Account Number
3713-858472-38009
Offers for American Express Products
and Services
Mail: Do not mail me offers for American
Express products and services.
O Telephone Offers: Do not contact me by
telephone to offer me products and services.
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
MU/111/0304
FOR 706671
75047
EFTA01704113
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Offers for American Express Products and Services
Mall 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 lawto 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
800-297-8378 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
E-Mail Offers
We may send you e-mail otters 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-Mail
Preferences' page of our Internet Privacy Statement at
vweivamericanexpress.com/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 transadlons 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.
MIN1LEJ0304
FOR 706671
75047
EFTA01704114
Platinum Card®
Statement of Account
Pier...lied Fa
G MAXWELL
Prates Bolamp*
8,871.44
PasmenesCeedds
DUPLICATE COPY
New Chairs S
10,926.44
acimng".
04/08/04
Page 1 of 6
Please Pay By
04/23/04
Please refer to page 2
for important information
regarcIng your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere at www.
americanexpress.com/paybIll.
Your Platinum Card account renews next month. For additional information, please refer to the Charge Card
and Statement Information section which can be found on page 2. Thank you for your continued Platinum
Card membership.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1.800-9923404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Platinum Travel Service - Customized Travel Planning
When you need to make travel plans, know that you can rely on Platinum Travel Service (PTS)
--a full-service travel agency dedicated to handling all of your travel needs. PTS is accessible
with a toll-free telephone call from anywhere in the world. Our experienced and resourceful
travel counselors are ready to help with every detail of your personal or business travel
arrangements. And, when you book your reservations through PIS, you can also receive
complimentary upgrades and amenities exclusively for Platinum Car& members to make your
trip just that much more enjoyable. Call PTS today at 1-800-443-7672 to take advantage of this
special Platinum Card member benefit.
Activity Ird"*".'"" .
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CRATE&BARREL-914 800-967-6696
INTERNET
IL
112.37
03/11/04
VI
1,281 00
LODGING CHARGES
LODGING CHARGE
+ Please ,cm on Cee perbraca baba, dean zed return
Payment Coupon
Vox Parwl i
Mal Payment to:
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Please Pay By:
04/23/04
Total Amount Due
$10,926.44
P.O. Box 2855
NEW YORK NY 10116-2855
111111111IIIIIIIIIIIII 11111111IIIIIIIIII
II IIIli 111111111ill I
0000371385847238009 001092644001092644 08r1r1
Continued on Page 3
Please enter account
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banking system.
To Pay by Phone call
1.800-I-PAY-AXP or
1-800.472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704115
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Page 2 of 6
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and &awn 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 Cheek. Do not send cash. Payments received after 12:63 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 recopt. If payment is made at any other location, there may be a delay in processing. We reserve the right to process
checks electronically, at fret presentment and any re-presentments, by transmitting the amount of the check, routing
number, account number and check serial number to your financial institution. Your checkng 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 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 mnv.americanexpresscom.
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 hatifity is $50 should you fail to wort its loss or theft.
Charge Card and Statement Information: The annual tee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$4500. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magaz ne, please call 1-877-509.3993, Monday
through Friday, 9am - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep,
your copy cf the charge slips for companson 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 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 BM: If you think your Oil swrong, qr 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
law 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 wesente 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 Ito 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. White 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 pnoe was more
than $50 and the purchase was made in your home state orwithin 100 miles of your mailing address. (If we own or operate
the merchant, or if we mailed you the a
rtisement 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 vnwr.arnelcanexpress.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, p:ease contact us as soon as possible. We must hear from you no later than 60 days after we sent you
the FIRSTstaterrant 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 WI' credit your account for the amount you think is in error, so that you will have use of the
money during thetime it takesus tocompleteour 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
Rotund Unit at the Customer Service address indicated on your paper statement, or dick on the Customer Service fink
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 thedate of thefirst statement Indicahrgthe credit ba ance. 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 two or ir.ore billing cycles, a lale payment fee of 1.75%of all past due amounts will be added.
Change el Address
if softest on iron?
da not we
Name
Canpary
NariO
.,greet Adeic»
City, star.
Zp Cock
Area Cede and
Home Phone
Area Cale ahl
Wyk Phone
Final
To Pay By Phone
1.800.472.9297
Customer Service, Lost
or Stolen Card and all
other services
1-800.525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800-338-1670
Hear
(9a ing Impaired
m-5pm
WY: 1.880E0-221.9950
FM: 1-800.695-9090
In NY: 1.800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800.443.7672
Platinum Card
By Invitation Only
1-800-321-RSVP
O
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
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 Amerioan
Express will enable you
j
to receivespecial offers,
suitedto your needs.
EFTA01704116
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Page 3 of 6
New Activity Continued
Amount
03/11/04
VI
LODGING CHARGES
LODGING CHARGE
854.00
03/12/04
TBIZ TRAVEL
SAN ANTONIO TX
US AIRWAYS
From:
To:
WASHINGTON NAT'L D
ATLANTA GA
DULLES ARPT DC
Ticket Number. 03774918425504
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
US
LA
DL
YA
DL
VA
•
Date of Departure: 03/21
502.30
D3/12/04
TBIZ TRAVEL
SAN ANTONIO TX
US AIRWAYS
From:
To:
ATLANTA GA
DULLES ARPT DC
Ticket Number: 03774918425515
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
US
LA
DL
YA
DL
YA
Date of Departure: 03/21
502.30
03/12/04
TRAVELOCITY
18002569089
TX
TRAVEUTOURSNEES
10.00
03/12/04
NJ
LINT ROLLER,3M
TAPE,SEAL,BOX,2X55YDS,6PK
TAPE,SEAL,BOX,08879,TAN
56.95
03/12/04
VI
LODGING CHARGES
LODGING CHARGE
854.00
03/I 2/04
VI
LODGING CHARGES
LODGING CHARGE
854.00
03/13/04
ILLUME CANDLES
707-7754480
CA
270.00
03/19/04
GRACIOUS HOME 4
NEW YORK
NY
HOME FURNISHING
418.21
03/19/04
JANOVIC/PLAZA
NEW YORK
NY
422.99
03/24/04
NJ
DEUVERY FEE
57.61
03/24/04
NJ
PAD.MOUSE,BLACK
AT&T 25FT CORD IVORY
NOTEBOOK,200CT,5SUBJ,5-ST
60.29
03/28/04
NY
THEORY
168.37
03/29/04
FL
CLOTHING-WOMEN'S REA
WOMEN'S READY-TO-WEAR STORES
179.14
03/29/04
BB&B STORE 55
W PALM BEACH
FL
254.36
Continued on reverse
EFTA01704117
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Page 4 of 6
New Activity Continued
tamers S
03/30/04
ISLAND HOME
PALM BEACH
FL
269.24
03/30/04
ARISTOKIDS INC
PALM BEACH
FL
44.52
03/31/04
DESIGN WITHIN REACH 4158373940
CA
245.99
04/05/04
WA
MERCHANDISE
AllArAMAZON PAYMENTS
04/05/04
SUPER MEDIA STORE 006263631490
CA
101.57
04/06/04
BUYCOMP LLC
WWW.BUY.COM
CA
90.30
7.44
Total of New Activity for G MAXWELL
New Charges
7,616.95
Payments/Credits
-8,871.44
RENT TINDALL
03/09/04
SABLE'S
NEW YORK
NY
115.09
RESTAURANT
03/09/04
NY
186.65
GIFT ITEMS
03/09/04
NY
203.62
03/10/04
FOOD EMPORIUM 41703 NEW YORK CITY
NY
493.97
GROCERIES
03/11/04
GRACE'S MARKET
NEW YORK
NY
155.31
09GROCERIES
03/15/04
NY
99.77
03/22/04
GRACE'S MARKET
NEW YORK
NY
432.63
09GROCERIES
03/23/04
FOOD EMPORIUM 4703 NEW YORK CITY
NY
141.38
GROCERIES
03/24/04
GRACE'S MARKET
NEW YORK
NY
86.87
09GROCERIES
03/25/04
GRACE'S MARKET
NEW YORK
NY
186.73
09GROCERIES
03/29/04
447.35
28 GOURMET FOOD
03/31/04
PUBLIX STA!, 0161 PALM BEACH
FL
195.03
GROCERIES
04/02/04
500.59
28 GOURMET FOOD
04/03/04
KMART 407786
64.50
Total of New Activity for BRENT TINDALL
New Charges
3,309.49
Payments/Credits
0.00
Total of New Activity
New Charges
10,926.44
Payments/Credits
-8,871.44
EFTA01704118
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Pftpend
G MAXWELL
ornExtra.s-
Onto Dab
04/08/04
Page 5 of 6
Neiman Marcus Shopping Earns Extra Rewards
Reward yourself twice for each purchase when you shop with the
Platinum Card® at Neiman Marcus stores nationwide. Simply enroll
your Card in the Neiman Marcus InCircle Rewards® program and
earn one InCircle Rewards point as well as one Membership
Rewards® point for every purchase you charge using your enrolled
Platinum Card.
The InCircle Rewards program gives you one point for each dollar charged to your enrolled
Platinum Card excluding sales tax, shipping, beauty salons, alterations, gift packaging and
NM gift cardss. Membership Rewards Terns and Conditions apply.
For more information, or to
enroll your Platinum Card
with InCircle Rewards,
call 1.888-INCIRCLE
(1.888.462.4725).
(CE 104304)
Earn Double Points Every Day on the Platinum Card®
Earn double Membership Rewards® points for your purchases when
you use your Platinum Card at supermarkets, drugstores, gas
stations, the U.S. Postal Service, and to pay wireless phone bills.
Double points for everyday purchases is an ongoing benefit of your
Platinum Card membership. And you'll continue to earn one point for
every eligible dollar charged to your Platinum Card when making
other purchases.
Offer applies at qualifying stand-alone drug stores, gas stations, and the U.S. Postal
Service. Not valid in the departments of superstores or warehouse clubs. TO pay your
wireless phone biil automatically, please call your wireless provider.
For more information, call
Platinum Card Customer
Service at
1.800.525-3355.
(CE 104302)
Benefits at Equinox Fitness Clubs
It's not fitness. It's life. Equinox enhances your life inside and outside
the gym. And, when you use your Platinum Card* to purchase a
one-year membership at the standard Platinum Card rate, you'll
receive benefits that do just that. Enjoy an All-Club Access upgrade
for entry to locations throughout NY, CT, Chicago and LA for personal
training, spa sessions, and more.* Card members who already
belong to Equinox can contact the club to receive five guest passes,
an Equinox gym bag and T-shirt.
'Upgrade to All-Club Access membership is for first year of membership. Offer valid for new
members only.
Visit WW W.
equInoidltness.com or
call 212-774-6376 to get
started today.
(CE 104338)
Enjoy Fine Dining Around the World
For dinner reservations across town, across the country, or across
the ocean, look to the Fine Dining program available to you as a
Platinum Card® member. Every day, a reservation is held at more
than 1,000 of the most highly acclaimed restaurants in the U.S.,
Canada and abroad. So, when the need arises for a reservation at a
hometown favorite or an outstanding restaurant in another city,
rely on the Fine Dining program.
Reservations are provided on a first-cane, first-served basis, so please call as early as
possible. All cancellations must be made by calling Platinum Can:, Concierge at least 24
hours In advance of the reservation. Otherwise, a $15-per-person cancellation fee ($60
minimum, $120 maximum) will apply.
To make a Fine Dining
reservation, call
Concierge at
1.800.345-2639,
option 2.
(CE 104341)
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 avaaatility.
--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.
4fre:wrOln.0:11
Travelers
Cheques
To find your nearest
American Express Travel
Services location, call
1-800-AXP-8347.
(CE 104.135)
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.
EFTA01704119
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G MAXWELL
Page 6 of 6
tifterauticilt
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 ant-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.lasteofthenation.orgiamex. One-hundred percent
of ticket proceeds go towards anti-hunger and anti-poverty programs.
vnwt.testeofthenatIon.
orgiernex.
(CE 104318)
New TravelFunds® Card Offer for AARP Members
A special 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'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.
'Limit one lot per order. For complete Terms and Concitions, visit
www.aarp.org/amex and enter promotion code 101.
Offer available for AARP
members only at:
wonv.aatp.org/amex and
enter promotion code
101 on the order form.
(CE 104331)
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.NPSBookle.com.
If there are other places
where you would Ike 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 104270)
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 oontinenial
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.
Ste#FOCIIIIQ
Go to
wunv.amedcanexpress.
comfspring for specific
information on the rebate
offers, redemption
requirements, quali5rina
products, and for rebate
redemption instructions.
(CE 104312)
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.
EFTA01704120
DUPLICATE COPY
Platinum Card®
Statement of Account
Paw:el Fa
amngoact
G MAXWELL
05/08/04
Page 1 of 6
New
Please Pay By
Precious Eldora II
PnyneniaCadte
Kew Charpa $
Balance $
05/23/04
10,926.44
17,957.88
17.691.36
Please refer to page 2
for important information
regardng your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpressecom/paybIll.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1.800-992-3404. For automatic
balance information, please call 1-800-525.3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Concierge - Personal Lifestyle Assistance
Platinum Card® Concierge can help you with virtually any request, at any hour, anywhere in
the world. Have Platinum Card Concierge secure reservations at an international or domestic
restaurant for a special occasion or upcoming trip, locate goods and services unavailable
locally, research entertainment options, arrange for special gifts, and much more. It's like
having a personal assistant with you while at home or while traveling abroad. No request is too
unusual, too large or too small--so call Platinum Concierge at 1-800-345-AMEX, option 2 to
take advantage of the personal lifestyle assistance available to you as a Platinum Card
member. Terms and Conditions apply.
Activity
New Activity for G MAXWELL
FOreir Saimaa
Amount S
041nof
P?v,iMPFfigcPYR-YHANktou
147c4P. .F.c2B15EMBIB597 8904482014
1000.4.,WErSgtql...EA0.15;
DESIGNr TI1PJE'69-Okys
.,
9010V-.3
FL.$AES
n..*0.4/11/D4l
*4 0
04/08/04'
PERIOD 06/04 THRU 05/05
395.00
04/08/04
FOOD SERVICE DIRECT 8004,182014
OFFICE SUPPLIES
VA
54.70
pootau withootrloradca bekm.dsliCh ru reran with year promsnt 4
Payment coupon
Axesrl Nastier
InrIIII,IIIlllllrLLrl1Lllrrli
I 'Pill
111111 1111111 III
Mail Payment to:
Please=
Total Amount Due
$17,691.36
IIrIrIILLILIrLJLiIaILIIdIIrIIrIrLIILIJLrIIlarIlLl
P.O. BOX 2855
NEW YORK NY 10116-2855
Ian
0000371385847238009 001769136001795788 08r1r1
Continued on Page 3
Please enter account
number on all checks and
correspondence. Payat4e
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
amenable through the
U.S. banking system.
To Pay by Phone call
1 -800-I-PAY-AXP or
1.800.472.9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704121
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Proparcd For
G MAXWELL
Page 2 of 6
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 delay in 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 financial nelitution. 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 Nernst your account for the amount of the check
Authorization for Electronic Payments: By using the American Express Pay By Computers Pay By Phone or any
other American Express electronic payment sennce, you will be authorizing American Express to initiate an
dectronic debit to the financial account you specify in the amount you request. To use Pay By Computer, please
vise us at wvrw.americanexpresscom.
Lost or Stolen Card: If the Card is !ost 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 336-393-1111. You are
fully protected against any fraudulent use of the Card when you ratify American Express before it is fraudulently used.
Yourmaximum liability is $50 should you fail to redt its lessor theft.
Charge Card and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is S175.00ard for each Additional Gold Card on the Platinum Card account the annual fee is
.00. Renewal Cards are issued every three years. If the Card you carry is damaged, yOu may have it replaced sooner
calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If yar do net wish to receive Departures magazine, please call 1-877-509.3993, Monday
through Friday, 9am - 5pm. EST. 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
mates 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, cif 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 cli
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 nghts.
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 white we are
investigating, but you are still obtruded 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 cdleci the amount in question. Please retain any receipts
pertinent to your clam.
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 price was more
than $50 and the purchase was made in yourfome state or within 100 miles of your maifing address. (if we own or operate
the merchant, or if we mailed you the advertisement for the property or services, al 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
Sevice Unk online at vwnv.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. VIM 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 investigateyour complaint and correct any error promptly. If we take more than
10 business days to do this, wo will credit your account for the amount you think is in error, so that you wit have use of the
moneyekaing the time it takesus 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
reifies. If you do not make sufficient charges against the credit balance or request a refund, we wit, within 30 days after
expiration of the six-month period following the date of the first statement indcating the credit balance, issue a chece 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 telling cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change of Address
Cored en front
do not we
Name
Company
Mime
Street Means
City. Stale
Codo
Area Colo and
Homo Phone
Area Code and
Week Intone
Final
_
_
I
I I I
I 1J
7 1-1- F7-
I
[-_=[ -E_Tht=
r
LI B
To Pay By Phone
1.800-472.9297
Customer Service, Lost
or Stolen Card and all
other services
1-800-525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1.800.338.1670
Hearing
(9amSeim
Impaired
EST)
Me 1-800-221-9950
FAX: 1.800.695.9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800-443.7672
Platinum Card
By Invitation Only
1.800-321-RSVP
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329.7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33K9-7815
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 reeds.
EFTA01704122
DUPLICATE COPY
Ptcparad Foe
Account Rambo,
Closirg Debt
G MAXWELL
05/08/04
Page 3 of 6
New Activity Continued
Fawn Spenekg
Amount
04/12/04
HAMMACHER SCHLEMMER 800 233 4800
OH
GIFT ITEMS
52.04
04/12/04
WA
MERCHANDISE
AMZ'SUPERSTORE
28.05
04/13/04
CRATE&BARREL - 621 NEW YORK
NY
HOUSEWARES
3,657.78
04/13/04
CRATE&BARREL - 622 NEW YORK
NY
FURNITURE
931.91
04/14/04
INSTAWARES INC
ACWORTH
GA
VARIETY
57.27
04/14/04
CRATE&BARREL - 621 NEW YORK
NY
HOUSEWARES
301.87
04/14/04
CRATE&BARREL - 622 NEW YORK
NY
FURNITURE
866.83
04/15/04
WA
MERCHANDISE
AMZ'SUPERSTORE
35.88
04/1W04
FL
120.00
04/20/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
WASHINGTON NAT'L D
Ticket Number: 00174995408814
Passenger Name.
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
V2
Date of Departure: 04/21
185.10
04/211104
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
WASHINGTON NAT'L D
Ticket Number: 01.111
Passenger Named
Document Type: PASSENGER TICKET
Carrier:
Class:
M
V2
Date of Departure: 04/21
185.10
04/20/04
UNITED KINGDOM
Description
GOODS
SACO
Para Stag
1,08324
04/20/04
TRAVELOCITY
18002569089
TX
10.00
04/20/04
FL
120.00
04/21/04
MIU MU MADISON
NEW YORK
NY
WOMEN'S READY-TO-WEAR
197.70
04/22/04
BARNEYS NEW YORK 660 MADISON
NY
SALES
5,783.00
04/27/04
FL
240.00
04/28/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
Carrier.
Class:
AA
GA
87.60
Ticket Number: 01111
Date of Departure: 04/29
Passenger Name:
Document Type: PASSENGER TICKET
Continued on reverse
EFTA01704123
DUPLICATE COPY
Prspand For
G MAXWELL
Page 4 of 6
New Activity Continued
Ofekr Spealirg
M+etintS
04/28/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
04/28/04
GREENS PHARMACY
PALM BEACH
FL
166.91
04/29/04
HOCKS VANDAUA PHARM9378985803
OH
DIRECT MRKT1NG NOT CLAS
DIRECT MRKT1NG NOT CLASSIFIED
04/29/04
FIRST AID PRODUCTS 09087078680
NJ
35.76
21.94
Total of New Activity for G MAXWELL
New Charges
14,622.68
Payments/Crecats
-11,192.96
SiallaiiiiiRENT
TINDALL
04/12/04
GRACE'S MARKET
NEW YORK
NY
213.49
09GROCERIES
04/12/04
DEAN & DELUCA 5169NEW YORK CITY
NY
252_93
04/13/04
GRACE'S MARKET
NEW YORK
NY
156.98
09GROCERIES
04/14/04
GRACE'S MARKET
NEW YORK
NY
406.64
09GROCERIES
04/19/04
GRACE'S MARKET
NEW YORK
NY
143.85
09GROCERIES
04/19/04
NY
69.42
04/20/04
GRACE'S MARKET
NEW YORK
NY
16297
09GROCERIES
04/21/04
GRACE'S MARKET
NEW YORK
NY
183.55
09GROCERIES
04/22/04
GRACE'S MARKET
NEW YORK
NY
7277
09GROCERIES
04/24/04
338.79
28 GOURMET FOOD
04/26/04
PUBLIX STRIP 0161 PALM BEACH
FL
64.72
GROCERIES
04/27/04
GRACE'S MARKET
NEW YORK
NY
362.25
09GROCERIES
04/29/04
GRACE'S MARKET
NEW YORK
NY
123.01
09GROCERIES
05/01/04
GRACE'S MARKET
NEW YORK
NY
159.44
09GROCERIES
05/04/04
SABLE'S
NEW YORK
NY
97.66
RESTAURANT
05/04/04
GRACE'S MARKET
NEW YORK
NY
38587
09GROCERIES
05/05/04
GRACE'S MARKET
NEW YORK
NY
140.80
09GROCERIES
Total of New Activity for BRENT TINDALL
New Charges
3,335.20
Payments/Credits
0.00
Total of Now Activity
New Charges
17,957.88
Payments/Credits
-11,192.96
EFTA01704124
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Page 5 of 6
Share the Benefits of the Platinum Card®
Give someone close to you an Additional Platinum Card. They can
enjoy many of the unique Card member benefits you are currently
entitled to as a Platinum Card member, such as the International
Airline Program, the Fine Dining Program and Platinum Card®
Concierge. What's more, they will benefit from the convenience of
world-class American Express Customer Service--24 hours a day.
The annual fee for each Additional Platinum Card is $175.
Terms, Conditions and Restrictions apply. The Additional Cardmember must be 18 yeas or
older, and must have never had a defaulted account with American Express. Any account
you have with American Express must not be in default.
To apply or learn more,
ca0 1400-5254355.
(CE 104345)
Los Angeles Baseball Tickets and Suites Now on Sale
As a Platinum Card® member, you can enjoy professional baseball in
Los Angeles this season--from plush seats located between the
dugouts behind home plate or a private luxury suite that
accommodates up to 20 people. Tickets include premium parking
passes.
M sales are final and nonrefundable and resale is prohibited. Details and prices are subject
to change. Suites and tickets are available on a first-come, first-served basis. All ticket
orders are subject to service charges. Payment must be made using the Platinum Card
from American Express. Ticket limits may apply. Availability is limited.
Cal 1-800-321-RSVP
8am to 11prii ET to
purchase your tickets,
or visit
www.amerlcanexpress.
comfluxurysuites
for details.
(CE 104420)
Earn Double Points on the Platinum Card®
Earn double Membership Rewards® points for your purchases when
you use your Platinum Card at supermarkets, drugstores, gas
stations, the U.S. Postal Service, and to pay wireless phone bills.
Double points for everyday purchases is an ongoing benefit of your
Platinum Card membership. And you'll continue to eam one point for
virtually every dollar charged to your Platinum Card when making
other purchases.
Offer applies at qualifying stand-alone drug stores, gas stations, and the U.S. Postal
Service. Not valid in the departments of siiperstores or warehouse dubs. To pay your
wireless phone txl automatically, please call your wireless provider.
For more Information, call
Platinuln Card Customer
Service at
1.800.525.3355.
(CE 104419)
International Airline Program - 2 Fly for the Price of 1
With the International Airline Program, a companion can fly with you
aboard one of our participating carriers when you make your
reservation through PTS. Just purchase a full-fare First Class or
Business Class ticket with PTS and you'll receive a complimentary
ticket with the same itinerary as your own. There's no limit to the
number of times you can take advantage of this benefit and
practically no limit to your choice of international destinations.
Program Terms and Conditions apply. For full program information, visit
www.americanexpress.com/plallnum.
Make your reservations
through PTS today by
calling 1-800443-7872 or
refer your travel agent to
PTS.
(CE 104447)
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/credit card replacement are the sole responsibility of the customer. ATM
fees apply. For complete Terms, visit www.americanexpress.com/buync 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
wvny.americanexpress.
comlbuytfc or by calling
1488.412-6945.
(CE 104424)
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.
EFTA01704125
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Page 6 of 6
ta*rar's
American Expresso Gift Card • For All Occasions
The American Express® Gift Card is the perfect solution for all of your
gift-giving needs. Whether buying gifts for your loved ones for
Mother's Day, Fathers 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 milions of retailers and restaurants throughout the U.S. where American
Express is accepted - Cud and shipping fees apply. For complete Terms and Conditions,
please visit vnvw.amerIcanexpress.comfbestglft or call 1.877-AXP•GIFT.
American Express° Gift
Card:
- Propthd
- Accepted in millions of
restaurants and retailers in
the U.S.
- Funds never expire
Available at:
vnwtamericanexpress,
com/bestgift or
1-877-AXP-GIFT.
(CE 104423)
Now Accepting the American Expresso 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)
Use Your Card to Help Sick Children and Their Families
Use your American Expresso Card at participating merchants from
Mother's Day to Father's Day 2004 and we'll make a donation to
Ronald McDonald House Charities. Donations will help families stay
near their sick children while they're getting treatment. So please
Make Room to Heal and give thousands of families the healing
comfort of a home-away-from-home when they need it most.
For a list of participating
merchants, and to learn
more, Visit www.amorican
express.comfmakeroom
toheal.
(CE 104411)
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.
EFTA01704126
Platinum Card®
Statement of Account
Paves For
G MAXWELL
Proviom eaktoo $
17,691.36
$rnictoutA/Credel $
DUPLICATE COPY
Nom donee
12,821.40
New
Balance $
12,821.40
ckargew
06/08/04
Paget o16
Please Pay By
06/23/04
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.amerlcanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800.525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525.3355.
Earn Double Points on the Platinum Card®
Earn double Membership Rewardse points for your purchases when you use your Platinum
Card at supermarkets, drugstores, gas stations, the U.S. Postal Service, and to pay wireless
phone bills. Double points for everyday purchases is an ongoing benefit of your Platinum Card
membership. And, you'll continue to earn one point for virtually every dollar charged to your
Platinum Card when making other purchases. For more information, call Customer Service at
1-800-525-3355. Offer applies at qualifying stand-alone drug stores, gas stations, and the U.S.
Postal Service. Not valid in the departments of superstores or warehouse clubs. To pay your
wireless phone bill automatically, please call your wireless provider.
Activity 'IndbasFaliceLt
0511.4104;
08111/04
AXWELL
AmouMS
It'AYMEtl,T4369EWR'11171A1..e99iWt
DIGITAL RIVER
DR *Symantec.com
-17.691:;36;:
49.95
05/12/04
AL
BUSINESS SVCS
69.18
05/12/04
THE HOME DEPOT SUPPL800-431.3000
CA
+ Pease Ick co me pmforalion Wow. doLth and Worn 'moth you. rayve
Payment Coupon
91.11
Continued on Page 3
Please Pay By: Pease enter account
06/23/04 number on an checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
Total Amount Due U.S. banking system
$12,621.40
LIMA lllll MulddllikkhdolklUnklAl
Mail Payment to:
P.O. BOX 2855
NEW YORK NY 10116-2855
lall
0000371385847238009 001282140001282140 08r1r1
To Pay by Phone call
1-800-I-PAY-AXP or
1-800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704127
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Page 2 of 6
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 endcsed envelope with the remittance stub and
the account number indicated on your check. Do net send cash. Payments received after 12:00 noon or on weekends cr
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 delay in processing. We reserve the right to process
checks electronically, at fist presentment and any re-presentments, by transmitting the amount of the Check, routing
number, account number and check serial number to your financial institution. Your checkng account may be debted
as soon as the same day we receive your payment. II we can not collect the funds electronically at first presentment,
wo may issuo 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 Excess 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 %, Computer, please
visit us at irvnitarnericanexpress.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 3.. -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 hatifity is$50 should you fail to report its loss or thefti
Charge Card and Statement Information: The annual fee is $395 00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00ard for each Additional Gold Card on the Plenum Card account the annual fee is
$45.00. Renewal Cards are issued every three yen If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1.877-509-3993, Monday
through Friday, 9am - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge slips for comparison to your balled 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 Duel payment for your previous
month's statement was received alter 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, write or cal 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 veserve 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 rvi in question. While we investigate your
iperti
nquiry, we cann
otclai
re
m
port you as definquent or take any action to collect the amount in question. Please retain any receipts
nent to your
.
pedal 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 price was more
than $50 and the purchase was made m your home state or within 100 miles of your mailing address. (Itweown or operate
the merchant, or if we mailed you the adrertisement 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 ricking on the Customer
Service Link online at vnvw.americanexpress.com, or you can cal 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. II 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 whyyou need more information. We will investigate your complaint and cared 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
moneyduring 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 refundsShould be made in writing to the
Refund Unit at the Customer Service address indicated on your paper statement, or dick on the Customer Service link
online. If you do not make sufficient charges against the credit balance or request a refund, w_e will, within 30 days after
expiration of the six-month period following the date of the first statement indicatingthe 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, elate payment fee of 1.75% of all past due amounts will be added.
Charge of Address
n cornet en front
do not tree
Nan
Compaty
Name
Sinai Addrest
City, $1510
2.0 coda
Area Code and
Home Phone
Area Code and
Work Phone
Emil
Tr.
__L.] I .1__f_ 1._ __1_1__LJ
Fl
9
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1.800525.3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800-338-1670
Hearing Impaired
(9am-Spin EST)
TTY: 1-800-221.9950
FAX: 1-800.695.9090
In NY: 1.800.522.1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800-443-7672
Platinum Card
By Invitation Only
1-800.321-RSV
•
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express will enable you
to receive spe6al offers,
suited to your needs.
EFTA01704128
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06/08/04
New Activity Continued
Amount$
05/13/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
Ticket Number: 00175047386371
Passenger Name:
Document Type: PASSENGER TICKET
Cartier:
Class:
AA
NK
AA
NK
Date of Departure: 05/16
603.10
05/13/04
TRAVELOCITY.COM
800.256.9089
TX
5.00
05/13/04
CA
740.98
05/18/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
HOUSTON TX IAN
.
ALBUQUERQUE NM
HOUSTON TX IAN
Ticket Number: 00575057347141
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
CO
VR
CO
VR
CO
VR
CO
VR
Date of Departure: 05/25
371.40
05/18/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
05/18704
ABC BROADLOOM
NEW YORK
NY
BROADLOOM
1,000.00
05/19/04
FL
CRUISE PAYMENT
5,661.50
06/02/04
ABC BROADLOOM
NEW YORK
NY
BROADLOOM
1,225 72
06/04/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
PHOENIX AZ
ALBUQUERQUE NM
Ticket Number: 40175091726302
Passenger Name
Document Type: PASSENGER TICKET
Carrier:
Class:
HP
LA
HP
LA
Date of Departure: 06/15
177.70
06/04/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
06/04/04
ABC BROADLOOM
NEW YORK
NY
BROADLOOM
271.50
Total of New Activity for G MAXWELL
New Charges
Payments/Credts
10,277.14
-17,691.36
New isi ghisiVENT TINDALL
05/08/04'
PERIOD 07/04 THRU 06/05
45.00
05/15/04
28 GOURMET FOOD
286.01
05/16/04
BLEU PROVENCE
PALM BEACH
FL
69.10
05/18/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
473.30
05/19/04
FOOD EMPORIUM 8703 NEW YORK CITY
NY
GROCERIES
149.75
Continued on reverse
EFTA01704129
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Page 4 of 6
New Activity Continuod
Amount
05/19/04
GRACES MARKET
NEW YORK
NY
09GROCERIES
72.98
05/20/04
GRACES MARKET
NEW YORK
NY
09GROCERIES
121.71
05/22AX
PUBUX SIRS 0161 PALM BEACH
FL
GROCERIES
162.16
05/25/04
FL
87.33
05/31/114
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
349.45
06102/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
269.17
06/03104
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
89.26
06/03/04
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
92.21
06/04/04
PUBLIX STRI 0161 PALM BEACH
FL
'
GROCERIES
64.61
06/05(04
PUBUX STRO 0050 WEST PALM BEACH FL
GROCERIES
50.69
06/07/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
161.53
Total of New Activity for BRENT TINDALL
New Charges
Payments/Credits
2544.26
0.00
Total of New Activity
New Charges
Payments/Credits
12,821.40
-17,691.36
EFTA01704130
DUPLICATE COPY
Prepared For
acckg Dd.
G MAXWELL
06/08/04
s
CustomExtrar
r
-e.•
Page 5 of 6
Women's Professional Basketball Tickets Now Available
Catch the excitement of professional women's basketball at Madison
Square Garden in New York City for this 2004 season. As a Platinum
Carde member, you have access to single-game tickets for the entire
regular season. Seats are located in the first five rows of the arena.
All sales are final and non-refundable and resale is prohibited. Details and prices are
subject to change. Tickets are available on a first-come, first-served basis. AI ticket orders
are subject to service charges. Payment must be made using the Platinum Card from
American Express. Ticket limits may apply. Availability is limited. Tickets wil be sctd in
pairs.
Purchase your tickets
today by calbng
1.800.321-RSVP
(8am to 11 pm EST,
7 days a week) or visit
www.americanexpress.
convluxurystritos
for more information.
(CE 104476)
Earn Points When You Pay Your Bills Automatically
Do you know that when you pay your wireless phone bill
automatically with the Platinum Cards you can earn double
Membership Rewards points automatically, too? Automatic Bill
Payment is the simple way to consolidate your payments and make
sure that your bills are paid on time. Enjoy the time-saving
convenience of paying your bills automatically with your Card. You
can even continue to receive a paper statement of your bill from your
service provider to keep for your records.
Terms and Conditions apply.
To get started, visit
winvw.americanexpress.
com/abp34 for the links
and phone numbers of
service providers who
accept the Card for
automatic bill payment.
(CE 104475)
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, Amencan Express Gift 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 1.888.269.6669. Gift Cheques are available for purchase at participating American
Express Travel Services locations using your American Express ° Card.
To find your nearest
American ExpressTravel
Services locations, call
1.688-AXP-0084.
(CE 104471)
Earn 7,500 Membership Rewards® Bonus Points
As an American Expresso Cardmember you are entitled to many
benefits including exclusive access to an experienced financial
advisor. Enjoy a complimentary initial consultation with an
experienced American Express financial advisor--a seasoned
professional who can offer you financial advice on investment
strategies, tax planning, and much more. After your initial
consultation, you will receive 7,500 Membership Rewards bonus
points.
Offer valid to new American Express Financial Advisor clients only. American Express
Financial Advisors Inc., Member NASD. American Express Company is separate from
American Express Financial Advisor Inc. and is not a broker-dealer.
nancial
Advisor
Allow an experienced
financial advisor to help
you achieve our personal
financial
s. Just call
1.877.4
761 toll-free
to be referred to a
financial advisor in your
area.
(CE 104463)
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 are other places
where you would like to
see the Card accepted,
please call the Customer
Service number that i3
located at the top of your
statement or the number
that is on the back of your
Card.
(CE 104481)
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.
EFTA01704131
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Page 6 o16
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 chanty at
ww.v.americanexpress.
com/donate.
(CE 104469)
Offers aro made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01704132
DUPLICATE COPY
Platinum Card®
Statement of Account
10,996
Membership Rewards
Points Available
at 05131/C4, when clargc3thic arc pax' ir;
Prepared For
PSI@ Clat•
i:›full and all accounts ate in.gocd standing:;
G MAXWELL
07/09/04
Page I of 5
New
Please Pay By
Ptevia &Jame $
PawnentittedtsS
Newam:01$
Balance $
07/24/04
12,821.40
-:14 021:40
5,797.04
4,597.04
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/payblll.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1.800-9923404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Let Concierge Make Your Summer Activities Special
Platinum Card's Concierge can help you with virtually any request, at any hour, anywhere in the
world. Have Platinum Card Concierge secure reservations at an international or domestic
restaurant for a special occasion or upcoming trip, locate goods and services unavailable
locally, research entertainment options, arrange for special gifts, and much more. It's like
having a personal assistant with you while at home or while traveling abroad. Call
1-800-345.2639, option 2.
Activity lroo1Lpo1gp3Jo
MAXWELL
le/20/04'.
PAYMENT REr:.EIVED TkIANtgpUiv::,
`97/03/04'
S
NV
mcistranoodiwcwn
Amounts
06/16/04
TRAVELOCITY.COM
800.256-9089
TX
5.00
06/18/04
CANVAS
FL
218.20
Pkase lotion the perknalkn lv".Av.detkch and taken wth your payment
Payment Coupon
NEW YORK NY
J1111
Mail Payment to:
Meant iamb&
Please Pay By:
07/24/04
Total Amount Due
$4,597.04
lidaddlikkAHAUMANIAMIALAI
P.O. BOX 2855
NEW YORK NY 10116-2855
hunk
0000371385847238009 000459704000579704 09i-1d
Continued on Page 3
Please enter account
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank In the
U.S. or money order,
glee
able through the
.tscsanking system.
To Pay by Phone call
1.800-I-PAY-AXP or
1.800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704133
DUPLICATE COPY
I:4.2M For
G MAXWELL
Page 2 of 5
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 cr
holidays may not be credited until the next business day. Please do not send post-dated checks. They will be deposited
upon receipt. It payment is made at any other location, there may be a delay in processing. Wo reserve the right to process
checks
kelectronically, at first presentment and any re-presentments, by 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 Computer Pay By Phone or any
other American Express electronic payment service, you will be authorizing American Egxess 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.
Onside 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 habiltyis550 should you fait to report its loss or theft.
Charge Card and Statement Infmmation: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Addition& Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If ya.r do not wish to receive Departures magazine, please call 1-877-509-3993, Monday
through Friday, Sam - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge slips for companson to your billed charges. The Statement Closing Dale is the last date that
charges and credts 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 acoount 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 WI is wrong, or if you
need more information about a transaction which appears on your statement, write or cal the Customer Service
department as indicated on your paper statement, or dick on the Customer Service finkonline. We must hear from you no
later than 60 days after we sent you the first bit 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 obEgated to pay the parts of your bill that are not in question. While wo 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 Cat 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 protect
only when the purchase nom was more
than $50 and the purchase was made in
home state or within 100 miles of your mai IN 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 locator of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Pease contact us by add® on the Customer
Service Link online at ‘wAv.amencanexpress.com, or you can cal 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,
is wrongr please contact us as soon as possible. We must hear from you no later than 60 days after we sent you
receipt, or transaction
the FIRST staterrenton which the problem or error appeared.
When contacting us: 1. Tel 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 for 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 '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
Behind Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service fink
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
If coned cn frail
do no! use
Nome
OnlirranY
Nome
SOW A:Ar lon
City, Sete
tope:de
Area Code and
Homo Phones
Area coo end
wcdOthono
Email
TT 1-1
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1.800.525.3355
24 hoursq days
Car Rental Loss and
Damage Insurance
1-800.338.1670
Hee:
(9amtit:paired
EST)
WY' 1.80021-9950
FAX: 1-800695.9090
In NY: 1.800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800-443-7672
Platinum Card
By Invitation Only
1-800-321-RSVP
to
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329.7825
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
mmisl
to receive special offers,
suited to your needs.
EFTA01704134
DUPLICATE COPY
Procured For
G MAXWELL
Closing Deb
Page 3 of 5
07/09/04
New Activity Continued
Amamt
06/22/04
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR UNES
From:
To:
CINCINNATI OH
ALBUQUERQUE NM
Ticket Number: 00610780938552
Passenger Name: TINDALUB
Document Type: PASSENGER TICKET
Carrier:
Class:
DL
UA
DL
UA
Date of Departure: 06/26
229.20
06/22/04
TRAVELOCITY.COM
800.256.9089
TX
5.00
06/30/04
NV
LODGING CHRGS
1,200.00
07/02/04
NV
LODGING CHRGS
1,200.00
07/07/04
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR LINES
From:
To:
ALBUQUERQUE NM
CINCINNATI OH
lIcket Number: 00610805704806
Passenger Name
Document Type: PASSENGER TICKET
Cartier:
Class:
DL
UA
DL
UA
Date of Departure: 07/09
23420
07/07/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
07/08/04
TRAVELOCITY.COM
SAN ANTONIO TX
US AIRWAYS
From:
To:
ROCHESTER NY
ROCHESTER NY
Ticket Number: 03
Passenger Name:
Document Type: PA
EN ER TI
Carrier:
Class:
US
VA
US
VA
Date of Departure: 07/11
29520
07/08/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
3,396.80
-14,021.40
New Activity for BRENT TINDALL
06/08/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
179.03
06/08/04
GRACIOUS HOME 1
NEW YORK
NY
HOME FURNISHING
414.75
06/10/04
GRACES MARKET
NEW YORK
NY
09GROCERIES
11221
06/11/04
DEAN & DELUCA 5169NEW YORK CITY
NY
292.86
06/13/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
321.47
06/14/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
148.50
06/21/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
148.92
07/04/04
28 GOURMET FOOD
472.04
07/07/04
PUBUX STRe 0161 PALM BEACH
FL
GROCERIES
124.48
Continued on reverse
EFTA01704135
DUPLICATE COPY
Pre;aed Fa
G MAXWELL
Page 4 of 5
New Activity Continued
mmumS
07/08/04
187.98
28 GOURMET FOOD
Total of New Activity for BRENT TINDALL
New Charges
2,400.24
Payments/Creeds
0.00
Total of New Activity
New Charges
5,797.04
Payments/Credits
.14,021.40
EFTA01704136
DUPLICATE COPY
Prepeced For
G MAXWELL
CustomExtras
ciammgpa
07/09/04
Page 5 of 5
Los Angeles Baseball Tickets and Suites Now on Sale
As a Platinum Card® member, you can enjoy professional baseball in
Los Angeles this season from plush seats located between the
dugouts behind home plate (includes premium parking passes) or
from a private luxury suite that accommodates up to 20 people.
•
All sales are final and nonrefundable and resale is prohibited. Details and prices are subject
to change. Suites and tickets are available on a first-come, first-served basis. All ticket
orders are subject to service charges. Payment must be made using the Platinum Card
from American Express. Ticket limits may apply. Availability is limited.
Call 1.800-321-RSVP
(8 am-11pm EST, 7 days
a week), to purchase your
tickets today.
(CE 104628)
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 lee per TravelFunds Card purchase,
which includes standard shipping and processing. For complete Terms and Conditions,
visit
vnew.aarp.orgrameic
Offer available for AARP
members only at
www.earp.orgramex
and at 1-8.00-721-9754.
Members must enter or
mention promotion code
101.
(CE 104632)
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.
Staybridge 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 fike 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 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
wvnv.americanexpress.cornAmveltips for further details.
To find out more about
tax-free shopping, please
visit wvnv.american
express.comrtraveltIps.
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.
EFTA01704137
DUPLICATE COPY
Platinum Card®
Statement of Account
40,064
Membership Rewards
Points Available
at 00/30/04, when charges due are pad in
5.1mItand all accounts are in good stanc44
Nep,,mrro7.
G MAXWELL
cccm".
08/08/04
Page 1 of 6
New
Please Pay By
PrevklusBalette$
PerneriaCredts $
Now Myra $
Balance $
08/23/04
4,597.04
3,597.41
3597.41
Please refer to page 2
for impatient information
regarcing your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-9924404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Platinum Travel Services - Customized Travel Planning
When you need to make travel plans, know that you can rely on Platinum Travel Services (PTS)
--a full-service travel agency dedicated to handling all of your travel needs. PTS is accessible
with a toll-free telephone call from anywhere in the world. Our experienced and resourceful
travel counselors are ready to help with every detail of your personal or business travel
arrangements. And, when you book your reservations through PTS, you can also receive
complimentary amenities exclusively for Platinum Card" members to make your trip just that
much more enjoyable. Call PTS today at 1-800-443-7672 to take advantage of this special
Platinum Card member benefit.
mal.p.smdam
Activity
New Activity for G MAXWELL
AmountS
'407/17/04' :;:...PAYMENT AEC
l'HANKATOU
07/11/04
EXPRESS APPAREL
07/20104
NY
NY
99.94
RETAIL
67.68
07/30/04
BROOKSTONE #246
08/02/04
NH
95.40
4 Please Sold on We perforation Won" debits and resin %lb IN/ Damn, 4
Payment Coupon
Please Pay By:
08/23/04
G MAXWELL
Total Amount Due
$3,597.41
NEW YORK NY 10022-6843
1 111111rllulululrtlullultltiutlNlrll
Mail Payment to:
11.1,111,1,11.1,1"11,11,11,11.11..11.1.1.111.1,11.,111.)111.1
P.O. BOX 2855
NEW YORK NY 10116-2855
11,.1111
Ili,,Ilillmililluli.I.I..1.1.1.1..1.1....II.1
0000371385847238009 000359741000351741 0 8rIrl
99.00
Continued on Pogo 3
Please enter account
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banking system.
To Pay by Phone call
1-800-I-PAY-AXP or
1.800.472.9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704138
DUPLICATE COPY
Prepeedi For
G MAXWELL
Page 2 of 6
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 wit be deposited
upon receipt. If payment is made at any other location, there may be a delay in 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 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 Computer Pay By Phone or any
other American Express electronic payment service, you will be authorizing American tress to initiate an
electronic debit to the financial account you specify in the amount you request. To use Pay y Computer, pease
visit us at vnwtamericanexpress.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 1 is fraudulently used.
Your maximum Gebaity is $50 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Witional Platinum Card is $175.00,and for each Additional Gold Card on the Platinum Card account the annual fee is
$4500. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1-877-509-3993, Monday
through Friday, 9am - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge slips for companson to your biped charges. The Statement Closing Date is the last dale 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_Sights Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
need more infermation about a transaction which appears on your statement, write or call the Customer Service
department as indicated on your paper statement, or cli• on the Customer Service link onine. 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 willnot 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 whore 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 quaLty of goods or senices 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 price was more
than $50 and the purchase was madam yourhome 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 Cf services, all purchases am covered regardless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by dickirm 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, cr 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 possibte. 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. Tel us your name and account number; 2. Provide the doilar amount of the suspected error;
3. Describe the error oe the transfer you are unsure of, and explain as cleariy 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 fa the amount you think is in error, so that you will have use of the
money during the time it takesus to complete out:investigation.
Credit Balance: If a credit balance (designated 'CFI") 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
Behind Unit at the Customer Service address indicated on your paper statement, or click on the Customer Service link
wine. 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 indcatng the credit balance, issue a check to you
for the credit balance in your account if the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due brhvo or more biting cycles, elate payment fee of 1.75% of all past due amounts will be added.
Change of Address
Immo <a none
<b ad we
Nemo
Company
Nemo
Street Adere“
City. Stela
rip Cede
Area Cede and
Herne Phone
Moo Code and
Work Mee
Panel'
Fri
H
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1-800.525.3355
24 hoursa days
Car Rental Loss and
Damage Insurance
1-800338-1670
Hearing Impaired
(9am-Wn EST)
TTY: 1-800-221-9950
FAX: 1.800.695.9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800.345-AMEX
Platinum Card Travel
Service and Fine Meta,
Resorts & Spas
1-800-443-7672
Platinum Card
By Invitation Only
1-800-321-RSVP
O
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-78Z
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329.7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing your email
address to American
Express wil enable you
to receive special
needs.
J
to your needs.
EFTA01704139
DUPLICATE COPY
PIOpitai For
G MAXWELL
Account *robe,
cask* Date
08/08/04
Page 3 of 6
New Activity Continued
Aanount$
08/03/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
Carrier:
Class:
MIAMI FL
AA
W
MIAMI FL
AA
W
Ticket Number: 00110854%9211
Date of Departure: 08/04
Passenger Name.
Document Type: PASSENGER TICKET
08/03/04
TRAVELOCITY.COM
800-256-9089
TX
420.70
5.00
08/03/04
NY
08/03/04
187A3
60.85
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
1,036.00
-4,597.04
StaniligiaRENT
TINDALL
07/12/04
GRACE'S MARKET
NEW YORK
NY
371.37
09GROCERIES
07/13/04
GRACE'S MARKET
NEW YORK
NY
125.08
09GF1OCERIES
07/14/04
GRACE'S MARKET
NEW YORK
NY
96.87
09GROCERIES
07/15/04
GRACE'S MARKET
NEW YORK
NY
100.62
09GROCERIES
07/16/04
PUBUX STRff 0050 WEST PALM BEACH FL
115.22
GROCERIES
07/17/04
PUBLIX STRII 0050 WEST PALM BEACH FL
133.15
GROCERIES
07/18/04
306.82
28 GOURMET FOOD
07/23/04
CEST SI DON
PALM BEACH
FL
98.79
MISC FOOD, SPECIALTY,C0
07/23/04
PUBLIX STR# 0161 PALM BEACH
FL
81.64
GROCERIES
07/26/04
GRACE'S MARKET
NEW YORK
NY
333.98
09GROCERIES
07/27/04
GRACE'S MARKET
NEW YORK
NY
107.46
09GROCERIES
07/28/04
GRACE'S MARKET
NEW YORK
NY
31.02
09GROCERIES
07/28/04
DEAN & DELUCA 5169NEW YORK CITY
NY
113.26
07/29/04
GRACE'S MARKET
NEW YORK
NY
227.92
09GROCERIES
07/29/04
GRACE'S MARKET
NEW YORK
NY
50.48
09GROCERIES
07/30/04
GRACIOUS HOME 1 NEW YORK
NY
103.18
HOME FURNISHING
07/31/04
GRACE'S MARKET
NEW YORK
NY
119.55
09GROCERIES
Total of New Activity for BRENT TINDALL
New Charges
2,516.41
Payments/Crecits
0.00
Continued on reverse
EFTA01704140
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Page 4 of 6
New Activity for DAVID MULLEN
umS
C8/O5/04-
45.00
PERIOD C8104 THRU 08/05
Total of New Activity for DAVID MULLEN
New Charges
45.00
Payments/Credits
0.00
Total of New Activity
Now Charges
3,597.41
Payments/Credits
-4,597.04
EFTA01704141
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gmomeinol
Preow•SFot
c
G MAXWELL
M
OrVk09870:
CustomExtras"
Or"S
Page 5 of 6
Hot Plates® - Your Table is Waiting
Every day Hot Plates is your entrae to the hottest restaurants. More
than 100 top restaurants in New York, Los Angeles, San Francisco,
and Miami set aside a coveted table at lunch and dinner exclusively
for Platinum Card* members.
All cancellations must be made by calling at least 24 hours in advance of reservation.
Otherwise, you will be sutiect to a cancellation fee of $15 per person (minimum of $60,
maximum of $120).
To make reservations,
please call Platnum Card
Concierge at
1.800.345.2639, option 2.
(CE 104767)
Premium Global Assist® Hotline • Travel with Confidence
When you travel 100 miles or more away from home, rely on Premium
Global Assist Hotline for around-the-clock medical, legal or financial
assistance. For medical needs, American Express will provide you
with a list of physicians and dentists in your destination, assist with
travel arrangements if you need to get home in a hurry, and pay for
the cost of emergency transport to a medical facility. You can also
look to American Express for help with visas, passports, lost luggage,
and more.
Premium Global Assist Hotline must arrange al medical and visitor transportation. Because
this Is an assistance service, we cannot reimburse you for expenses you incur on your own.
For more information, call
Customer Service at
1.500-525.3355.
(CE 104768)
Macy's Passport 'O4: Fashion Show Benefit
American Express presents, Passport a spectacular theatrical fashion
show captivating you with music, live performances, supermodels,
celebrities, internationally acclaimed fashion designers, and the best
of Macy's Fall collection. Unlike any other fashion show, Passport
merges fashion and compassion, and this year returns revitalized to
inspire. Now in its 22nd year, Passport has raised nearly $18 million
for HIV/AIDS research, prevention and direct-care programs. The
evening includes a reception, Celebrity Fantasy Auction, and the
Passport Fashion Show. Join us and experience the journey. For
more information, please visit www.ticketmaster.com/passport.
Runway Seats $150. Preferred Seats $75.
Tickets on sale 8/15.
SAN FRANCISCO Fort
Mason Center.
Cardmember Evening,
9/22.
Black Tie Gala Evening,
9/23.
LOS ANGELES Barker
Hangar: VIP Lounge and
Gala Evening, 9/30.
(CE 104764)
Earn 7,500 Membership Rewards® Bonus Points
As an American Express. Cardmember you are entitled to many
benefits, including exclusive access to an experienced financial
advisor. Enjoy a complimentary initial consultation with an
experienced American Express financial advisor, a seasoned
professional who can offer you financial advisor on investment
stratesies, tax planning, and much more. After your initial consultation
you will receive 7,500 Membership Rewards bonus points.
In:metal
Advisor.
Offer valid to new American Express Financial Advisor clients only. American Express
Financial Advisors Inc., Member NASD. American Express Company is separate from
American Express Financial Advisor Inc. and is not a broker-dealer.
Allow an experienced
friar:dal advisor to help
you achieve your personal
financial goals, just cal
1.866.864.3842 toll-free to
be referred to a financial
advisor in your area.
(CE 104792)
Donate to the MDA Telethon With the Card and We Will Too!
American Express is a proud sponsor of the 2004 Jerry Lewis
Muscular Dystrophy Telethon. MDA combats neuromuscular diseases
through programs of worldwide research, comprehensive medical
and community services, and far-reaching professional and public
health education. And, to celebrate our seventh consecutive year as a
sponsor, American Express is going to make a $5 contribution for
every time a donation is charged to the Card during the telethon.
If you aren't able to tune in, go to wany.mdausaorg to donate and learn more about MDA
$5 donations from American Express to the MDA are not tax-deductible.
American Express will donate a maximum of $160,000.
We'll donate $5 to the
MDA when you charge
your contribution to your
American Expresso Card
during the telethon.
Please check local listings
and lune in on September
5-6 and give generously!
(CE 104763)
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.
EFTA01704142
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Page 6 of 6
A Special TravelFunds® Card Offer for AARP Members
Receive a complimentary emergency travel kit with the purchase of
$100O or more in TravelFunds Cards from American Express.*
It has the safety and security of Travelers Cheques with the
convenience of a plastic Card. It's also prepaid and reloadable. Like
Travelers Cheques, if it is lost or stolen, the balance on your Card is
refunded, usually within 24 hrs. Offer is also available for U.S.
Travelers Cheques, "fee-free" foreign currency Travelers Cheques
and "fee-free" foreign currency.
'Limit one kit per order. There is a $14.95 issuance fee per TravelFunds Card purchase,
which includes standard shipping and processing, $15.00 order fee plus shipping for U.S.
Travelers Cheques. For complete terns and conditions, visit wmv.aatp.org/amex.
Offer available for AARP
members ONLY el
wyny.aatp.org/amex and
at 1-800-721-9754.
Members must enter or
mention promotion code
101.
(CE 104772)
Now Accepting American Express® Cards!
Cardl's Furniture Superstores & The Rhode Island Design Center
- Same-day furniture delivery, 7 Days A Week! Visit
www.cardisfurniture.com or call 508-379-7510 for locations.
Molton Brown London - Experience a collection of luxury body and
skin therapies to renew, refresh and restart yourself. Now at 1098
Third Avenue, NY, NY. www.moltonbrown.co.uk.
it Cigno - Classic regional Italian cuisine. Located at 1505 Weaver
Street in Scarsdale, NY. Call us at 914-472-8484. Reservations are
recommended.
If there are ether places
where you would Pike 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 104721)
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 you are
approaching your line of credit/spending limit. Alerts can be sent to
your e-mail address, mobile phone, pager or PDA.
To sign up for Alerts, visit
www.ameticanexpress.
comAilerts.
(CE 104807)
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.
EFTA01704143
DUPLICATE COPY
Platinum Card®
Statement of Account
Earn points on all of your
purchases, everywhere
you use the Card.
Prepared For
Petoint Neuter
Carry Dar
G MAXWELL
09/08/04
Page I of 6
New
Please Pay By
Previous Balance
PeemrserWOIS
New Charges $
Balance S
09/23/04
3,597.41
a3;695-41,
AttketaI
7,032.89
6,933.89
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.amerIcanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800.5253355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Financial Control and Double Membership Rewards® Points
It's universal: you take out money from the bank and after a week, you wonder where it went.
Using your Platinum Card® to pay for everyday errands at supermarkets, gas stations and drug
stores can help you keep track of your expenses. Each month, you will receive a detailed
statement of all your purchases made with the Card. And don't forget, you can earn double
points toward your next vacation. Offer applies at qualifying stand-alone supermarkets,
drugstores, gas stations, the U.S. Postal Service, and for payments for wireless phone bills
(excluding bulk purchases of wireless time). Not valid in the departments of superstores or
warehouse clubs. Terms and conditions of the Membership Rewards program apply.
releas
e
I
rucbg
Activity/
New Activity for G MAXWELL
Parma SPWCfrO
Ammon
08/19/04t:.
PAYMENT. RECEIVED :THANKYOU':WI
i08/19/00:,..:, HIDEAWAYS INTERNATIOPORTSMOUTHs.4gNH
gWM.:1':.99997P?19BP§IN§§§5Y§ 'Tqw •
08/09/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
WASHINGTON NAT'L D
To:
WASHINGTON NAT'L
Ticket Number: 00110864161936
Passenger Name:
Document Type: PASSENGER TICKET
+ Please lokl on the cerloraecn Wow, detach x
Warn verb your Doom, * i
Payment Coupon
G MAXWELL
368.70
Carrier:
Class:
AA
V2
AA
V2
Date of Departure: 08/11
AteeereNurkee
LAIIM ..... ILLUI.I.J.d.LUALIJAH
Mail Payment to:
Please Pay By:
09/23/04
Total Amount Due
$6,933.89
P.O. BOX 2855
NEW YORK NY 10116-2855
!.hall!!
Ilhhhllallhaeelhllhhlhalhlahlhlhlhlhhl,lhhhall,l
0000371385847238009 000693389000703289 08r1r1
Continued on Page 3
Please enter account
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
able through the
.S. banking system.
To Pay by Phone call
1-800.I-PAY-AXP or
1.800.472.9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704144
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Prepared For
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Page 2 ill 6
Payments: Your monthly statement 's payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
plank 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:C0 noon cr 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 delay in processing. We reserve the OM to process
checks electronicaly, at fist presentment and any re-presentments, by transmitting the amount of the check, routing
number, account number and check serial number to your financial institution. Your checking amount may be del ited
as soon as the same day we receive your payment. If we can not collect the funds electronicaly at first presentment,
wemay issue a draft against your account forthe amount of the checic
Authorization for Electronic Payments: By using the American Express Pay By Computers 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, pease
Vert us at wwwarriericanexpress.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 Ex_press Travel Service Office or call us coiled at 3M, —air-1111. You are
fully protected against any fraudulent use of the
when you notify American Express tebre it is fraudulently used.
Your maximum liability is $50 shouldyou fail to report its loss or theft.
charge Card and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards we issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1.877.509.3993, Monday
through Friday, 9am - 5pm EST. You may dec0ntinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge slips for companson to your billed charges. The Statement Closing Date is the last date that
charges and credits are processed to aopear 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 Bights Summary: In Case of Errors or Questions About Your Bill: If you think your eel is wrong, or if you
- . 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 ink online. We must hear from you no
later than 60 days after we sent you the Erst b I 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. Descnbe the error and explain, if you can, why you believe there is an error. If you need
mere information, describe the item
are unsure about. You do not have to pay any amount in question while we are
investigating, but you are still
ed to pay the parts of your bit that arc not in question. While we investigate your
inquiry, we cannot report you as del inquent or take any action to collect the amount in question. Please retain any recepts
pertinent to your claim.
Special Rules For Charge Card Purchases: If you have a problem with the quality of gcods 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 pur
se pnce was more
than $50 and the purchase was made in your home state or within 100 miles of your new address. (If we own or cperate
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 vemv.americanexpress.com, or you can call us at 1-8004PAY-AXP for Pay By Phone and Pay
By Computer issues, or I.800-CASH-NOW for Express Cash and automatic payment issues. You can also write to the
Express Cash Operations address indicated on your statement. 11 you think your statement, receipt, or transaction
is wrong, please contact us as soon as posabe. 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 promgly. If we lake 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 4 lakes us t0 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 dick on the Customer Service link
online. II 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 f dlowing the date of the first statement indicating the credt balance, issue ach
to you
for the credit balancein 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 PI Address
coesec: on 'tont
do not um
Name
ComParY
Nine
Street Add'.,.
City, Slate
Bp Cade
fl ea Cede and
Home Phone
Area Code and
Work Phone
Dime
r
I
1 1-TT TT- r
1
I _Li
T1
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1-800-525-3355
24 hours/! days
Car Rental Loss and
Damage Insurance
1.8IW2118.1670
Hearing Impaired
(9am-5pm EST)
TTY: 1-800-221-9950
FAX: 1-800-685-9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts 8, Spas
1-800-443-7672
Platinum Card
By Invitation Only
1-800-321-RSVP
O
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329.7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Providing youremail
address to American
Express will enable you
j
toreceive special offers,
suited to your needs.
EFTA01704145
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Page 3 of 6
09/08/04
New Activity Continued
o'er SOO'S IV
*tint
08/09/04
TRAVELOCITY.COM
600-256-9089
TX
5.00
08/17/04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
ALBUQUERQUE NM
DENVER CO
Ticket Number: 42210880669856
Passenger Name: WATSON/F
Document Type: PASSENGER TICKET
Carrier:
Class:
F9
TN
F9
TN
Date of Departure: 08/18
209.70
08/17/04
EDELMAN LEATHER
8603509600
CT
2,305.26
08/17/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
08/17/04
TRAVELOCITY.COM
800-256-9089
TX
378.20
08/2W04
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
LOS ANGELES CA
Ticket Number: 00110887625310
Passenger Name:
Document Type: PASSENGER TICKET
Cartier:
Miss:
AA
MA
Date of Departure: 08/22
261.10
08/20/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number. 371 236001 01 030
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
86
HK
Date of Departure: 08/20
369.20
08/20/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
08/28/04
BARNES & NOBLE
SIOUX CITY
IA
BOOKS
16.00
08/28/04
BARNES & NOBLE
SIOUX CITY
IA
BOOKS
42.85
08/30/04
BOUTIQUE DASLU
GOODS/SERVICES
594(0
206.78
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
4,172.79
-3,696.41
New illinhiAVID
MULLEN
08/21/04
WILLIAMS SONOMA
WEST PALM BCH
FL
137.75
08/22/04
193.43
08/22/04
EXXONMOBIL3401006253WEST PAL
FL
PAY AT PUMP3401006253
38.75
08/23/04
MAD HATTERAS
STUART
FL
585.00
08/24/04
PUBUX STEW 0050 WEST PALM BEACH FL
GROCERIES
56.62
08/25/04
GOURMET FOOD
151.78
08/25/04
PUBUX STRI 0050 WEST PALM BEACH FL
GROCERIES
21.25
Continued on reverse
EFTA01704146
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New Activity Continued
FelectvSPerdr9
AMotint S
08/25/04
WILLIAMS SONOMA
WEST PALM BCH
FL
50.78
08/26/04
61.41
08/26/04
BARNES & NOBLE
WEST PALM BEACH
BOOKS
FL
10.55
08/27/04
220.14
08/27/04
PUBLIX STRill 0050 WEST PALM BEACH
GROCERIES
FL
6.18
08/28/04
181.80
08/29/04
148.03
08/31/04
lA TRATTORIA PALM BCH GDNS FL
52.50
08/31/04
47.29
08/31/04
SUNOCO 09204058WWEST PALM BEA
0013804 024516492
FL
40.01
09/01/04
64.53
09/03/04
UNIQUE WIRELESS
NEW YORK
NY
281.06
09/03/04
UNIQUE WIRELESS
NEW YORK
NY
56.21
09/06/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
112.55
09/06/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
76.40
09/06/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
99.32
09/06/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
4.00
09/07/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
162.76
Total of New Activity for DAVID MULLEN
New Charges
Payments/Credits
2,860.10
0.00
Total of New Activity
New Charges
Payments/Credits
7,032.89
4,696.41
EFTA01704147
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ACCCOrd Number
xtras-
...CustotnE
ikrosoas
•
Ckciro Oats
09/08/04
Page 5 of 6
Pay Bills Automatically and Keep Your Free Time Free
Sitting down to pay bills month after month can be a chore. But
with your Platinum Card® from American Express you can avoid
the tedium of writing countless checks by using your Card to pay
your bills automatically. From wireless and cable bills to gym
memberships, pay them automatically with your Card. Getting
started is simple. Just call your service providers and tell them you
want to pay your bill automatically every month with your Card. They'll
take your information and do the rest.
Terms and conditions apply. Not all providers service all markets. In some instances, it may
take more than one billing cycle before initial paid amounts are posted to the Card account.
Learn more at
WM. americanexpress.
com/automaticbill. Your
free time will finally remain
free.
(CE 104901)
Premium Seats at the STAPLES Center
Use your Platinum Card® to get some of the best seats in the house
for professional hockey and basketball at the STAPLES Center. You
can also score hot tickets to most other sports and musical events at
the Los Angeles landmark.
I
xemm,:-stiter
All sales are final and nonrefundable and resale is prchlyled. Details and prices are subject
to change. Suites, packages, and tickets are available on a first-come, Erst-served basis.
All ticket orders are subject to service charges. Payment must be made using the Platinum
Card from American Express. Ticket limits may apply. Availability is limited. Tickets will be
sold in pairs.
Call 1.800-321-RSVP
(8 am-11pm EST,
seven days a week) to
buy tickets or visit
vnwtamedcanexpress.
comiluxurysuites for
more information.
(CE 104833)
Carry the TravelFunds® Card from American Express
The safety of Travelers Cheques with the convenience of a Card. The
prepaid, reloadable TravelFunds Card from American Express is a
safe way to carry money when you travel. Unlike debit cards, it is not
linked to your bank account. You'll also have access to valuable travel
services such as passport/credit card replacement assistance.*
•
'Proof of TravelFunds Card purchase may be required. Credt card replacement assistance
is for major bank-issued credit cards only (not for retail store, gasoline, calling cards, etc).
Fees for passport/credit card replacement assistance are the sole responsibility of the
customer. ATM fees apply. For complete terms, visit vninv.amerIcanexpress.com/buytfc
or cal 11.888-412.6945.
TravelFunds• Card from
American Express is
accepted at millions of
places that accept
American Express,
Cards. Purchase yours
today at www.amedcan
express.comlbuytfc
or by calling
1.877-I BUY-TFC.
(CE 104838)
Airport Club Access Around the World
Frequent flyers will appreciate this benefit--complimentary access to
participating Continental Airlines Presidents Club®, Delta Crown
Room Club o and Northwest WorldClubs® airport lounges. You'll enjoy
complimentary access by presenting your Platinum Card®,
government-issued ID and ticket valid for travel that day with the
corresponding airline operating the flight. You may also bring with
you as guests, your spouse and children under the age of 21 or up to
two travel companions per visit.
Program terms and conditions apply. For full terms and conditions visit
www.americanexpress.com/platinum.
For more information on
lounge locations, visit
www.amertcanexpress.
cam/platinum.
(CE 104836)
Groceries, Phone bill, Movies - Track Your Spending Online
Whether you plan on filling up at the gas pump, renewing your gym
membership, or buying a new shirt, you'll probably want to make
sure your charges are recorded accurately. When you sign up to view
your American Express® account online, you'll be able to view your
statement and most recent account activity, 24/7. And for added
convenience, you can even pay your bill online in a matter of
seconds.
Sign up now at wmv.amerIcanoxpress.com/mycardaccount.
(CE 104832)
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.
EFTA01704148
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Page 6 of 6
Wake Up in the Windy City with Hyatt
Stay at a Chicago area Hyatt Hotel between August 15 and October
15, 2004 and receive a complimentary continental breakfast for up to
two guests for every day of your stay when you book on Hyatt.com
and pay with your American Express® Card. Enter offer code
WAKEUP when making your reservation.
Visit www.hyatt.com/wakeup for details.
Offer valid at al Chicago area Hyatt hotels except Park Hyatt Chicago. To qualify you must
book your reservation on www.Hyatt.com, request WAKEUP, pay an eligible rate,
guarantee and pay with your American Express Card. Subject to availability. Other
restrictions apply. * 2004 Hyatt Corp.
I I .',--\-I. I
Make your reservation
today at www.hyattconV
wakeup.
(CE 104830)
Now Accepting American Express® Cards!
eteamz - Teams and leagues in more than 100 sports use eteamz
Web sites and services. Visit www.eteamz.com or call
1.888-543-7223. eteamz is part of The Active Network, Inc.
Global Gatherings - Patisserie and restaurant selling eclectic home
and gift items from around the globe. We are on 156 South Central
Avenue in Hartsdale, NY. 914-683-1833.
Baby Supermart - Baby bedding and gear at discount prices--unique
items not found at national chains. Nationwide shipping. Visit us at
www.babysupermart.com.
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 104870)
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 by calling the number on the back
of your Card.
To learn more, visit
www.amedcanexpress.
corn.
(CE 104909)
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.
EFTA01704149
Platinum Card®
Statement of Account
Prepared For
G MAXWELL
Previous Bdarce$
6,933.89
Payments/ends
::47.496'78
New Charges $
Balance
12,897.55
DUPLICATE COPY
Accore Number
ci:cimm*
10/08/04
gar111101t$JON'alkol your
00
,11#0*everywhere
g
ram se",the,,,cafrd;
NI
Page 1 d8
New
Please Pay By
10/23/04
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.amerIcanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Platinum Travel Services - Customized Travel Planning
When you need to make travel plans, know that you can rely on Platinum Travel Services (PTS)
--a full-service travel agency dedicated to handling all of your travel needs. Our experienced
and resourceful travel counselors are ready to help with every detail of your travel
arrangements. And, when you book your reservations through PTS, you receive complimentary
amenities exclusively for Platinum Card@ members.
American Express acts soley as sales agent for travel suppliers and is not liable for the actions
or inactions of such suppliers. CST#1022318.10, TA-149 registered Ohio Travel Agency,
Washington UBI#600-469.694, ML#1192, TA-002 registered Iowa Travel Agency, NV#
2001-0126. Contact PTS at 1-800-443-7672.
Activity • frdca":73.°9 dab
New Activity for G MAXWELL
AmouniS
09/22/04'
PAYMENY,PEDEIVE*Thet:
0.944164t,;; :
COPJY:MACHIt
:=FF%'..::AiithoWadEfidElduirmis PPLIE
09/11/04
FREDERIC FEKKA1
NY
NY
153.58
09/13/04
WA
MERCHANDISE
AMZ•AMAZON PAYMENTS
3 Pease kid on be pert:teeth below. &lash ad Mum wt. yew menet
Payment Coupon
NEW YORK NY
1 0022 -6843
Mail Payment to:
Account Number
33.00
Cont/need on Page 9
Please Pay By: Please enter account
10/23/64 number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt win a bank in the
U.S. or money order,
processed° through the
Total Amount Due U.S. banking system.
$12,334.66
P.O. BOX 2855
NEW YORK NY 10116-2855
IudlIII1uullu11111111111JI1dII III II6Ld16u1Il I
0000371385847238009 001233466001289755 08r1r1
To Pay by Phone call
1.8001-PAY-AXP or
1-800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704150
DUPLICATE COPY
Prep.vezi roc
G MAXWELL
Page 2 of 8
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) paced in the enclosed envelope with the remittance stub and
the accowd number indicated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited unto 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 delay in 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 financial Institution. Your checking account may be debited
as soon as the same day vie receive your payment. II 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 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 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 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 ils loss or theft.
Charge Card and Statement Information: The annual fee is $395.00 lor the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription foe for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, pease cal -877-509-3993, Monday
through Friday, 9am - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge ape for companson to your toted charges. The Statement Closing Dale is the last date that
charges and credits are processedto appear on the statement. Your account will be Past Due it payment for your devious
month's statement was received after the closing date. To keep your account current, pay by the payment due dale shown
on your statememt
B1111(
Summary: In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you
Wiarid-rrIdenformationabout a transaction which appears on your statement, wnte or call the Customer Service
department as indicated on wow paper statement, or dick on the Customer Service Ink online. We must hear from you no'
later than 60 days after we sent you the first loll on which the error or prodem appeared. Although you may telephone us,
doing so will not preserve your rghts.
What We Need From You When You Nave 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. `feu do not have to pay any amount in question white 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 darn.
Special Rules For Charge Card Purchases: If y0u 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 pur home stale or within 100 miles of your mailing address. (II we own or operate
the merchant, or if we mailed you the a
rtisement 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 w.wr.arnericanexpress.com, or you can call us at 1-800-IPAY-AXP for Pay Ey 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 possitie. We must hear from you no later than 60 days after we sent YSCI
the FIRST statement on whch 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 transferyou 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. II wo 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 fist 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 biting cycles, elate payment feed 1.75% of all past due amounts will be added.
Change of Address
IIcorrect on host
do not tow
Name
ampany
Nate
Street Athdcon
Cry. sale
zu Cods
Area Cad. and
Home Phone
Ana Cede and
Work Phone
Email
r
1
Ii
To Pay By Phone
1-800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1-800-525-3355
24 hours!? days
Car Rental Loss and
Damage Insurance
1-800.338.1670
Hewing Impaired
(9am-5pm EST)
TTY: 1.800.221-9950
FAX: 1.800-695.9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800.345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1.800.43.7672
Platinum Card
By Invitation Only
1-800-321-RSVP
O
Correspondence
Customer Service-
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2355
Providing your email
address to American
Express will enable you
to receive special offers,
suited to your needs.
EFTA01704151
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Preratd Fa
G MAXWELL
curio
me
10/08/04
Page 3 of 8
New Activity Continued
09/14/04
WA
MERCHANDISE
AMZ'AMAZON PAYMENTS
25.49
09/14/04
BARNES & NOBLE.COM 800.843.2665
NJ
09/15/04
TRAVELOCITY.COM
SAN ANTONIO TX
UNITED AIRLINES
From:
To:
Ticket Number: 01610922610700
Passenger Name:
Document Type: PASSENGER TICKET
09/15/04
TRAVELOCITY.COM
800-256-9089
TX
39.45
Carrier:
Class:
UA
WE
UA
WE
UA
WE
UA
WE
Date of Departure: 09/16
395.20
5.00
09/15/04
BBB #361
NEW YORK
NY
657.68
09/17/04
GENERAL MDSE
706.06
09/17/04
WA
MERCHANDISE
AMZ'AMAZON PAYMENTS
33.44
09/17/04
WA
MERCHANDISE
AMZ'SUPERSTORE
15.91
09/17/04
WA
MERCHANDISE
AMZ'SUPERSTORE
70S1
09/21/04
ORBITZ LLC
MANKATO
MN
From:
To:
MIAMI FL
MIAMI FL
Ticket Number: Oj ai.
Passenger Name:
Document Type: PASSENGER TICKET
09/21/04
From:
Carrier:
Class:
AA
OD
AA
00
AA
00
AA
OD
Date of Departure: 09/26
368:90
To:
Tad Number: 01211739726374
Passenger Name:
Document Type:
R TICKET
Carder:
Class:
NW
HP
NW
HP
NW
LP
NW
LP
Date of Departure: 12/17
1,680.00
09/21/04
ROM:
To:
Ticket Number: 01211739726365
Passenger Name: AMORES/F
Document Type: PASSENGER TICKET
Carrier:
Class:
NW
HP
NW
HP
NW
LP
NW
LP
Date of Departure: 12/17
1,680.00
Continued on reverse
EFTA01704152
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Prepared Foe
G MAXWELL
Page 4 of 8
New Activity Continued
amount
09/21/04
ORBITZ LLC
CHICAGO
IL
ORBITZ • SERVICE FEES
6.00
09/21/04
TICKETMASTER NY 40 NEW YORK
NY
TICKETS
1.75
09/21/04
TICKETMASTER NY 40 NEW YORK
NY
189.05
09/22/04
TICKETMASTER NY 40 NEW YORK
NY
TICKETS
1.75
09/22/04
TICKETMASTER NY 40 NEW YORK
NY
49.55
09/24/04
TX
Routing Details Not Mallet*
Ticket /timber 00106169810216
Passenger Name: MULLEN/DAVID
Document Type: MSC CHARGE ORDERIPREPAID TICKET AUTHORITY
Date of Departure: 09/24
25.00
09/24/04
ORBITZ LLC
MANKATO
MN
From:
To:
MIAMI FL
MIAMI FL
licket Number: C
Passenger Namellia.
Document Type: PASSENGER TICKET
09/24/04
ORBITZ LLC
CHICAGO
IL
V7554797 ORBITZ EXCHANG
Carrier:
Class:
AA
OD
AA
00
AA
00
AA
OD
Date of Departure: 09/25
100.00
30.00
09/24/04
NY
249.45
09/24/04
NY
426.24
09/24104
NY
477.17
09/24/04
NY
562.89
09/27/04
TICKETWEB, INC.
866-777-8932
CA
TCKTWEB•3 HOUR FULL IS
09/28/04
LEONIDAS
NEW YORK
NY
74.50
30.42
09/29/04
EDELMAN LEATHER
8603509600
CT
39.40
09/30/04
EDELMAN LEATHER
8603509600
CT
09/30/04
REGNOW
952£46-5033
WA
SOFTWARE
REGNOW.COM
380.19
29.95
10/07/04
JETBLUE
SALT LAKE UT
From:
To:
Ticket Number 64428200101009
Passenger Name: SCHOETILE/DOUG
Document Type: PASSENGER TICKET
10/07/04
FL
Cartier
Class:
B6
K_
Date of Departure: 10/08
204.60
426.80
Total of New Activity for G MAXWELL
New Charges
Payments/Cre&s
9,169.33
-7,496.78
Continued on not page
EFTA01704153
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EFTA01704154
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Page 6 of 8
New Activity Continued
Amount $
09/23/04
GRACE'S MARKET
NEW YORK
NY
169.76
COGROCERIES
09/23/04
GRACE'S MARKET
NEW YORK
NY
327.35
09GROCERIES
10/02/04
PUBUX STR# 0050 WEST PALM BEACH FL
147.53
GROCERIES
10/03/04
118.65
10/05/04
GRACES MARKET
NEW YORK
NY
59.66
09GROCERIES
Total of Now Activity for DAVID MULLEN
New Charges
3,72822
Payments/Credits
0.00
Total of New Activity
New Charges
12,897.55
Payments/Credits
-7,496.78
EFTA01704155
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Pter:tel
G MAXWELL
Owe OW.
10/08/04
ifteC
CustomExtras*
e
°
Page 7 of 8
Financial Control and Double Membership Rewards® Points
It's universal--you take out money from the bank and after a week,
you wonder where it went. Using your Platinum Card® to pay for
everyday errands at supermarkets, gas stations and drug stores can
help you keep track of your expenses. Each month, you will receive a
detailed statement of ail your purchases made with the Card. And
don't forget, you can earn double points toward your next vacation.
Offer applies at qualifying stand-alone supermarkets, drugstores, gas stations, the U.S.
Postal Service, and for payments for wireless phone bills (excluding bulk purchases of
wireless time). Not valid in the departments of superstores or warehouse clubs. Terms and
conditions of the Membership Rewards program apply.
For more information,
contact Customer Service
at 1-800-525-3355.
(CE 104982)
Get Premium Seats and Packages at Madison Square Garden
It's time for anther exciting season of pro sports at Madison Square
Garden in NYC. As a Platinum Card® member, you have not only the
inside track to premium seats, you also have special opportunities to
meet and talk with sports notables at the games during our Chalk
Talks and Legends Nights.
All sales are final and nonrefundable and resale is prohibited. Details and prices are subject
to change. Suites, packages, and tickets are available on a first-come, first-served basis. All
ticket orders are subject to service charges. Payment must be made using the Platinum
Card from American Express. Ticket limits may apply. Availability is limited. Tickets will be
sold in pairs.
Call 1.800.321-RSVP,
(8am-11pm EST, seven
days a week) or visit
www.amertcanexpress.
comrluxutysultes.
(CE104998)
Receive $150 Gift Cheque From American Express® Travel
We are pleased to announce the opening of the Platinum Travel Service Desk, a
new service exclusively for Platinum Card® members, at the American Express
Travel Service office located at 374 Park Avenue, New York, NY 10022.
As a Platinum Card member, you are invited to visit us here or call us at
212-421-8240 for assistance with all your travel needs including all of your
valuable Platinum Travel benefits like Cruise Privileges, Platinum
Destinations* Vacations, Fine Hotels & Resorts, International Airline
Program and Platinum Villas. And, when you reserve a qualifying vacation'
with one of the knowledgeable travel counselors at the Platinum Travel Service
Desk between October 1, 2004 and November 30, 2004, youli also receive a
$150 Gift Cheque with our compliments in addition to the exclusive travel benefits
you receive as a Platinum Card member.
Offer valid for Card member named on statement only. *A qualifying vacation is a
new travel booking with any Platinum Travel program partner valued at $4,000 or
more, made only at the travel office indicated, for travel completed by 11/30/05.
Cheque sent 4-6 weeks from receipt of final payment. Offer combinable with all Platinum
Travel benefits amenities, but may not be combinable with other offers. American Express
acts solely as sales agent of suppliers and is not liable for actions cr inaction of suppliers.
Visit the American
Express Travel Services
office indicated and
reference promotion code
00970001 to take
advantage of this offer.
(CE 104828)
American Express® Gift Cards - Good All Over the Place!
American Express Gift Cards are accepted in millions of different
places,* for millions of different things. From sporting goods to sushi
and for holidays or special occasions, be sure to give your loved ones
exactly what they want, every time. Unlike store gift cards or
certificates, American Express Gift Cards never expire and are
replaceable if lost or stolen.** Buy American Express Gift Cards
today—the perfect gift, every time.
`The Card is good in the U.S. wherever American Express Cards are accepted. Cards' fees
may apply. "The remaining funds cn the Card can be replaced, replacement card fees may
apply. "*Onine sales through Cheques-on-Line, Inc. Card and shipping fees apply. For
complete terms, visit www.americanexpress.com.
Buy your Card at
participating in-person
locations, online- at
wvArtamericanexpress.
corn/gift or via phone at
1.866.256-GIFT.
(CE 104986)
Offers are made only to Cardmombers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01704156
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Page 8 of 8
Return Protection - We'll Take It Back When Others Won't
From time to time, merchants refuse to take back items you purchase
at the store or online. That's why it's nice to know if you're dissatisfied
with any eligible purchases you made with the Card and the
merchant won't take it back, Return Protection can help. Perhaps the
item is too big. Maybe you don't like the color. Simply contact us
within 90 days from the date of purchase and American Express will
reimburse you for the purchase price up to $300 per Item, excluding
shipping and handling.
Return Protection refunds, exclude shipping and handing, and are limited to up to $1,000
annually per Card account. Coverage is subject to additional Terms, Conditions, aid
Exclusions.
For more information, visit
us online at
itrww.americanexpress.
com/retumprotection.
(CE 104995)
Earn Double Points by Donating to Your Favorite Charity
Donate to any of over 1,000,000 U.S. charitable organizations and
earn double Membership Rewards® points for every dollar you donate
with an eligible, enrolled Card. This bonus point promotion is only
eligible to Cardmembers who donate through the American Express
2
Donation Site between October 1, 2004 and December 31, 2004.
BONUS3
To earn bonus points, you must be enrolled in the Membership Rewards program at the
time of the donation and must charge your purchase on an eligible, enrolled American
Express Card. Donation of Membership Rewards points are not tax deductible. Bonus
points will be credited to your Membership Rewards account within 6-8 weeks after charges
appear on your billing statement. The maximum number of points you can earn through this
vomotion is 25,000. Bonus ID: 5969.
To make a donation, go to
www.americanexpress.
com/donate. Terms and
condtions of the
Membership Rewards
program apply.
For more information, visit
www.americanexpress.
comirewards.
(CE 104978)
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.
EFTA01704157
t.
DUPLICATE COPY
Platinum Card®
Statement of Account
ofjyour
il #arronhpaotiensts, ,.ciovne, yrt.t
aill
yotE*0 the Card.0-414;14-,:n‘
9,isijAvivthneriCaneXptlieornifewar
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G MAXWELL
11/07/04
Page 1 of 5
New
Please Pay By
Proviaa EsatvcoS
$
New Cwmo<a$
Balance $
11/22/04
Pawl
12,334.66
16,640.34
16,640.34
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Concierge Your Personal Holiday Shopper
If the holiday frenzy typically has you in a whirl, Platinum Cards Concierge can ease the stress
by helping you find the perfect gift this holiday season. Concierge has the creative expertise to
handle all of the details to make this holiday season a little less hectic. So, for every holiday
gift-giving challenge you can look to Concierge to offer a well-considered solution.
No request is too unusual, too large or too small—so call Platinum Card Concierge at
1-800-345-AMEX (2639) and let us help you accomplish your holiday activities so you can
enjoy the season.
Activity IndcaesPcetng ciale
New Activity for G MAXWELL
Ratko Sperdirg
Amount
4119t9111eMMFEAQULEZEWMXP-40e0
10/11/04
NY
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162.85
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10/11/04
TIP 00000995
99.00
10/11/04
ETRO USA
NEW YORK
NY
4,570.00
10/12/04
MAD. 61
NEW YORK
NY
4 Ream loll cote pet no below. detach and learn will Your papnent
Payment Coupon
.01
1 0 1.1.111.43
.....
Mail Payment to:
Please Pay By:
11/22/04
Total Amount Due
$16,640.34
P.O. BOX 2855
NEW YORK NY 10116-2855
0000371385847238009 001664034001664034 07rIrl
74.26
Continued on Page 3
Please enter account
number on dl checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banking system.
To Pay by Phone call
1.800•I•PAY-AXP or
1.800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704158
DUPLICATE COPY
Prep/Sea
G MAXWELL
Page 2 of 5
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 delay in 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 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 drafts ainst your account teethe 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 Evress to initiate an
electronic debt to the financial account you specify In the amount you request. To use Pay By Computer, please
visit us at waw.americanexpresscom.
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 oall us collect at 336-393-1111. You arc
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 $395.00 for the Bast Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$4500. Renewal Cards we issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magaime, please call 1.877.509-3993, Monday
through Friday, 9am - 5pm EST. 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 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 indcated on your paper statement, or click on the Customer Service linked's-ie. 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 nctveserve 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. Ityou need
more information, describe the item you are unsure about. You do not have to pay any amount in question whie 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, ydr 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 regarcless of
amount or location of purchase.)
In Case of Errors or Questions About Your Electronic Transfers: Please contact us by cliclong on the Customer
Service Link online at www.americanexpress comp 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 cn 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 BO 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 correot 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 usto complete ourinvestigation.
Credit Balance: If a credit balance (designated 'CR')* 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 ineented on your paper statement, or dick on the Customer Service link
online. If you do not male sufficient charges against the credit balance or request a refund, we will, within 30 days after
expiration Mlle six-month period following the date of the first statement Indicating the crecit 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 forhvo or more biting cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change 04 Address
II camel on bore
do not use
!erne
Orclarli
NStIte
Stneel Addeela
Cry. Stale
to Cole
Area Cede and
Flame Phone
Area Cede and
Week Phone
Erna
r
I P
To Pay By Phone
1.800-472-9297
Customer Service, Lost
or Stolen Card and all
other services
1.600.525.3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800.338.1670
Hearing Impaired
`Sam-5pm EST")
TTY: 1-800.21.9950
FAX: 1-800-695.9090
In NY: 1 -800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Ftescrts & Spas
1-800-443-7672
Platinum Card
By Invitation Only
1.800-321-RSVP
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
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
somml
to receivespecial otters,
suited to your needs.
EFTA01704159
DUPLICATE COPY
Fteutrect For
Accuton Mather
Mono, Da*
Page 3 of 5
G MAXWELL
11/07/04
New Activity Continued
Faoen $pordro
Amount
10/13/04
BARNES&NOBLE BOOKQUE866-257-7723
USED BOOKS
53.24
10/21/04
WA
MERCHANDISE
AMZ•AMAZON PAYMENTS
83.49
10/30/04
FREDERIC FEKKAI
NY
NY
173.78
11/01/04
NY
412.46
11/02/04
TRAVELOCITY.COM
SAN ANTONIO TX
UNITED AIRLINES
From:
To:
0 HARE FIELD IL
ALBUQUERQUE NM
Ticket Number
Passenger Name:
Document Type:
CKET
Cartier:
Class:
UA
SA
UA
SA
Date of Departure: 11/08
218.20
11/02/04
TRAVELOCITY.COM
800-256-9089
TX
5.00
11/06/04
CA
EXPRESS APPAREL
75.43
11/06/04
WARWICKS
LA JOLLA
CA
01/BOOKS
FOR CUSTOMER SERVICE CALL 858-4540347
16.11
11/06/04
CA
428.85
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
6,372.67
-12,334.66
AVID MULLEN
10/09/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
199.05
10/08/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
8.23
10/09/04
304.74
10/10/04
PUBUX STRI 0050 WEST PALM BEACH FL
GROCERIES
50.87
10/10/04
PUBUX STRe O050 WEST PALM BEACH FL
GROCERIES
14.31
10/11/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
133.13
10/12/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
65.51
10/16/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
105.81
10/17/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
41.84
10/18/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
108.69
10/19/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
102.06
10/20/04
NY
FOOD-BEV
FOOD-BEV
29.49
29.49
Continued on rovers°
EFTA01704160
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EFTA01704161
DUPLICATE COPY
Premed Fa
G MAXWELL
CustomExtras-
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11/07/04
Page 5 of 5
Save 25% on purchases at The New York Times Store
The New York Times Store offers hundreds of products--from books to
classic photographs, reprints of vintage newspapers to posters.
spituswi_b••
STORE
Offer expires January 31, 2005. Purchases receive 25% off regular price before taxes,
shipping and handing. Purchases must be made with the American Express* Card. 25%
savings does not apply to crossword books with a retail value of $6.95 or less and cannot
be combined with other offers. Sales tax applies where applicable.
Visit www.nytstore.com
to see the entire collection.
Be sure to use the
promotion code AMXNOV
when ordering to get your
savings.
(CE 105091)
Holiday Help with the Your Reward® Program
The holiday season is fast approaching, so give a gift that family and
friends will always remember. The Your Reward program lets you give
one-of-a-kind experiences by simply redeeming Membership
Rewards® points. Our Experience Specialists can research and
arrange a truly memorable gift experience, like a night on the town, a
personal chef or a decadent spa retreat.
Packages are subject to availability. All vendors must accept the American Express* Card.
Unless otherwise noted, all gratuities and taxes are included in the package paint value.
Packages are based on certain costs and times associated with products and service. If
these change, point redemption may increase.
Visit wine.membershlp
rewards.com to choose
from a list of popular
packages or call Your
Reward at
1.800-AXP-EARN
p97-3276) and let your
imagination be the perfect
gift.
(CE 105087)
Saks Makes Holiday Shopping More Rewarding
Earn SaksRewards and Membership Rewards® points every time you
shop with your Platinum Card® at Saks Fifth Avenue stores and at
www.saks.com. The more you spend, the larger the Saks Gift Card
Reward you can receive. Not yet enrolled? Enrollment is retroactive to
January 1, so no Platinum Card purchase for 2004 goes unrewarded.
Membership Rewards program terms and conditions apply. Saks Rewards provides
rewards to customers who enroll in the program with a Platinum Card. Rewards are not
valid on Off 5th Outlet Store purchases. II you enroll and spend $1,000 or more during the
2004 calendar year, you will earn an SFA Gift Card Reward good toward future shopping at
Saks Fifth Avenue. The SFA Gift Card Reward will be mailed to you by April 2005, for your
2004 spending. Other exclusions apply.
To enroll in the
SaksRewards program,
call 1-888-307-7736.
(CE 105089)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will be
disclosing to the merchant that you meet these criteria.
EFTA01704162
DUPLICATE COPY
Platinum Card®
Statement of Account
0.';Is.W(140,Z274atiyo.v
Metmberali101WeWaids.
points Avaifablo Fr x
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G MAXWELL
12/08/04
Page 1 of 8
Preacn ealonao$
Paster.%Otrib
New Chsges
New
Balance
Please Pay By
12/23/04
Please refer to page 2
for important information
regarding your account
16,640.34
7,824.56
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Financial Control and Double Membership Rewards® points
It's universal--you take money out of the bank and after a week, you wonder where it went.
Using your Platinum Cards to pay for everyday errands at supermarkets, gas stations and
drugstores can help you keep track of your expenses. Each month, you will receive a detailed
statement of all your purchases made with the Card. And, don't forget, you can earn double
points toward your next vacation. Offer applies at qualifying stand-alone supermarkets,
drugstores, gas stations, the U.S. Postal Service, and for payments for wireless phone bills
(excluding bulk purchases of wireless time). Not valid in the departments of superstores or
warehouse clubs. Terms and conditions of the Membership Rewards program apply.
Activity
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11/05/04
BARNES & NOBLE.COM 800-843-2685
NJ
38.82
11/09/04
AMTRAK
INTERNET
DC
Routing Details Not Available
294.00
Ticket Number: 55 11 1 12
Passenger Name:
Document Type: V
Please lotl on We Exec/axeteen, detach and roluin‘eth your mining 4
Payment Coupon
,,,,,
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Mail Payment to:
Date of Departure: 11/09
Total Amount Due
$7,824.56
P.O. BOX 2855
NEW YORK NY 10116-2855
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0000371385847238009 000782456000782456 08r4r1
Continued on Page 3
Please Pay By: Please enter account
12/23104 number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banldng system.
To Pay by Phone call
1.800-I-PAY-AXP or
1.800.472.9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704163
DUPLICATE COPY
Prepared Fa
G MAXWELL
Page 2 of 8
Payments: Your monthly statement is payable "risnoiftrilaon receiP. Payments must be in U.S. Dollars and drawn on a
bank located in the US and (except for electronic pa
s) placed in the enclosed envelope with the remittance stub and
the account number indicated en your check. Do
send cash. Payments received after 12:00 noon or on weekends or
holidays may not be credited until the next business day. Please do rot send post-dated checks. They will be deposited
upon receipt. If payment is made at any other location, there may be a delay in processing. We reserve the night to process
c
cis electronically, at first presentment and any re-presentments, by transmitting the amount of the Gunk, 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 Computer Pay By Phone or any
other American Express electronic payment service, you- will
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 vriviv.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 anyy fraudulent use of the Card when you notify American Express before it is fraudulently used.
Your manmurn fiat:Orly is $50 should you fall o report its loss or theft.
Charge Card and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. lithe Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee for Departures magazine s Included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1-877-509-3993, Monday
through Friday, 9am - 5pm EST. 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 vnll 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
Billina Rights Summary: In Case of Errors or Questions About Your Bill: If you think your hat is wrong, or if you
need more inbrmation about a transaction which appears on your statement, write cr call the Customer Service
department as indicated on your paper statement, or atria cn 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 dela-
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
t
inquiry, we canno report you as delinquent or take any action to collect the amount in question. Please retain any receipts
inquiry ,
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 vnwr.americanevress.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 indcated 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 at the suspected error;
3. Describe the error or the transfer you are unsure of, and explain as clearly as u can why you believe there :sari error
or whyyou need more information. We will investigate your complaint and
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 Lo to complete our investigation.
Credit Balance: If a credit balance (designated "CR1 is shown on this statement, it represents money owed teyou. 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
expiation of the six-month period following the date of the first statement indicating the credit balance, issue a che. to you
for the credit balance M your account it the amount is $1.00 or more. Important Notice to North Dakota Residents: If
an account is past due for two or more taring cycles, a late payment fee of 1.75% of all past due amounts will be added.
Change of Address
v Corral ea front
do not use
Nwno
Company
Name
Suet Address
Cry. Slate
Zip Cede
Area code and
HOMO Phone
Area Code and
Week Phone
Fnwa
r
I I
FT
To Pay By Phone
1.800.47.9297
Customer Service, Lost
or Stolen Card and all
other services
1.800.525.3355
24 hours(/ days
Car Rental Loss and
Damage Insurance
1.800.338.1670
Hearing
(9am-StomImpared
E
M:
1-800-221-9950
FAX: 1-800-695-9090
In NY: 1.800-522.1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800-443-7672
Platinum Card
By Invitation On
1-800-321-RSVP
e
Correspondence
Customer Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329-7825
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 willenab'e you
mon j
to receive special offers,
suited to your needs.
EFTA01704164
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EFTA01704165
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Page 4 of8
New Activity Continued
11/15/04
GRACE'S MARKET
NEW YORK
NY
95.01
09GROCERIES
11/15/04
GRACE'S MARKET
NEW YORK
NY
124.27
09GROCERIES
11/15/04
GRACIOUS HOME 1
NEW YORK
NY
7.59
HOME FURNISHING
11/16/04
75.98
BOOK'S
11/16/04
GRACE'S MARKET
NEW YORK
NY
128.12
09GROCERIES
11/17/04
GRACE'S MARKET
NEW YORK
NY
96.19
09GROCERIES
11/17/04
THE HEALTH NUTS
NEW YORK
NY
7.97
0000
11/18/04
HOUSE OF HEALTH
NEW YORK
NY
20.44
11/18/04
GRACE'S MARKET
NEW YORK
NY
193.75
09GROCERIES
11/18/04
GRACE'S MARKET
NEW YORK
NY
354.36
09GROCERIES
11/18/04
GRACIOUS RCM 1
NEW YORK
NY
21.71
HOME FURNISHING
11/19/04
391.62
GOURMET FOOD
11/20/04
PUBLIX STRft 0050 WEST PALM BEACH FL
16.24
GROCERIES
11/21/04
508.93
'FOOD AND BEVERAGE
11/21/04
EXXONMOBIL75042230951NEST PAL
FL
20.00
'
IN-STORE 7504223095
11/22/04
99.06
11/22/04
SUNOCO 0920405800WEST PALM BEA
FL
50.00
0012980 032814188
11/22/04
PUBUX STRS 0050 WEST PALM BEACH FL
60.34
GROCERIES
11/23/04
PUBLIX STRIt 0050 WEST PALM BEACH FL
22.60
GROCERIES
11/29/04
27.10
BOOK'S
11/30/04
GRACE'S MARKET
NEW YORK
NY
177.84
09GROCERIES
11/30/04
GRACE'S MARKET
NEW YORK
NY
60.35
09GROCERIES
12/01/04
GRACE'S MARKET
NEW YORK
NY
128.18
09GROCERIES
12/02/04
GRACE'S MARKET
NEW YORK
NY
53.63
09GROCERIES
12/02/04
GRACE'S MARKET
NEW YORK
NY
158.90
09GROCERIES
12/03/04
T-MOBILE
800-937-8997
WA
200.00
T-MOBILE
12./03/04
GRACE'S MARKET
NEW YORK
NY
104.26
09GROCERIES
Continued on nod page
EFTA01704166
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•
Oxin3 Gala
12/08/04
Page 5 of 8
New Activity Continued
Amount $
12/03/04
GRACES MARKET
NEW YORK
NY
17.18
09GROCERIES
Total of New Activity for DAVID MULLEN
New Charges
4,325.16
Paymen1s/Crefids
0.00
Total of New Activity
New Charges
7,824.56
PaymentsfCredits
.16,640.34
EFTA01704167
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IIIII1
Page 6 of 8
EFTA01704168
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Closing Ode
12/08/04
Page 7 of 8
1154112-it—si
Stludeettdreas
itagardi Kcal
CustontExtras-
Give the Gift That Gives Twice!
This holiday season, giving an American Expresso Gift Card* is also
a gift of hope for children everywhere. For every Gift Card purchased
from November 26 - December 31, 2004, American Express will
donate $1.00 to Thanks & Giving--a national promotion to support
St. Jude Children's Research Hospital.** A pioneer in research for
childhood diseases, St. Jude has dramatically improved how the
world treats children's illnesses. The American Express Gift Card.
Instead of one place, it's good all over the place.
'Terms aid conditions apply. —American Express maximum donation is $1.2 million.
$1.00 donation is not tax deductible for Gift Card purchaser. —Online sales through
Cheques-on-tine, Ina. For complete terms, visit www.americanexpress.com.
Buy your Card at
participating in-person
locations or online— at
www.americanexpress.
comigIft.
(CE 105204)
Donate to Toys for Tots and We Will Too!
Help make a child's dream come true this holiday season. Sponsor a
toy with your American Express® Card and American Express will
make an additional contribution to Toys for Totsl Toys for Tots
delivers millions of toys each year to children who otherwise would be
forgotten. This year, American Express through an alliance with
Kintera, has made the giving experience easier and more rewarding.
Through December 31, 2004, Toys for Tots will receive an adcitional contribution of 0.20%
from American Express for all donations charged to an American Express Card through
www.ToysforTotsGiftsofHope.com. Donations are 100% tax deductible. Terms and
conditions of the American Express and Kintera For Your Cause program apply. Visit
www.amex.kinteraorgialliance for more details.
Go online to
www.ToystorTots
GiftsofHope.com and
sponsor a toy because
every Child deserves their
own toy.
(CE 105198)
Now Accepting American Express® Cards!
DEB - Offering popularly priced fashion, apparel and accessories for
junior and plus-sized fashion-conscious females. Call
1-800-DEBSHOPS or go to www.debshops.com.
StereoAdvantage.com - Setting a standard in consumer electronics.
Free Lifetime Service, shipping to all 50 states. Visit our website or
call us at 1-800-835-7290.
Gateway Playhouse - Long Island's professional musical theatre
offering Holiday Shows & musicals, May-Sept. Call 1-888-4-TIXNOW
for tkts and group rates. Visit www.gatewayplayhouse.com.
If there are other places
whore 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 tho back of your
Card.
(CE 105132)
Great Ski Offers at American Express Selects
Visit American Express Selects at www.amerlcanexpress.com/skl
for great ski offers exclusively for American Express® Cardmembers.
Whether you want to ski the moguls in Maine or cruise the powder in
Park City, we have valuable offers to help you travel to your favorite
resorts for an incredible ski vacation.
Visit
www.amertcanexpress.
com/sld for great std
offers.
(CE 105206)
Pay Your Bill Easily • Online
Sign up to pay your bill online and experience the ease of paying
your charges anytime and anywhere. With 24/7 access to your
account, all you have to do is log on to view your statement and most
recent account activity, and then pay your bill in a matter of
seconds--without a single stamp or envelope. You'll even receive an
instant payment confirmation as soon as you're through. And, for
your added convenience, you can print and save your statement for
your records. Make paying your bill online a part of your monthly
routine.
Sign up today at
www.americanexpress.
com/paycardblll.
(CE 105222)
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.
EFTA01704169
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Page 8 of 8
Sign Up for Account Alerts from American Express®
Get important information pertaining to your Account delivered to
you--whenever and wherever you want. With Account Alerts from
American Express, you can choose to be notified when your payment
is due or when it is received, when irregular account activity is
detected, or when you are approaching your line of credit/spending
limit Alerts can be sent to your e-mail address, mobile phone, pager,
or PDA.
To sign up for Account
Alerts, visit
vinmamerleanexpress.
coin/alerts.
(CE 105227)
Use Your Card to Donate to Your Favorite Charity
Charitable giving is easy and rewarding when you use your Card at
the American Expresso Donation Site. Search and donate to over
850,000 U.S. charitable organizations. You can give to multiple
charities in one transaction and your donation is 100% tax deductible.
Visit
www.amerleanexpress.
comfdonato.
(CE 105226)
Enjoy Exclusive Events with By Invitation Only®
This program offers Card members access to once-in-a-lifetime
experiences. From sports to fashion to the performing arts, these
events are custom-designed for Platinum Card® members and not
available to the general public. Past offers have included
behind-the-scenes cooking workshops in the kitchens of some of the
country's top restaurants and a trip to Naps Valley at harvest time
with private tours of wineries and a grape stomp.
Transportation and accommodation costs are addtional unless otherwise 'Stated. All sales
are final and non-refundable and resale is prohibited. Details and prices are subject to
change. Packages are available on a first-cane first-served basis. Availabiity is limited.
Call ElyInv/tenon Only al
1.800.321-RSVP to
secure your reservation.
We are continuallvadding
new events so visit
www.amerlcanexpress.
comrbyinvitatIononly for
our most current event
listing.
(CE 105228)
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.
EFTA01704170
DUPLICATE COPY
Platinum Card®
Statement of Account
Premed Fa
G MAXWELL
Previous Rearm $
7,824.56
PeprrenteCoxas
New Chaves S
13,492.38
Mead Water
New
Balance $
12,983.38
plAFmke!#!,,ipiRetWA011®.
l '"ePtfittaitari!olariP.pajd--n
7fisiNshatig taeobanislAireiPtsirtian'
DwzMacyco.,
o.da
--;.The..1"rn
axing Der
01/09/05
Page 1 of B
Please Pay By
01/24/05
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Premium Tickets on Sale Now
As a benefit of Platinum Card® membership, you have privileged access to premium seats for
sports, entertainment, and live concert events at venues in New York City and Los Angeles.
Attend a Legends Night or Suite Night Chalk Talk event at Madison Square Garden or access
the Grand Reserve Club at STAPLES Center for a great view of the game. For more information,
call 1-800-321-RSVP (7787) from Sam to 11pm EST, seven days a week.
Terms, conditions and restrictions apply.
Activity • reed's mad ate
New Activity for G MAXWELL
Amounts
12,19/04".
pAY7OENTRECEND -7tIANKvOU'
7,82436
111n
~
r1}.19at:'
tw.
:N N&
r800rtsopNEwyonk
K.
309.00
12/07/04
BARNES & NOBLE.COM 800-843-2665
NJ
12/07/04
BARNES&NOBLE BOOKQUE866-257-7723
USED BOOKS
NJ
8.16
12/07/04
BARNES&NOBLE BOOKOUE866-257-7723
USED BOOKS
NJ
57.43
4 P:446. kid wen prforatcnbebm.delach ad Mum wih vw came*
Payment Coupon
AomuntNurrber
Please Pay By:
01/24105
G MAXWELL
Total Amount Due
$12,983.38
NEW YORK NY
10022-6843
lllll
Mail Payment to:
P.O. BOX 2855
NEW YORK NY 10116-2855
0000371385847238009 001298338001349238 09rld
Continued on Page 3
Please enter amount
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banking system.
To Pay by Phone call
1 -800-I•PAY-AXP or
1-800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
EFTA01704171
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Page 2 of 8
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and drawn on a
bank locWed 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 nod 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 bo a delay in 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 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 Nanst 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 vnwe.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 cooed at 336-393-1111. You we
fuiy protected against anytraudulent use of the Card when you notify American Express before it is fraudulently used.
Your maximum liability is 550 should you fail to report its loss or theft.
Charge Card and Statement Information: The annual fee Is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are Issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Service. The $5 annual subscription fee br Departures magazine is included In the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1-877-509-3993, Monday
through Friday, 9am - 5pm EST. Y0u may dscontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge dies for companson to your bled 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 li 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
[Mktg 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 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 ert Or; 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 we 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 cliciring on the Customer
Service Link online at iimiw.americanexpress.com, or you can call us at 1-803-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 clays 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:Warty as you can why you belieie 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
mom
during the time ittakes us to complete our investigation.
Credit Balance: If a credit balance (designated "CR) is shown on this statement, it represents money owed toyou. 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 dick on the Customer Service ink
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 Ueda 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 two or more billing cycles, a late payment fee of 1.75% of all past due amounts will be added.
To Pay By Phone
1.800.472.9297
Customer Service, Lost
or Stolen Card and all
other services
1.800.525.3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800-338-1670
(9am-5po
Hearing Impaired
m EST)
TTY: 1.800.221.9950
FAX: 1.800.695.9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1.800345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1.800.443.7672
•
Platinum Card
By Invitation Only
1.800321-RSVP
•
Correspondence
Customer Service
P.O. Bel 7825 C.S
Ft. Lauderdale, FL
33329-7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116-2855
Change of Address
coact on lionl
do not use
None r
CanPaeY
fume
T
Stem Adilioss
_I
l
I I
I J
CO. Sale
Zp Code
Area Cede an!
Providing your email
address to American
Hone Phone
Area Cede and
work Phone
Express willenable you
receive special offers,
suited to your needs.
I I
Email
j
to
In
EFTA01704172
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Acccunl Hurter
Clout) Ode
Page 3 of 8
G MAXWELL
01/09/05
New Activity Continued
Amount
12/07/04
BARNES&NOBLE BOOKOUE866-257-7723
NJ
USED BOOKS
9.66
12/09/04
NY
TICKETS
509.00
12/09/04
FREDERIC FEKKAI
NY
NY
36.00
12/11/04
NY
187A3
12/11/04
NY
281.13
12/11/04
NY
78.09
12/14/04
NY
1,725.55
12/16/04
NY
TICKETS
509.00
12/16/04
FREDERIC FEKKAI
NY
NY
192.64
12/16/04
FREDERIC FEKKAI
NY
NY
18.00
12/17/04
NY
TICKETS
509.00
12/17/04
BARNES & NOBLE.COM 800-843.2665
NJ
228.69
1221/04
CRANE & CO, U_C
NEW YORK
NY
STA110NERY/SUPPLY STORE
2,607.79
12/23/04
THE UPS STORE 84972 BOSTON
MA
420.32
1226/04
TM NY • MADISON SO GNEW YORK
NY
TICKETS
509.00
12/28/04
WA
MERCHANDISE
AMZSUPERSTORE
17.50
12/28/04
WA
MERCHANDISE
AMVSUPERSTORE
27.24
12/29/04
NY
MEMBERSHIP
150.00
01/06/05
EXPEDIA INC
ATLANTA
GA
From:
To:
NEWARK NJ
MIAMI FL
Ticket Number: 00111866121706
Passenger Name
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
1/11
AA
NA
Date of Departure. 01/15
268.90
01/05/05
NY
TICKETS
509.00
01/05/05
EXPEDIA SVC/DLVRY FE800-397-3342
WA
NON-REFUNDABLE
5.00
01/06/05
WA
MERCHANDISE
AMVSUPERSTORE
43.83
Continued on reverse
EFTA01704173
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G MAXWELL
Page 4 of 8
New Activity Continued
own
01/07/05
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR LINES
From:
To:
Ticket Number: 00611129454423
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
DL
TA
DL
BA
Date of Departure: 01109
285.40
01/07/05
TRAVELOCITY.COM
800-256.9089
TX
5.00
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
9,227.99
-8,333.56
si a in kin gAVID MULLEN
12/10(04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
19.47
12/13/04
PUBUX SW 0050 WEST PALM BEACH FL
GROCERIES
58.23
12/14/04
423.63
12/15/04
GRACES MARKET
NEW YORK
NY
09GROCERIES
107.40
12/15/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
119.08
12/16/04
GRACES MARKET
NEW YORK
NY
09GROCERIES
15.44
12/16104
GRACE'S MARKET
NEW YORK
NY
(*GROCERIES
101.25
12/16/04
HOUSE OF HEALTH
NEW YORK
NY
12/17/04
GRACE'S MARKET
NEW YORK
NY
20.77
09GROCERIES
95.33
12/20/04
T-MOBILE *3806
NEW YORK
NY
32.58
12/20/04
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
10.20
12/20/04
APPLE STORE #R032 NEW YORK,NY
NY
12/29/04
Description
GENERAL MDSE
1,378.40
328.32
12/30/04
T-MOBILE
800-937-8997
WA
T-MOBILE
157.12
01/02/05
GOURMET FOOD
527.66
01/03/05
PUBUX SIRS 0050 WEST PALM BEACH FL
GROCERIES
20.91
01/04/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
192.06
01/04/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
48.32
01/04/05
GRACIOUS HOME 1 NEW YORK
NY
276.96
01/05/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
75.49
01/05/05
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
39.28
Continued on next page
EFTA01704174
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Prepared Fee
G MAXWELL
Cicero Ore
01/09/05
Page 5018
New Activity Continued
Amount S
01/06/05
HOUSE OF HEALTH
NEW YORK
NY
36.23
01/06/05
GRACE'S MARKET
NEW YORK
09GROCERIES
NY
47.00
01/W05
GRACE'S MARKET
NEW YORK
09GROCERIES
NY
88.26
Total of New Activity for DAVID MULLEN
New Charges
Payments/Credits
4,219.39
0.00
New Activity for
01/06/05'
PERIOD 01/05 THRU 01/06
45.00
Total of New Activity for
New Charges
Payments/Credits
45.00
0.00
Total of New Activity
New Charges
Payments/Credits
13,492.38
-8,333.56
EFTA01704175
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Fa
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Page 6 of 8
EFTA01704176
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Premed Fa
G MAXWELL
•
aim Date
V09/05
Page 7 of 8
sa
...OustottlExtras-
Now Accepting American Express® Cards!
AIG Small Business® - Consumers can now purchase business
insurance coverage backed by AlG's financial strength. Call
1-877-867-3783 to learn more.
CedarWorks Playsets - Made from splinter-free and chemical-free
northern white cedar. Holds over 2,000 lbs.! Call 1-800-GO-CEDAR
for our catalog or visit us at www.cedarworks.com.
The Inn at Palmetto Bluff - Luxury resort with 50 waterfront cottages,
meeting space, golf course, restaurant & spa. Bluffton, SC. Can
1-866-706-6565 or visit www.aubergeresorts.com.
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 105277)
Exclusive Benefits at Equinox Fitness Clubs
As the exclusive provider of fitness benefits to Platinum Card®
members, Equinox offers new members a benefits package valued at
over $1,200--Including complimentary sessions with a personal
trainer, a complimentary spa treatment and other amenities.
Benefits subject to dump or termination. For new Equinox members only who purchase a
one-year memberslip with their Platinum Card. Payment must be made with the Platinum
Card from American Express in the Platinum Card member's name. Current Equirox
members and Card members who reside 25 miles outside any Equinox facility may contact
Platinum CardConclerge to learn about additional benefits and to enroll. Full terms and
conditions apply.
For more intonation or to
enroll, call Equinox at
212-774-6376 or visit
www.equinoxfitness.
corn.
(CE 105293)
Fine Hotels & Resorts Adds 36 Properties
Like all the members of the Fine Hotels & Resorts program, the 36
properties added to the 2005 roster offer superb accommodations
and gracious service, worldwide. Platinum Cards members receive
privileges far beyond the usual courtesies, Including a room upgrade
at check-in when available, complimentary Continental breakfast for
two, guaranteed 4pm late checkout, and an additional amenity that
varies by property.
Program terms and conditions apply. American Express acts solely as sales agent for travel
suppliers and is not liable for the actions or inactions of such suppliers. CSTI 1022318-10,
TA-149 Registered Ohio Travel Agony, Washington UBI# 600-469-694, ML41192, TA-002
registered Iowa Travel Agency, NV# 2001-0126.
To make reservations or
to learn more about Fine
Hotels & Resorts, call PTS
at 1.800-443.7672.
(CE 105294)
Visit Bermuda - Resort Credit and up to $150 Statement Credit
Bermuda--a perfect getaway just 2 hours from the East Coast. Other Islands otter
an escape from civilization, Bermuda offers a chance to bask in it. A colorful and
elegant island with great scenery, golf courses, tennis courts, world-class spas,
sophisticated shopping and gourmet dining. Fall and winter are perfect times to
enjoy the outdoors. Ride a moped through cobblestone streets past Parliament
and pink sand beaches. Simply reserve your vacation of four nights or more with
American Expresse Travel to receive $150 resort credit to be used for hotel
amenities including food and beverage, spa treatments, golf and water sports
where available. And, when paying with your American Express. Card, take
advantage of your Annual Travel Benefit", a statement credit up to $150.
*On new bookings from 1/01/05 to 2/28/05. Travel through 3/31/05. Restrictions
may apply. Resort Credit of $150 per booking can be used towards food and
beverage, spa treatments, golf and water sports where available. Resort credit
only valid at hotel booked. Taxes and gratuities not included.
'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 Card" & Centurion' charge Card members, $2,500 or more for
$150 credit. Not valid on independent air/hotel/car rental reservations. Available once per
Card account per year. May only redeem 1 per booking. Terms and conditions apply.
To plan your vacation to
Bermuda and for details
on your Cardmember
Annual Travel Benefit, call
American Express Travel
toll-free at 1.888-AXP-
0433. CST/ 1022318-10,
TA-149 Registered Ohio
Travel Agency, TA-002
Registered Iowa Travel
Agency, NV# 2001-0126,
Washington LAN* 600-
469-694, M141192. TA
Promo Code: D134:001.
(CE 105300)
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.
EFTA01704177
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Page 8 of 8
Identity Theft Assistance - Free from American Express
No matter how careful you are, identity theft can happen to you. But
here's the good news. With Identity Theft Assistance, we have
representatives on call when you need them--24/7--in case the
unexpected does happen. We can help determine if you are a victim
of identity theft, recommend steps for recovery and offer tips on how
to protect yourself in the future. On request, we'll also send you a
comprehensive package designed to further help you navigate the
recovery process. Should you discover that somebody is using your
identity online or in shops, you can turn to American Express for help.
And more good news--as a valued Cardmember, you automatically
receive Identity Theft Assistance, free of charge.
For more information, visit
us online at
www.americanexpress.
comildthettassistance.
(CE 105326)
Enjoy Fine Dining Around the World
For dinner reservations across town, across the country, or across
the ocean, look to the Fine Dining program available to you as a
Platinum Cards member. Every day, a reservation is held at more
than 1,000 of the most highly acclaimed restaurants in the U.S.,
Canada and abroad. So when the need arises for a reservation at a
hometown favorite or an outstanding restaurant in another city, Fine
Dining can help.
MI cancellations must be made by calling at least 24 hours In advance of your reservation.
Othenvise you will be subject to a cam-Dation fee of $15 per person (minmum of $60,
maximum of $120).
To make a Fine Dining
reservation, call
Concierge at
1.800.345.2639, option 2.
(CE 105348)
Airport Club Access Around the World
Frequent flyers will appreciate this benefit - complimentary access to
participating Continental Airlines Presidents Clubse, Delta Crown
Room Clubse and Northwest WorldClubse airport lounges. You'll
enjoy complimentary access by simply presenting your Platinum
Card., government-issued ID and.ticket valid for travel that day with
the corresponding airline operating the.flight.
The Platinum Card member must present his or her valid Card, government-issued I.D.,
and airline ticket to club agents. COde.Share and affiliated lounge agreements do nct apply.
Platinum Card member must be 21 years of age to enter into the Airport Club Loun
hout
wit
a parent or guardian. Card members must adhere to all house miss of participating
clubs.
For more information on
lounge locations visit
WWW.americanoxpress.
comfplatinum or call
Platinum Customer
Service at
14300-525-3355.
(CE 105346)
"
Sign Up For Account Alerts from American Express
Get important information pertaining to your account delivered to
you--whenever and wherever you want. With Account Alerts from
American Express, you can choose to be notified when your payment
is due or when it is received, when irregular account activity is
detected or when you are approaching your line of credit/spending
limit. Alerts can be sent to your e-mail address, mobile phone, pager
or PDA.
To sign up for Account
Alerts visa
www.americanexpress.
conValetts.
(CE 105345)
Return Protection - We'll Take It Back When Others Won't
From time to time, merchants refuse to take back items you purchase
at the store or online. That's why it's nice to know if you're dissatisfied
with any eligible purchases you made with the Card and the
merchant won't take it back, Return Protection can help. Perhaps the
ESS
item is too big. Maybe you don't like the color. Simply contact us
within 90 days from the date of purchase and American Express will
reimburse you for the purchase price up to $300 per item, excluding
shipping and handling.
Return Protection refunds are Smiled to up to $1,000 annually per Card account. Coverage
is subtract to additions terms, conditions, and exclusions.
For more information, visit
us online at
%Prue. amerIcanex press.
comfretumprotectIon.
(CE 105327)
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.
EFTA01704178
Platinum Card®
Statement of Account
Prepared For
G MAXWELL
Porrixa Balarce $
12,983.38
PapaaPpOWFa$
-r12,983.38
'll.saStka
DUPLICATE COPY
No
Balance s
New Chats> $
24,493.71
24,493.71
Marra oa,
02/08/05
4900i50tBrO
Mritheillitipaiftwante
kFolntsAtraltabte
A02/31 /p4f,w6WiattWas* dui afe Pad
OIlliatalaootaitsaie
tacr0d SthIVIIKV;
Page 1 of 8
Please Pay By
02/23/05
Please refer to page 2
for important information
regarding your account
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.amerIcanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800.5253355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1-800-525-3355.
Let the Your Reward® Program Pick up the Check
Redeem Membership Rewards& points and enjoy a romantic dinner for two at the restaurant of
your choice and the Your Reward Program will pick up the tab. We'll secure a reservation at
any restaurant that accepts the American Expresse Card--perfect for celebrating a special
occasion or trying some place new. A Your Reward Specialist will take care of all the details, so
all you have to do is enjoy the evening. To redeem this reward or learn more about all of our
experiential rewards, please call 1-800-AXP-EARN (297-3276), 24-hours a day, 7 days a week.
Points needed: 40,000. (40,000 points valid for $200 gift card).
Activity Iad"nrceif°'
s isisiss
MAXWELL
Fcpagn Spondrg
Amounts
•,°!"metnd?AYMENTFPPYP:taAtir99:1
12
%,
01/10/05
CRANE & CO, LLC
NEW YORK
NY
64.00
01/12/05
TICKETS
NY
509.00
01/12/05
NY
172.71
01/12/05
FREDERIC FEKKAI
NY
NY
197.85
Please lold cots perforation below, detach ant MUM Wth ya.r papncei
Continued on Page 3
Payment Coupon
Please
Please enter account
number on all checks and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable thrcugh the
Total Amount Due
S. banking system.
$24,493.71 To Pay by Phone call
NEW YORK NY
10022-6843
1-800-I-PAY-AXP or
Mail Payment to:
P.O. BOX 2855
NEW YORK NY 10116-2855
1.1.1111
11,..11,11.,"1.11..1..1.1.,1.1.1.1..1.1....11.1
0000371385847238009 002449371002449371 08r1r1
1.800472.9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
E
EFTA01704179
DUPLICATE COPY
Preowed To:
G MAXWELL
Page 2 of 8
Payments: Your monthly statement is payable in full upon receipt. Payments must be in U.S. Dollars and &awn on a
bank located in the US and (except for electronic payments) placed in the enclosed envelope with the remittance stub and
tne 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 delay in processing. We reserve the nght to process
checks electronically, at first presentment and any re-presentments, by transmitting the amount of the dieck, 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 Computer, Pay By Phono or any
other American Express electronic payment service, you will be authorizing American Express to titillate an
electronic debit to the financial account you specify In the amount you request. To use Pay By Computer, please
visit us at wwitamencanexpress.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 cal 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 habirity is 550 should you fail to report its loss or theft.
Charge Cant and Statement Information: The annual fee is $395.00 for the Basic Platinum Card. The annual fee for
the Additional Platinum Card is $175.00,and for each Additional Gold Card on the Platinum Card account the annual fee is
$45.00. Renewal Cards are issued every three years. If the Card you carry is damaged, you may have it replaced sooner
by calling Customer Senrice. The $5 annual subscription fee for Departures magazine is included in the annual fee for
your Platinum Card membership. If you do not wish to receive Departures magazine, please call 1-877.509.3993, Monday
through Friday, 9am - 5pm EST. You may discontinue your Membership by calling Customer Service. Be sure to keep
your copy of the charge slips for companson 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% 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 BIII: II you think your bill is wrong, or if you
need mite 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 link online. We must hear from you no
later than 60 days after we sent you the first till on which the error or problem appeared. Although you may telephone us,
doing so will not deserve 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. It you need
more information, describe the tern you are unsure about. You do not have to pay any amount in question white we are
investigating, but you are stil obligated to pay the parts of your bin 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 daim.
Special Rules For Charge Card Purchases: II You have a problem with the quality of goods cc 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
paythe remaining amount due on the goods or services. You have this protection only when the mynas° pnce was more
than $50 and the purchase was made n 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 1-8004PAY-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. Provde the dollar amount-of thesuspeeted 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 cared any error piumptiy. II 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.
CredR Balance: If a credit balance ((designated °CR, is shown on this statement, 4 represents money owed to you. You
may make charges against the credt 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 crick 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 creek balance, issue a chedcto 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 wil be added.
Change of Address
II coonct on front
do not no
Warne
Carpan
Name
y
Street Address
City, slate
29 Coda
Area Code all
HMO Phone
Area Cede and
Wo:k Phone
Enid
1
L.
FT1
1
To Pay By Phone
1-800472-9297
Customer SWAM, Lost
or Stolen Card and all
other services
1-800-525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1.800.338.1670
Hearing Impaired
(9am-5pm EST)
TTY: 1-800-221-9950
FAX: 1-800.695.9030
In NY: 1.800.522.1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dining
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts 8
as
1-800-443-7672
Platinum Card
By Invitation Ol rY
1-800-321-RSVP
•
Correspondence
Customer.Service
P.O. Box 7825 C.S
Ft. Lauderdale, FL
33329.7825
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
=mom'
to receive special offers,
suited to your needs.
EFTA01704180
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Prcr,:lrol Er.t
G MAXWELL
Ckeirg Dap
Page 3 of 8
02/08/05
New Activity Continued
F 3/esti Sperarg
Amarmati
01/12/05
FREDERIC FEKKAI
NY
NY
19.00
01/18/05
BARNES & NOBLE.COM 800-843-2665
NJ
40.16
01/28/D5
TRAVELOCITY.COM
SAN ANTONIO TX
From:
To:
Ticket Number: 00111174407864
Passenger Name:
Document Type: PASSENGER TICKET
Carrier:
Class:
AA
03
Date of Departure: 01/31
72.70
01/28/05
TRAVELOCITY.COM
800-2569089
TX
5.00
02/03/05
FREDERIC FEKKAI
NY
NY
171.20
02/07/05
NY
TICKETS
509.00
Total of New Activity for G MAXWELL
New Charges
Payments/Credits
1,760.62
-12,983.38
VID MULLEN
01/15/05
268.36
01/16/05
207.47
01/17/05
PUBUX STR# 0050 WEST PALM BEACH Ft_
GROCERIES
29.51
01/18/05
FOOD EMPORIUM #703 NEW YORK CITY .NY
GROCERIES
'35.82
01/18/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
17839
01/18/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
114.46
01/18105
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
27.33
01/19/05
HOUSE OF HEALTH
NEW YORK
NY
20.34
01/19/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
7.15
01/19/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
44.24
01/19/05
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
23.44
01/20/05
223.71
01/21/05
GAP #6345
WEST PALM BEA
FL
183.17
01/22/05
204.54
0123/05
PUBUX STR# 0050 WEST PALM BEACH FL
GROCERIES
25.99
01/24/05
187.82
Continued on reverse
EFTA01704181
DUPLICATE COPY
Preparod Fa,
G MAXWELL
Page 4 of 8
New Activity Continued
Forcqi Sixna.ft)
Amount $
01/29/05
101.01
GENERAL MOSE
01/31/05
GRACES MARKET
NEW YORK
NY
289.67
09GROCERIES
01/31/05
GRACE'S MARKET
NEW YORK
NY
11.30
09GROCERIES
01/31/05
HOUSE OF HEALTH
NEW YORK
NY
31.21
02/01/05
GRACE'S MARKET
NEW YORK
NY
100.16
09GROCERIES
02/01/05
GRACE'S MARKET
NEW YORK
NY
13.35
09GROCERIES
02/02/05
T-MOBILE
800-93743997
WA
107.28
T-MOBILE
02/02/05
ELI'S MANHATTAN
NEW YORK
NY
8.85
02/02/05
GRACE'S MARKET
NEW YORK
NY
64.31
09GROCERIES
02/03/05
FOOD EMPORIUM 9703 NEW YORK CITY
NY
119.71
GROCERIES
02/03/05
GRACE'S MARKET
NEW YORK
NY
66.28
(*GROCERIES
02/04/05
321.47
02/06/05
207.19
02/06/05
CVS STORE - 5140 WEST PALM BEACH FL
14.87
02/07/05
PUBUX STR9 0050 WEST PALM BEACH FL
46.77
•
GROCERIES
•
Total of New Activity for DAVID MULLEN
New Charges
3,285.57
Payments/Creckts
0.00
01/18/05
NY
27.15
CELLULAR PHONE
01/18/05
NY
130.32
01/19/05
DENNIS BASSO
NEW YORK
NY
9,900.00
FUR
01/20/05
PUBLIX SIM 0161 PALM BEACH
FL
43.38
GROCERIES
01/20/05
FL
24.48
01/2W05
BLEU PROVENCE
PAW BEACH
FL
30.81
01/21/05
COMPUSA90611
WEST PALM BEA
FL
33409
THANKS FOR SHOPPING AT COMPUSA!
01/21/05
CIRCUIT CTY 90862W PALM BEACH
FL
15.96
649.51
01/21/05
MUVICO PARISIAN 20 W PALM BEACH
FL
32.00
Continued on next page
EFTA01704182
DUPLICATE COPY
Prepare:1kt
Ctrs's* "6
G MAXWELL
02/08/05
Page 5 of 8
New Activity Continued
ocegn Sixtsleg
Pmsun,S
01/22/05
GOODS/SERVICES
91.86
01/23/05
CIRCUIT CTY 110862W PALM BEACH
FL
113.82
01/23/05
CIRCUIT CTY 60862W PALM BEACH
FL
30.86
01/23/05
PUBLIX STRO 0161 PALM BEACH
FL
GROCERIES
24.22
01/23/05
COMPUSAS0611
WEST PALM BEA
FL
33409
154.41
01/24/05
FL
From:
To:
Carrier:
Class:
(LONDON HEATHROW UK J F KENNEDY A/P NY
AA
Ticket Number: 00121872682942
Date of Departure: 01/24
Passenger Name-
Document Type: PASSENGER TICKET
1,763.65
01/24/05
BARNES & NOBLE
BOOKS
92.55
01/26/05
WAITROSE, LONDON SW1X
UMTED KINGDOM
Desaiptico
Rice
GOODS
25.26
826
Pcunds Slering
48.52
01/25405
UNITED KINGDOM
GOODS/SERVICES
530.00
01/27/05
UMTED KINGDOM
DesaiptiOn
Price
GOODS
13.99
1389
Paid* Slating
26.96
02/02/05
FREDERIC FEKKAI
NY
NY
196.20
02/02/05
NY
3,350.02
02/02/05
DUANE READE 6127 NEW YORK
NY
41.99
02/03/05
PF CHANG'S 46500. COLUMBUS
OH
FOOD/BEV
83.43
TIP
13.00
96.43
02/03/05
BBB $1361
NEW YORK
NY
86.89
02/03/05
COMPUSA%0651
NEW YORK
NY
10018
651.72
02104/05
VICTORIA'S SECRETWEST PALM BEACH FL
Women's Apparel
119.27
02/05/05
PUBLIX STR4 0161 PALM BEACH
FL
GROCERIES
64.37
Continued on wens*
EFTA01704183
DUPLICATE COPY
Prepared Fa
G MAXWELL
Page 6 of 8
New Activity Continued
Foreg, Spare rg
Amount S
02/05/05
NEIMAN MARCUS
PALM BEACH
FL
253.48
LIMENIMOSA 28.00
BODY & BATH 13.00
02/06/05
BARNES & NOBLE
52.61
BOOKS
02/06/05
MUVICO PARISIAN 20 W PAUA BEACH
FL
32.00
02/07/05
MALO
PALM BEACH
FL
00 GENERAL MERCHANDISE
02/07/05
COMPUSAA0611
WEST PALM BEA
FL
154.38
33409
THANKS FCR SHOPPING AT COMPUSA!
Total of New Activity for
617.70
New Charges
19,447.52
Payments/Credits
0.00
Total of New Activity
New Charges
24,493.71
Payments/cmdlts
-12,983.38
EFTA01704184
DUPLICATE COPY
Prepared For
G MAXWELL
mm
tounaturter
08/05
aostra Pao
CustoniExtrar
Page 7 of 8
Support Tsunami Relief Efforts
At American Express, we are committed to supporting relief efforts In
the Asian countries devastated by the recent earthquake and
resulting tsunamis. Given the enormity of the recent disaster in
Southeast Asia, we want to maximize the support given to the many
relief organizations that are collecting funds at this time of great need.
Therefore, we have decided to waive all fees associated with
accepting American Expresso Card charges for tsunami disaster relief
organizations that have all been recognized by the U.S. government
as providing assistance to people affected by the earthquake and
tsunamis.
To support tsunami relief,
you can donate through
the American Express
Tsunami Relief page
located off of the
American Express home
page at vAmv.amertcan
oxpress.com. Please
cask on the "Help Support
Tsunami Relief Efforts"
link
(CE 105485)
Earn 7,500 Membership Rewards® bonus points
As an American Express® Platinum Card® member you are entitled to
many benefits, including access to an experienced financial advisor.
Enjoy a complimentary initial consultation with an American Express
financial advisor who can offer you financial advice on retirement
planning, investment and tax planning strategies, and much more.
After your initial consultation, you will receive 7,500 Membership
Rewards bonus points.
Offer valid to new American Express Financial Advisor clients only. American Express
Financial Advisors Inc. Member NASD. American Express Company is separate from
American Express Financial Advisor Inc. and is not a broker-dealer.
Allow an expener.ced
financial advisor to help
you achieve your personal
financial goals. Just call
1.866.864.3842 toll-free to
be referred to a financial
advisor in your area.
(CE 105428)
Financial Control and Double Membership Rewards® points
It's universal—you take out money from the bank and after a week,
you wonder where it went. Using your Platinum Card® to pay for
everyday errands at supermarkets, gas stations and drugstores can
help you keep track of your expenses. And, don't forget, you can
earn double points toward your next vacation.
Double points for purchases made with the Card at qualifying stand-alone supermarkets,
drugstores, gas stations, the U.S. Postal Service, and for payments for wireless phone bills
(excluding bulk purchases of wireless time) will be credited to your Membership Rewards
account 12-14 weeks after charges appear on your monthly billing statement. Not valid in
the departments of superstores and warehouse dubs. Terms and conditions for the
Membership Rewards program apply.
For mere information, call
Platinum Customer
Service at
1.800.525-3355.
(CE 105451)
Save on Tickets for The New York Times Travel Show
Get 2 tickets for price of 1 ($15) when you purchase in advance with
your American Express® Card. Gold Card and Platinum Garde
members receive complimentary coat check. Coming March 4-6,
2005 to N.Y.'s Javits Convention Center, The New York Times Travel
Show will feature 500 top exhibitors, 2 exhibit halls devoted to active
travel (skiing, golf, diving) and destination travel (travel locales,
cruises and spas) - Onslte booking - Show-only travel packages -
Cultural performances - Prizes/giveaways and more!
Offers cannot be combined—Limit 4 tickets per Cardmember. Offer expires on Friday,
February 25, 2005.
reepirkkaan
travelnh
lel!
If It 12
Order Tickets in Advance.
Call 1-88841VT-1870 and
mention code NYTTSA2.
Or go to www.nytimes.
comitravelshow.
(CE 105449)
Pay Your Federal Income Tax with Your Card
This tax season, you don't have to wait in fine at the post office to
send your tax payment to the IRS. Enjoy the convenience and
security of paying your federal income taxes with the American
Expresso Card. Simply contact one of the following service providers
to make your tax payment:
- Unk2Gov Corp' at www.PAY1040.com/amex, 1-888-PAY-1040"
- Official Payments Corp® at www.ofilcialpayments.corniamex7.Jsp,
1-800-2PAY-TAX'"
Note—Tax payments made with the Card are subject to a convenience fee charged by the
service provi,S.rs. For complete details about fees, please contact or visit the service
providers directly.
Visit one of the following
providers:
- vinonv.PAV1040.com/
amex,
1.888-PAY-1040"
- wnwtofficialpayments.
com/amex74Sp,
1-800-2PAY-TAr
(CE 105444)
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.
EFTA01704185
DUPLICATE COPY
Plecored Fa
G MAXWELL
Page 8 o18
Final Notice
CLAIM YOUR
FREE VIP
THANK YOU
to Claim Your FREE VIP Thank You!
You're entitled to a FREE VIP Thank You worth up to $100.00,
compliments of American Express. Please call by March 10, 2005 to
claim up to 3 of your favorite magazines FREE for one year. Even
processing is FREE! It's one more way of saying "thank you" for
being an American Express® Cardmember. Call 1-877-388-2618 now
for details and to claim your favorites worth up to $100.00!
Cal 1-877-3884618 for
details and to claim your
VIP favorites worth up to
$100.00 FREE. Quantities
are limited. Call now.
Campaign Code 30475.
(CE 105447)
Get the VIP Treatment from Sony
Platinum Card® members can experience an outstanding level of
service and convenience available only to a select few through Sony's
VIP services. You'll receive the inside track on new product
previews--getting a first look at new audio, video, communications,
and information technology products in advance of the general
public.
Subject to product and personnel availablity. Enrollment required.
To enroll in the program,
call Sony at
1.877.216SONY (7669).
(CE 105452)
Now Accepting American Express® Cards!
Life Line Screening - Painless, non-invasive screening for strokes,
completed in 10 minutes. Coast-to-coast availability. Call
1-800-597-3754 or visit www.lifelinescreening.com.
Princess House - Products that help you cook with confidence,
entertain.with ease and dine with distinction. Enhance your home and
your life, contact us at www.princesshouse.com.
RK - REBECCAS of Greenwich, CT has opened RK...An American
Brasserie located at 22 Elm Place in Rye, NY. Modern America
Cuisine behind a glass wall kitchen. Call 914-967-8900.
If there are other places
where you would like to
see the Card accepted,
pease 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 105362)
Great Ski Offers at American Express Selects
Visit American Express Selects at www.americanexpress.com/sici
for great ski offers exclusively for American Express® Cardmembers.
Whether you want to ski the moguls in Maine or cruise the powder in
Park City, we have valuable offers to help you travel to your favorite
resorts for an incredible ski vacation.
Visit www.amerIcan
express.cornisld for great
ski offers.
(CE 105422)
Pay Your Bills Automatically With the Card
Pay everything from your cable and telephone bills to your
newspaper subscription and health club membership with your Card.
It's a simple way to consolidate your payments and to help ensure
your bills are paid on time. You will have fewer checks to write and
you will still continue to get a statement from your service provider to
keep for your records. To learn more, visit
www.amerlcanoxpross.com/abp26 and find a complete list of
participating providers.
Visit
wvnv.americanexpress.
corn(abp26 for a list of
participating providers, or
to learn more. Start
benefiting from the
convenience of Automatic
Bill Payment today!
(CE 105477)
Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will bo
disclosing to the merchant that you meet these criteria.
EFTA01704186
DUPLICATE COPY
Platinum Card
Statement of Account
117,921
Membership Rewardsc.,
.1
Points Available
' (;)
t •
'
WC. WC pad in
Pawed Far
G MAXWELL
full and at acsougts are in 'pc:3d stand ng.
Crat,M0a:o
0109/05
Page 1 of 10
New
Please Pay By
PTIMMSe l m.s
:.:dneracCdclbi
Nov Charge..
Balance
03/24/05
24,493.711
25,647.32
23,800.60
Please refer to !Gage 2
for important information
regarding your account
See Page 7 For A Notice Of Changes To Your Agreement
See Page 9 For An Important Privacy Notice
Terms - Payable in full upon receipt of statement. Pay your bill online anytime, anywhere
at www.americanexpress.com/paybill.
For automatic replacement of a lost, stolen, non-received or damaged card, call 1-800-992-3404. For automatic
balance information, please call 1-800-525-3355 and press option 1-1.
Contact us at www.americanexpress.com or call Customer Service at 1.800-5253355.
Activity adcata aided dale
009
NewActIvIty for G MAXWELL
Card )0300C030241
ownelmpialsw.e.MP.:90102():01, (-164-:.
.
07_/10/05
GODIVA CHOCOtAT4119NEW YORK
02/14/05
GODIVA CHOCOtAT4119NEW YORK
NY
AtrountS
NY
493.:7,11.A
393.77
38.02
02/16/05
WA
MERCHANDISE
AMZ'SUPERSTORE •
19.43
02/23/05
NY
TICKETS
509.00
02/23/05
NY
4,450.00
02/24/05
GODIVA CHOCOLAT4119NEW YORK
NY
Rocco bid anhe pedorako bobw, detach and robin vath your parnent
Payment Coupon
I nil
ttttt I
Mail Payment to:
843
Please Pay By:
03/24/05
Total Amount Due
$23,800.60
HddlIddlohlodlindliNdholhhhHhhOnandlid
P.O. BOX 2855
NEW YORK NY 10116-2855
0000371385847238009 002380060002564732 09r1r1
38.02
Continued on Page 3
Please enter account
number on WI check's and
correspondence. Payable
in U.S. Dollars upon
receipt with a bank in the
U.S. or money order,
processable through the
U.S. banking system.
To Pay by Phone call
1-800.1-PAY-AXP or
1-800-472-9297.
Check here if address or
telephone number has
changed. Note changes
on reverse side.
O
EFTA01704187
DUPLICATE COPY
Peporori For
G MAXWELL
Page 2 of 10
Payments: Payments received after 12:00 noon may not be credited until the next day. Payments must be sent to the
payment address shown on your statement and must Include the remittance coupon from your statement. Payments must
be made with a single check or draft drawn on a US bank and payable in US dollars, or with a negotiable instilment
payable in US dollars and clearable through the US banking system, or through an electronic payment method payable in
US dollars and clearable through the US banking system. Your Account number must be included on an payments. If
payment does not conform to these requirements, crediting may be delayed and additional Charges may be imposed. If we
accept payment made in a foreign currency, we will choose a conversion rate that is acceptable to us to convert your
payment into US dollars, unless a particular rate is required by law. Please do not send post-dated checks. They will be
deposited upon receipt. Our acceptance of any payment marked with a restrictive legend will not operate as an accord and
satisfaction without our express prior written approval. Authorization for Electronic Debit: We wit 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 financial institution, unless the check is not processab'e electronically or a
less costly process is available. By submitting a check for payment, you authorize us to Initiate an electronic debit from your
bank or asset =Cunt. When we process your Check eledr0nically, your payment may be debited to your bank or asset
account as soon as the same day we receive your check, and you will not receive that cancelled check with your bank or
asset account statement If we cannot colect the hinds electronically we may issue a draft against yotr bank or asset
account for the amount of the check Authorization for Electronic Payments: By using Pay By Computer Pay By Phone
cr any other electronic payment service of ours you will be authorizing us to initiate an eledronic debit to the financial
account you specify in the amount you request. Payments received after 5:00 p.m. MST may not be credited until the next
day. Allocation of Payments and Credits: Subject to applicable law we will apply and allocate payments between your
Card Account and your Sign & Travel and/or Extended Payment O,plion Account (if that account has been activated
(*Extended Payment Account') (referred to as 'Account' in the Sign & Travel and/or Extended Payment Option Agreement)
and, within each of these accounts, to Charges in any order and manner determined by us in ow sole discretion. In mos
cases, if you have a credit balance on your Card Account we will not apply or allocate any part of that credit balance to
any Extended Pairnent Account unless you contact us at a time the credit balance exists and instruct us in writing how you
want us to apply Mat credit balance. Charge Card and Statement Information: The Annual fee is $395.000r the Basic
Card and $175.00or each Additional Card. An additional $5 is charged for billing addresses outside the US. Payment is due
on receipt of your statement. You may discontinue your membership by contacting Customer Service. Transactions Made
In Foreign Currencies: II you incur a Charge in a foreign currency, it will be converted into US dollars on the date
it is processed by us or our agents. Unless a particular raters required by applicable law, we will choose a conversion rate
that is acceptable to us for that date. Currently, the conversion rate we use for a Charge m a foreign currency is no greater
than Wile highest official conversion rate published by a government agency, or (o) the highest interbank conversion rate
identified by us from customary banking sources, on the conversion date or the prior business day, in each instance
Increased by 2%. This conversion rate may differ from rates in effect on the dale of your charge. Charges converted by
establishmens (such as airlines) will be billed al the rates such establishments use. Billing Rights Summary:
In Case of Errors or Questions About Your Bill: If you think your bill is incorrect, or if you need more infomiation
about a transaction on your bin, write us on a separate sheet of paper at the Customer Service address noted to the right.
We must hear from you no later than 60 days after wo sent you the first bill on which the error or problem appeared. You can
telephone us at the number indicated on the front of this statement, but doing so will not preserve your rights. In your letter,
give us the following information: 1. Your name and account number; 2. The dollar amount of the suspected error;
3. Describe why you believe there is an error. If you need more information, deserts the item you are unsure about. YOLICS3
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 question, we cannot report you as delinquent ortake any action to collect
the amount you question. If you have authorized us to pay your bill automaticaly from your checking orsavings account, you
can stop the payment on any amount you think is wrong.To stop the payment your letter must reach us three businessdays
before the automatic payment is scheduled to occur. Special Rule for Credit Card Purchases: If you have a problem
the Dually of goods cr services that you purchased with a credit 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 price 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 il we mailed you the advertisement for the property
or services, all purchases are covered regardless of amount or location of the purchase.) Credit Balance: If a
balance (designated CR) is shown on this statement, it represents money owed to you. Ilyou do not make sufficient charges
against the credit balance or request a refund, we will, within 30 days alter 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 if the amount is $1.00 or
more. Important Notice to North Dakota Residents: It the Account is past due for two or more billing periods,
a late payment fee of 1.75%of al past due amounts will be added.
Change of Address
I correct on (tont
do not me
/lane
Can pony
Nome
Street Adams
Qty. state
by Cate
Area Cods and
Herne Phone
Area Code and
work Phone
Email
J
To Pay By Phone
1-800472-9297
Customer Service, Lost
or Stolen Card and all
other services
1-800-525-3355
24 hours/7 days
Car Rental Loss and
Damage Insurance
1-800.338.1670
Hearing Impaired
(9arn-5jam EST)
fl Y: 1-800-221-9950
FAX: 1-800-695-9090
In NY: 1-800-522-1897
Travel Emergency and
Worldwide Personal
Assistance and Fine
Dicing
1-800-345-AMEX
Platinum Card Travel
Service and Fine Hotels,
Resorts & Spas
1-800.443.7672
Platinum Card
By Invitation Only
1-800-321-RSVP
•
Correspondence
Customer Service
P.O. Box 7825 C.S
FL Lauderdale, FL
33329.7825
Express Cash
Operations
P.O. Box 297815
Ft. Lauderdale, FL
33329-7815
Payments
P.O. BOX 2855
NEW YORK NY
10116.2855
Providing your ernal
address to American
Express will enabie you
to receive special offers,
suited to your needs.
EFTA01704188
DUPLICATE COPY
Prepared Fa
G MAXWELL
Page 30110
03/09/05
New Activity Continued
Ainount
02/24/05
BARNES & NOBLE.COM 800-843-2665
KU
25.49
02/25/05
NY
TICKETS
509.00
02/25/05
GODIVA CHOCOLAT-41119NEW YORK
NY
38.02
03/01/05
TRAVELOCITY.COM
SAN ANTONIO TX
DELTA AIR UNES
From:
To:
Ticket Number: 00611240061423
Passenger Name: SCHOETTLE/DOUGLAS
Document Type: PASSENGER TICKET
Carrier:
Class:
DL
BB
Date ol Departure: 03/01
257.70
03/01,05
TRAVELOCITY.COM
800.256.9089
TX
5.00
03/01/05
COCO PAZZO
NEW YORK
NY
00 FOOD AND BEVERAGE
F000/BEV
216.17
TIP
30.00
246.17
03/08/05
68.43
03/08/05
FREDERIC FEKKAI
PALM BEACH
FL
SALON AND SPA
341.85
03/08/05
GODIVA CHOCOLAT41119NEW YORK
NY
114.06
Total of New Activity for G MAXWELL
New Charges
Payments/Crecks
7,053.96
-24,493.71
DAVID MULLEN
02/08/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
115.06
02/09/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
33.89
02/10/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
113.30
02/15/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
194.19
02/16/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
51.08
02/16/05
GRACIOUS HOME 1
NEW YORK
NY
141.20
02/17/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
107.85
02/18/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
29.52
02/18/05
FOOD EMPORIUM #703 NEW YORK CITY
NY
GROCERIES
59.28
02/21/05
Description
•
GENERAL MDSE
44.25
02/22/05
PUBUX SIP* 0050 WEST PALM BEACH FL
GROCERIES
36.96
02/23/05
GRACE'S MARKET
NEW YORK
NY
09GROCERIES
140.18
Continued on fovea.
EFTA01704189
的M 加日O (20 伊叫月00
功 " 的
e9卞t
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四’69
00'01
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EFTA01704190
DUPLICATE COPY
Prepared For
G MAXWELL
Areconttdanbee
Cbsina
03/09/05
Page of 10
Now Activity Continued
02/11/05
GAP #6345
WEST PALM BEA
FL
60.68
MISCELLANEOUS AND SPEC!
02/12/05
72.40
GOODS/SERVICES
02/13/05
BANANA REPUBLIC #767WEST PALM BEA
FL
125.14
02/13/05
MUVICO PARISIAN 20 W PALM BEACH
FL
32.00
02/13/05
BARNES & NOBLE
124.07
BOOKS
02/13/05
THE SPORTS AUTH #341WEST PALM BEACH FL
83.07
SPORTING GOODS
02/13/05
BROOKS BROTHERS 028 PALM BEACH
FL
S/S KNITS
02/13/05
FL
FOOD/BEVERAGE
72.95
103.80
02/14/05
384.32
GOURMET FOOD
02/14/05
WOLF CAMERA
46.84
02/14105
BANANA REPUBLIC #819PALM BCH GRDN
FL
292.35
02/15/05
FL
FOOD/BEVERAGE
FOOD/BEV
25.85
25.85
02/17/05
119.37
SHOES
02/17/05
HENRI BENDEL
NEW YORK
NY
647.41
02/17/05
NY
3,972.36
02/17/05
NY
432.33
D2/17/05
NY
1,223.93
02/18/05
NY
790.79
APPAF1EUACCESSORIES
02/23/05
NY
246.39
MISC
02/23/05
ABC BROADLOOM
NEW YORK
NY
500.00
BROADLOOM
02/26/05
ABC BROADLOOM
NEW YORK
NY
2,073.46
BROADLOOM
D2./27/05
GA
ZOO
02/27/05
EVEREST INC.
LOS ANGELES
CA
751.05
03/03/05
BARNEYS NEW YORK 660 MADISON
NY
923.31
SALES
03/03/05
BRITESMILE
2123978786
NY
575.98
Continued on worse
EFTA01704191
DUPLICATE COPY
PrepuelFor
G MAXWELL
Page 6 of 10
New Activity Continued
AMOUMS
03/04/05
CRATEANDBARREL 621 NEW YORK
NY
394.42
Y62120050304009000O3003
00003798 0036-249285400
03/04/05
CRATEANDBARREL 622 NEW YORK
NY
470.35
Y6222005030400400005050
05050410 0036-249285400
03/06/05
MUVICO PARISIAN 20 W PALM BEACH
FL
16.00
03/07/05
3601 BISCAYNE BLVD MIAMI
FL
28.55
20958512723067233056588
03/07/05
108.35
03/07/05
71.89
Total of New Activity fo
New Charges
15,573.04
Payments/Credas
-1,846.72
Total of New Activity
Now Charges
25,647.32
Payments/Credits
-26,340.43
EFTA01704192