Loading...
HomeMy WebLinkAbout13-3643 Supreme Co f�io _ '?ennsylvania COU - � "0 com leas For Prothonotary Use Only: ,i1 C. q S�h�eet Docket No: cuiad County b 1 � � The information collected on this form is used solely for court administration purposes. This form does not supplement or replace the filing and service ofpleadings or other papers as required by law or rules of court. Commencement of Action: S El Complaint © Writ of Summons ( Petition Q Transfer from Another Jurisdiction Q Declaration of Taking E C Lead Plaintiff's Name: Lead Defendant's Name: AMERICAN EXPRESS CENTURION BANK MICHAEL EMMET T Dollar Amount Requested: x' within arbitration limits I Are money damages requested? 0 Yes © No (check one) Doutside arbitration limits O N Is this a Class Action Suit? [3 Yes El No Is this an MDJAppeal? [@ Yes 0 No A, Name of Plaintiff/Appellant's Attorney: MICHAEL RATCHFORD 0 Check here if you have no attorney (are a Self - Represented (Pro Se] Litigant) Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS Intentional Buyer Plaintiff Administrative Agencies Q Malicious Prosecution Debt Collection: Credit Card 13 Board of Assessment © Motor Vehicle Debt Collection: Other [3 Board of Elections l3 Nuisance © Dept. of Transportation Premises Liability 0 Statutory Appeal: Other S l3 Product Liability (does not include [J Employment Dispute: E mass tort) El Slander/Libel/ Defamation Discrimination C (3 Other: T ( Employment Dispute: Other �10 oning Board ther• D. I ' ® Other: O MASS TORT © Asbestos N l3 Tobacco El Toxic Tort - DES Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS ® Toxic Waste Other: ©Ejectment [3 Common Law /Statutory Arbitration .B D Eminent Domain/Condemnation l3 Declaratory Judgment © Ground Rent Mandamus I® Landlord/Tenant Dispute ® Non - Domestic Relations Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY ® Mortgage Foreclosure: Commercial Quo Warranto © Dental El Partition 13 Replevin Legal [3 Quiet Title © Other: ® Medical [3 Other: Other Professional: Updated 1/1/2011 COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS NOTICE OF APPEAL Judicial District, County Of CUMBERLAND FROM MAGISTERIAL DISTRICT JUDGE JUD COMMON PLEAS No. , 3 3 W 7 m# NOTICE OF APPEAL Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the Magisterial District Judge on the date and in the case referenced below. NAME OF APPELLANT MAG. DIST. NO. NAME OF MDJ AMERICAN EXPRESS CENTURION BANK. 09 -01 -02 HONORABLE JUDGE ELIZABETH BECKLEY ADDRESS OF APPELLANT CITY STATE ZIP CODE 4315 S 2700 W SALT LAKE CITY UT 84184 DATE OF JUDGMENT IN THE CASE OF (Plaintiff) (Defendant)' 05/28/2013 AMERICAN EXPRESS CENTURION MICHAEL EMMET Vs DOCKET No. SIGNATURE OF PPEL NT OR A ORNEY OR A ,EN CV-075-2013 This block will be signed ONLY when this notation is required under Pa. If appell nt was Claima (ee Pa. R. C. P. D. J. No. 1001(6) in action R.C.P.D.J. No. 100813. This Notice of Appeal, when received by the Magisterial District Judge, will before a Magisterial istrict Judge, A COMPLAINT MUST BE FILED operate as a SUPERSEDEAS to the judgment for possession in this case. within twenty (20) days after ling the NOTICE of APPEAL. Signature of Prothonotary or Deputy PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of form to be used ONLY when appellant was DEFENDANT (see Pa.R.C.P.D.J. No. 1001(7) in action before Magisterial District Judge. IF NOT USED, detach from copy of notice of appeal to be served upon appellee. PRAECIPE: To Prothonotary Enter rule upon appellee(s), to file a complaint in this appeal Name of appellee(s) (Common Pleas No. ) within twenty (20) days after service of rule or suffer entry of judgment of non pros. Signature of appellant or attorney or agent RULE: To appellee(s) Name of appellee(s) (1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the date of service of this rule upon you by personal service or by certified or registered mail. (2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU. (3) The date of service of this rule if service was b rWJifQVA2,L ` &!W mailing. ,kltinaa atjvi8�ewnq Date: 20 : 1 1 WV 17 G.6t'ta^ E E 0z Signature of Prothonotary or Deputy YOU MUST INCLUDE A COPY OF THE NOTICE' Jhli (3111 d .,/TRANSCRIPT FORM WITH THIS NOTICE OF APPEAL. AOPC 312 -05 •COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Notice of Judgment/Transcript Civil _y Case Mag. Dist. No: MDJ- 09 -1 -02 American Express Centurion Bank MDJ Name: Honorable Elizabeth S. Beckley V Address: 1901 State Street Michael Emmet Camp Hill, PA 17011 Telephone: 717- 761 -0583 Attorney Michael F. Ratchford, Esq. Docket No: MJ- 09102 -CV- 0000075 -2013 C/o Abrahamsen & Associates Case Filed: 4/26/2013 120 N. Keyser Avenue Scranton, PA 18504 Disposition Details Disposition Summary Docket No Plaintiff Defendant Disposition Disposition Date MJ- 09102 -CV- 0000075 -2013 American Express Centurion Michael Emmet Judgment for Defendant 05/28/2013 Bank ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE PROTHONOTARY /CLERK OF COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT /TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL. EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE JUDGMENT HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE. UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE A REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. ago ;�� MAY 2 8 2013 Date Elizabeth S. Beckley_ certify that this is a true and correct copy of the record of the proceedings containing the judgment. Date Magisterial District Judge MDJS 315 Page 1 of 2 Printed: 05/28/2013 10:41:13AM American Express Centurion Bank Docket No.: MJ- 09102 -CV- 0000075 -2013 V. Michael Emmet Participant List Private(s) Derek J. Cordier, Esq. 319 S Front St Harrisburg, PA 17104 Attorney Michael F. Ratchford, Esq. C/o Abrahamsen & Associates 120 N. Keyser Avenue Scranton, PA 18504 Plaintiff(s) American Express Centurion Bank 4315 S 2700 W Salt Lake City, LIT 84184 Defendant(s) Michael Emmet 437 Appletree Road Camp Hill, PA 17011 MDJS 315 Page 2 of 2 Printed: 05/28/2013 10:41:13AM IN THE COURT OF COMMON PLEAS OF e: CUMBERLAND COUNTY, PENNSYLVANIA American Express Centurion Bank c r- I 4315 S 2700 W CIVIL ACTION " Salt Lake City, UT 84184 t1 r' Plaintiff - � vs. IV/ . , Yg � Michael Emmet 437 Appletree Rd Camp Hill, PA 17011 -2105 Defendant NOTICE TO DEFEND You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice to Defend are served, by entering a written appearance personally or by an attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ON AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT REDUCED FEE OR NO FEE. MIDPENN LEGAL SERVICES 401 EAST LOUTHER STREET CARLISLE, PA 17013 717 - 243 -9400 c X IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA American Express Centurion Bank 4315 S 2700 W CIVIL ACTION Salt Lake City, UT 84184 Plaintiff vs. NO: 3 3 Michael Emmet 437 Appletree Rd Camp Hill, PA 17011 -2105 Defendant COMPLAINT Plaintiff, American Express Centurion Bank, by and through its attorneys, Edwin A. Abrahamsen & Associates, P.C., complains of the Defendant as follows: 1. Plaintiff, American Express Centurion Bank, (hereinafter "Plaintiff') is a corporation with a principal place of business located at 4315 S 2700 W, Salt Lake City, UT 84184. 2. The Defendant Michael Emmet (hereinafter "Defendant ") is an adult individual residing at 437 Appletree Rd Camp Hill, PA 17011 -2105. 3. Defendant applied for and received a credit card issued by American Express Centurion Bank with the account number ending in 1001. 4. Use of the American Express Centurion Bank credit card was subject to the terms and considerations of the Cardmember Agreement (hereinafter "Agreement "), a copy of which was sent to the Defendant along with the credit card. 5. Defendant used the American Express Centurion Bank credit card account number ending in 1001, for purchases, cash advances and /or balance transfers. 6. The Defendant was mailed account statements relative to the Defendant's use of the subject credit card.(See, Account statements attached hereto as Exhibit "A. ") 7. The Defendant defaulted under the terms of the Agreement by failing and refusing to make monthly payments on the account as they became due. 8. The Defendant last made payment on March 25, 2011. 9. The total amount due and owing the Plaintiff is $3,823.57. WHEREFORE, Plaintiff requests judgment in its favor and against Defendant in the amount of $3,823.57 plus costs of suit and any other relief as the Court deems just and appropriate. pec lly bm' e ich . atchford Esquire Attorney I.D. Nos.: 285 120 N. Keyser Ave Scranton, PA 1850 mratchford @eaa - w.com Phone: 800 -503 -1 65 Fax: 570 -558 -5511 VERIFICATION I, Michael F. Ratchford, attorney for Plaintiff, AMERICAN EXPRESS CENTURION BANK, am fully familiar with the facts set forth in the within Complaint and am authorized to make this Verification on behalf of Plaintiff. I Verify that the facts set forth in the within allegations are true and correct to the best of my knowledge, knowing that any false statements are punishable by law pursuant to 18 C.S.A. 4904. Micha F. Ratchford, squire EXHIBIT A DUPLICATE COPY .BIueCesh Everyday!"' from American Express p. sus AMERICAN z ., r�w RE55 MICHAELfMMET Closing DaW06/22/12 Account Ending 7 -61001 �y �� I 'r „t 4 r t ' -- iatt�. r7' e5 ..G 1 ,.r ' �..; 3; w _�( ^rT� Yf' 1�1 - 4 Fees, kwr �, ; T i l ;, r ,�. t 1 1 �E gi.- <S,-F'ry�ily. 0 `ASITY1 i t Amount Total Fees for this Period 1 $0.00 � „sj- l.P,tt3F♦.tfn�'}t-t�.+c L.w� f,�• t�` �_ 'xxiF - V r ? 3 }k iNYdi v'i s°ti�} "�1:+�'' ^1''..r';+; rt_' Interest >Charged� r rl�s �r x�r�� ,�� f ,�.� } a r �,� f Y - i7 - �c•. , ..:9F�` 7 .�'i, -, „3_ x ��` ;.lea •,.. "• aA,a .43r a r Amount Total interest Charged for this Period $0.00 r 4• , ':c.. tf;. •:...4ri =Yr and ,�. .,� -��_ ,c ; r Dat r::..xy 1 20i2 +Fees�Interest�TotalsYea to,e ,, \ �.4 3v T - .�., + s+-- 'rt t,•t5. «' �s• ki- Z +��, "4 7 S Y (l y 7 " r } y n • '� rip ;m.. .. �3._. 3; sk h xJ+ ar.. ..,F:� t, -::r.. . -; .i,.c ... ... cr 3.,.- .......: ...'. :5,., •.,. .d a.. R..... 4 `•..rrr; A y_� ♦ ¢ ,:0.r. :Ott ! A mouni i Total F ees in 2012 $84,09 ' Totai Interest iii 2012 53.23 T, <t.�? - .;_ 4. .n i•:: ' -�'�: •. `r 4 , ; - .::. d. ;."�,.i`�\•',_.:3i`..,,.N,r 7 :>. s :.✓��s.l= `�'`i'r `+:lr ltf'�lk` L.r.• i�� + ! 1 �Y.`.S" "�i::r �'N'c #/ 1 u � 'ti .c.i t _ .�. .�-r ���,� relfiteres#�Char es z „a��� -�,� ��� -�1�, t , { r�, �t,��`F� T ��$,�at -xC'.'�"f�ry�✓n�,+•�h`t �,�r+1 • Your Annual Peiceritage Rate (APR) is ttte annual interest rate on your account. Annual Balance Subject Interest Percentage Rate to Interest Rate Charge Purchas 17.24% (v) ' $0.00 $0.00 Cash Advances , 25.2440 (v) $q.00 $0,00 Total _^ l4) Variable Rate , r 8 N_ DUPLICATE COPY 'Blue Cesli-Everydaysmiram American -Express P. 1 / 8 AMERICAN W MICHAEL EMMET ;t Closing Date,06 /23/11. Account Ending 7 -61001 I `li ' yr•�' T .',? .r v, :._ "ov ;'Ir'�',':: l +s. -t't Hir+Y =e Yd.'`. �''ii', ";' ° !)'� .:`:r� ;:r, r- �. • _ ��:j'ilfly��1:.�.1 v't�l. :'� :-�'- .:.r}i.�i fir' - °T. !:!••,� � �� :. A: I S rr. t . -. .�.. -'µ rr• F . i ..,r.. .. iGet'cast%backwtrtuali Nevli Balance $1 494.24 .W l �r everywfie'r e ttie`Card '�N ^.r.. 4 ... .j` �{ � F•rt" "_ Minimum Pe Tent We $30.00 . `{:: r �> `: 4.•, ;. Paymertt`I ue•bate 07/18/11 :`s rrY �; :•: } roc 7 ; > -:< «T,� ,, a:: Account Summary I C f= ^.'="+' ` :`4 .:. J i••' r1 T -o » ' Fr '`t°f..+,: :Y"t . w Y � "'T" `',: :ti. k.,a �;' � '=i �".yti' s .;t • :'rt. i i i�:F: `a. 1(? w , > rgti``���"'4! Yr`�sr_ 2:1 _: a '..�j' ;. ri -. .� £?:.'�?.S.- t. �' .ta .�•... /� � r '• �jlate;Pa If wedonot <.recelve our "MiriimumFa rnent,Oue.b ^.- PieviousBalance};••'':, vJ• �.'r50.00• . �p�• ..!i n�a� .l...v rty'�aLws e� ar.o. .,rna. Wiov..; .r ; ,. >r:�.. ,. t Y.., .,. 7.4'`;14.'E; �<::`,r�ai,•":^S; ;: i rY ^ ' >.�t.,.ltg � y ,; _ �. , t ttie;P.ayment Due;Date;llsted! above, you to paY asfate „to er f , gayments/C�reditr• 535 OO and; O� P may : t e i ` reas bf;27 24 % « _ rk ( �� i thew Charges, kf ;,r.� i +51',684 82 w u �C- _.. r..:«.m c.- �:.Vilv.r F.i:.^uc .•ol.i:s.. '.`.j,�7`Sv '.LA�.�'.L�1.•���:.'fi3ir�F c/ Minimum Paytnent lY Caslt Advanies� *r!} ;, t ; +5303.00 .. ,'r, Fees'4 zti<Z r_ irig:_If.you make only minimum payment each period, _ ". , . q JY r � ;*M �- ,a r ,� ou will more iri'inte'iest and'it wilt take. ou'lon er to off l'Chargedr {., ?IPN { : ; ::;., Y . • pay y g pay balance. For = lnteres Y trt; ��.t examp . •. •i. � .'C- 3...1, f -.. �5. -. -. N. :.ti'� v +.a`dF.. �l'.Yx: i:•1 j.,�f;:�b. Ifyou.inake no`additional',, • • You will pay offthe balance: '' 'And you will pay an # New Balance 51,494.24 chargesandeacfi'riion't'h'you shownonthis'st-atementin '';.r •estimatedtotalof... Minimum Pa ment Due I 1 530.00 .pay-. ;flout Y hl , �' _. jckil: �t 1. -.• j !C '' �..r., •` i �:- •v'' tr..'c vt}..��,'•.' Sr te r'�+v- Lrl.:1'•�,j?_' -.}. Ori tlie.' « CreditLimit: tt : 12years 2 b28 ic �,..,- • .x : arrlw' +� i _ r ' c .: •Minimum Payment Due c C edit` -' t'`�';;'� f 15505-76' . r Ca ' A vailable r t *'r = c�' %`i ..l+Fn a k�.'�• r ,Y•1 4�.'rh:..af.� sh Advance Limit " a' t''�. a i' x $400:00•,: 1,683 „ w s=ue, ' f "� ?X t-, :4Z - 3 eats-- - -- -- - - Available• :ash; s ' tl< t't = i$398.05'`-' Y, Savin s = 945 • t. F'. J: °r'; : rr..,q• l 9 ) st"t�. r 3:z \ ;, t.... . is 'd' �s'„�Nr•.: :�''=t:;,'� "•.1r`!'��•reT'Ct� S��r•�:a�''k Daysrn BiHirigPenoci :c {28.'�tt:'rr^%r.�t if you would like information about credit counseling services, call 1 -88 8-733 -4139. ,CC +_$ `'y7�;:�,?r� . :: �ti ; •�,;�, : � -�''- f T�� ^ +. ' Customer Care ;See page 2 for important information about your account. ' Pay by Computer . See page 7 for important Changes to Your Account Terms ; ® amencanexpress.com /pbc O I Welconle to f n.- tt ? , frr E'•ir L"i€Y 'vrt t:t :�'�i3x > +e , -. y 1 American Express , ustomerCarPay ; by Ptif%p:r _ 1= 8882583741 ^ •il 800 onet 472-927 -' 9' 3 ,i r , th `..' � � ,'i .t�fc ' Get i - .. _�, l�t..� #.� •,,;:� s�statei>1en �'t aSee.P,age�2for. ' . t�t��g�: : D; additional;informationr:,�•;�; ' +' lti.ia,'��' #}��;�.Y i�r�a�: D:-. t. 2r � .'•.�F`- t?i'r'?;:E:';t:.; Check your balance. view recent Get the app for your transactions and pay your bills right on; - " • iPHONEe ;. your'p” newitWtheAm'r'icaiiExpress, App.: AMEx ' ' . • IPOD TOUCH o Get stafted at: ANDROID amer' ii cane )( Ptess.com /m6bilesta'tement MOBILE WEB " r Pleas+ ^e fold on the perforation below, detach and return with your payment + i. Payment Coupon a. Pay by Computer Account Ending ®Pay by Phone 761001 ® Do.not sta{ile or use paperclips © americanexpress.com /pbc 1- 800 - 472;9297• i Enter account number on all documents. Make check payable to American Express. ` � .. .. ` rte. �.i -:i {' '��'A�,\ +t r r •�k,ri... 5T', MICHAEL•EMMET "�Irs:. `7.,> to ?�J' ,..: �a �� r Payment;Due.Date APT302a� :~Z; - '.z . j' � E 07 , r Y '' P 118�11r,: 10125 W 59TH.AVE � ttf s S, ARVADA C0 80004 =5063 � ; J ' ���` New_Salance f s• t�,: �r ` *a 51.494 °2. r o• yh i`y 'i Miriirrium Payfnent:Due ••!�•ryati- :�''�`'!',' � �'�: a., -'� � � 530 OUK' gyp. ��,:- P.. PlY"vt: SX � '• � q 'a! +' �'. ' o� .. , ; i !• . lti ".t':: wJDt�K: • 5ti;:• e�Yii rf..r' : `. `.F ' ' 1 1 11 1 11 1 ll 1111 11 111! 11 1 111 ( 1 tl 11 11!111 ' '' - 111 1r'I Itt 111 1 111 1 111 �I�II I I a - Check here ifyouraddress or. AMERICAN EXPRESS S r Amount Enclosed ;phone number has'changed- P:O. BOX 650448 i Note changes on reverse "side. DALLAS TX 75265 -0448 OOUO3499911'848037.693 000149424000003000 20 H # DUPLICATE COPY , Blue Cash Everydays"' from American Express ��.'AMERICAN :rtc j . 7 """' . t / i .4 , ! ls�. r Y t %. �a \\ i • i p EXPRESS MICHAEL EIVIMET.:.\ \ ;z zm Closing "Date 06/23!11 \! % ,r'r•, ' /'�' rr ` Account�Ending 7 61001 F r . ' \_ :e' +••st;. r, .sJ'.2>':h . c 3, : ti t , ;�rt�C i.k' 9rtrk i"*i't ., 31iS ti • S;f\' �'q t . r , t >;•,, gAt�l t "� 3 )yL as i" ht i r• ,/� - �+� ,r jPayment' sand{ Credits '� ?�,� ��, r!�,� �.' #`� ;s! }��, ��,�- 'u"�c.��S�����`�!� "J a N i >,�iz� <�it�'Ir�•�,.��,a'`'' �S,_ i Strrji i, iet. �J '$'. 1,.,r ! 71 s ` x.. �` Sr /i '4.: a .,id: .� a •r F.\ �Summary,� .r /.....a ,.. .�_ r5 s;..i x, ..ti�:. `' a /.. r...X t ,, t: �. _F. r • . _, rn •^:.. v-_? .L....:, _ _ ...1 ,.... _ _ _ Total ar /'•: a "i , 7$S00.00/,. 1 ; : Credits'A ., { r -; TotelPayrnents'andCredits ;, .n,r,i ' \ 50462 '' i.IndrCatespostrngdate: r 4 f Payments J. l 1 f! 4 Am OURt f' :n 06/17/11,\ LP.HONEPAYMENT, -'THANKYOU° 4500.00 ' }` Credits ! f,? 3 , �- Amount r �.. T0.037747DENVER� :.CO�?. - "`�•' , 4b2�� =' • Ob109 /t 1•" , OREICLY'AU ..• • ; J � r� -•r� " � a �, :-$ 0-28 8 666 ✓; m py. -, ;r .5.� -,..M lx, x I t- a AM 1 X €.i:t °i (:i tir - -:-.fii ' t e ;..; Ar t. i. x \ a Char /� Q..S "' '# rJe \S.v0.k"!E 'a < la' 4 ' Y #.`�'� - r c. w - - vh �•it..9 . t t 1 s t 7 33 . itt a k i t 1r 4x�6 9 �if r 4 , w t.� �.. ^,.>r. > . ummary ._ �: Y:. -�-v ...�h _,••'r•} / ,i .A e !:; ,,� z .:.4 Hon yv � :. f?' !.:.vt __ t .. -c...yq �„ }(( •..e / t TOtaLNewChar`g'es r: t 51 : %r v v® MICHAEL- EMMET Card Eliding 7 61001 rjj✓ ,, N , , - 2 r 1, r ' ! ar Am ount s �06J04/11" $Q•.'THEHER9ALCENTE87) 4174551 _ ' F yi RE T A 1 L PAY _ ..t � , l te a . r ,,,', n r�., si; ''�,ti�- ' >J r \' =;.�1: ,� r ., ,, � 1 ! „ i • r•r ;HAYTERS &�CObS00000DENYER: i. 4 3032978279- in.;r ,,;. ✓• TIP., /' 'Y J / i• •. $ 1000�•'.' ; ` .i • e. .iJ i,.+ + ,rr .06/04/1'1, �KtNG500PER5#0124,087Z475464Z ' y , 578.00' 774154647 RY GROCE STORES J 4 1 '06/05/11` SQ THE HERB AL'CENTE87'41Z ,7 4551r CA ...... RETAIL�PAYM't ;06/05 %7:1�` ",' ••7 ELEVEN:2372700072DENVER. +�.� •;CO: x$10.06 303 =394- 3016' :­, •;.Descn'tion -' P AS MSC95-43 34iice'`: >.;5'.: „ r G 1 0.06- _ / `. : :$ ° 05/.I T1 '- $ SFEECiY-MART 00000000DEIVVER - CO 06% 41:9t. - :.GAS'STATION� '.4:`• :�;.:? 06/06/110 'TARGET 1806`1806 GLENDALE C0 - $YT83 r,DIS000NTsSTOkE „ \.;.," l OREILLYAUT > '037747DENVEft �CO" .06/06/•11 0. . - '$6.Q6. , p- 06/07/•1;1 'SUBWAY. z: ,222729LOVELAND: CO 1227 970= 6678487 ,3 : Continued on reverse DUPLICATE COPY r ' Blue:Cash Egerydaylm frorn American'Express I P. 5/8 ERN owRess MIC)-(AEL EMMET Closing Date;06 /23/11 Account Ending 7 -61001 - ;,;, - _- -- --- -- -------- - -- --- ----------------------- - ..yy; ;y!i: ?i.�% ;4n°pe•F_'ow. �q _1 ,n;•�:p, ,,'.'r.. ,�. . , . , _ ,.ri "rM.'s :'- �.tl�n _{.lv:t: F /� Ply.'. cri'^;n��tlt "'nc:" �s;::, + +f•�.l •:: . - .a N W, 14. I !, - , 3r�T.diY , n t 5 : [ ' t 17 k• �l1L F• e1'a 11 C L e ,tp 1 SL �' % •.+• . Feesa �Y5 3'L b� 65 kr \ t n, r1 > if d l 1[x < + iz Ktf •f �,�(lr.1t M{* 1 K r �v�i 6n av y q �. -X,. `�zY't Ny }i r -F''r , � ! 'L � �° .'.d':a s j' x ,x a ;y �' 'r�,.� ,+ ♦.• f ;F e�',,4df?., y'�. r":�5 ty. 4'i& iv t2Y "! A' sir Sq• ii . r 1 ,1 �+ r l C i1 ,cnau ,.- ,Ykru•�. ,'Yx ', L S: •:L .kn :�3" +' - °{`i: :3:\ t - ..+ ? .:^.'Si. �'...a. - +� Amount I '.06/08/1.1: _ 'CASH ADVANCE FEE i $9.09 I ``. �GLEN DALE DENVERCOUS $3 03.00 I • Total Fe , es for this $9.09 1 1 r!!�'�`��� ^'� /.`'Tfii��a; "� . 1�� . - Zg ,,,.�{�iP .: l `h' /C _• .+�.» F9� "lica: '. ;S' ": ..ik�Y a(:.. .i, .7... .� S/ ••Fri. • r Yx�.> ',- •��� � ,- e.`�,� '>1'��`a �.i � , ir•�r, +n,'�:: e'vv"' 3 dt, t�r. J' •u �.�' s w+" '�;'�" i}S�,t :.� � � ,y4,`��,nrrb 4'� ����*�L�` fi t, �K{S :}'� t tt �i�,�'lj� i '�' + +J 17 - ! t•'�'1 =,: �a"� �.» - >;*��r�. +>r�r'��..,.. _ �. -. �.��i- �.,..,.c.__:S r�YS'�_...,_ .:. ... +, _. __ .. + 'i.r.!�.��s•�s���x�'' *3'S;,x;�� �'.t� �xt x^t Amount • 06/23/11:,' ' Interest Charge on Cash Advanc - es $ 1.95 Total Interest Charged for this Period $1.95 - I 1LF'rr�c• amtwss ip : L 'V' hl7» _'� it;i "` ^ ,Kn a l Li hri y + i Ir z x r !' s ht r � �u C 'Y`E `> c °l r u, i ,, r t;" , '�!1• �'� ! s r . ,2011 Feesand ,InterestTotals�Year to- Date., f _�S s��� ,�� K ^:Ee��. AL3ti' ♦a'Ev:1 l�.`.r,igtr ?eG_,?` �.?.3:,..� \ �`: ?- � {?R .s:..n ...,. -:v ...., . • ....:::...�_ 1-•: ,:,•- Wit,~. >:.a•:.:�:c : <,: ='�C• .:. -.__. ..> L•c . _.:� -: >-:7: Y; _ _......_:r:::.x:y�., _.. - ,.._.�•^,�...,,,_..._.�._ -...__ ... h .,_. -,:,. tea,• - bp - 3 Total F e e s in 20 1 1 4 ' { $ 9.09 ` Total Interest in 2011 ! $1.95 ter!'• }Lyr' yid :F���`•r�'j�.N'�,•SYZ, ''`•S"'yL. .LL {y Tf. 4 � - F(�Pt' �i7 l:` - - y t1, \ rl J L7: .IY�V " Vnterest;ChargewCalculatlon �i try t � 23G`.:2`zSa;�,1y1,`.�•a-J:-r '3 z3e`- a.Cvt1 'F 6; c "'Lw. r�:,y vtw ° - z ,-:- .,�r,t�';rw,r.t•. : "t � z '� T „� my � r C.£k4 is T ; Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Subject Interest Percentage Rate to. Interest Rate Charge Purchases. 17.24% (v) 50.00 $0.00 Cash Advances 25.24% (v) $ 100.59 $1.95 Introductory Rate (Promo Rate Expires 06/22/12)" 0.00% $0.00 1 $ 0.00 Total $1.95 • (v) Variable Rate .......... _. ........_........_._.-..-- -- -------- __......_.._,......... . ... _ .... .... _ ...... _ ............ _._ ......... :....... -_ ............ ._........._........... ._............ _ ................ ........ ...... . ................. _.- .................... _....... ......................... _.. --- ------ ...... *The APR f o r t his balance is promotional rate and it will expire on the date shown. Any balance at a promotional interest rate tfiat has not been paid in full by the`exphation date will begin accruing interest at the APR applicable to Purchases (current Purchases APR shown in table above). o f e 0 e• o • j. o' o . 0 o n O ' I I rte. � I • a UpLI E TT ess >i:` 1 _61001; = ;:. deY §"' {tor A A A t Ending r A MT,: ' h M 061231 • '. ` _ _ - _ - �- � , . ,+ me „) ` t ✓ { y a .. � - t + • " ment ( " A�ree . nt r rdmem A regime . t h the Cardme seine g ontrary;fo or,coern tsng µ OUf Ca. •.., orda i6 A9 rireride e i a d;he n QSto•:Y chanf3 Any ua e_ regent n°t a , iC pf Che 9 ectto fang ...9., . oUS•account,ase subf , with thss notsce Ati1 feints of the'A9 tour account to seal th's f ° f�e terms "�fi =y.., seferenced;n os ' m `letety ous account, faced fully and co p ernsng Y nd a,YAdd',tsonai o lido emeferenCey' W e urge you a /. i farms arnende and effect rep e in a safe place ,- °, •- lain sn full forc with Y re _wYtl,be at least file s[ on 'along our A9� ,r Payn??nt .,, 11 and �s AAsnrmis ers Balance a fU Y \ ' Minimum f'ayrnent.D..ue Yo Also, �f your N ,,r F m Paymenl Due r um:.Pa men ur t Due lculate yo Our t>rlmim!' how a we.c N ew Balance shown on the statemen k it'amount to y 5 ; 1124th of the over c lrm our t #e ase han9sr►9 • "'.. add xceed 35 However cstvasll note Section m Part , u r o tsrntt we , J meht Dsze z nt,exceeds You our Msnsmum Pay three : r ;tateme4 catcss {ate Y 201 tollowmg . tawe a the4fo , the hrlghest of the , . tsve'Au�ust i ; a replaced with w e start wrtlti ; Exec reemer!t is deleted tatement, r ember A4, Muiisnum Pa DUe fob. each s on the statement) or ' Cardin .. late fees any overlsmtt amount , Cate fees 7o calculate the :. ek u overtsm dsng >, am ounts excludsng st aN w Bala lice t ,� Balance o l lus _ ° !° of the f Barest = (112 °J� f e the Nv? �n the statement P exceed 4 °JO of the'New�aiance or ound to.the�n �2) rnteres cliasged. ,rtsmrt amount, r Balance. . aril sntetest on the statement) riot to, +1124th of any ove , our'NeW r, ' 'merit acid ent Du e will not exceed Y own.on the state r::Msnirru paym L a late fees sh ue However (yoit m e add nY 1,. art tl Y doll y and "add any;amount p it Dtte 57 ( the examAr a�'the; 4 �E Mtnimun?!Yme 3'000 rn #ere's#•is $fig cieints pas# due + n X,4MR t lance is'$ , nt late fees or a ; y r`ssume'that V., no "over4smst amou , , > J' neXtpa3�)' pQ0 y6Q ; 57)- X59:2?` } ;$35. 40 outs s .,, 00 e n { 4' t3 }. > . `. #trethreea $ .00 n�ri�umPay h t af, 60 M+ Tte ighes RBYmen #Due is $ :, ;, ; _ o f.Ad3usting : y our following' m So tie Minir►►U ara raph rid replaced`wrth the t„ e'4ast p 9 a z:arnouht shaw�kin,th to h is deleted m 1) nor 1 '201 i ,the dolla „ and parag p,r overlrmst amount fro ; e effective Au ust�; n -- wdh $214 and the sec ance),!^r w +Il add �j 5 '° Also ie laced yxclude late fees and the sn tfse Msn +riurrti is,de4 Aed''a , : = t Due we v,rill' not a but less than 4 °� ° =af,the N 1a e� `s a nil P new #ee M►nsmurrr:PaYm '::if` {2) ss the hsghest t Urn amount or any ti • . „Yo ad the Balance m (2) "' en e h; dd 1124th of`the ones rt c 1 °J° of the Nw rrt we ;irsfl not a , , ` do the acilustm td the �li we ! ine clarifications a rnent Due: ave matle "so P Y ?, Vet we h Qa w Fee K t turned Payment,Fee ,hem `Returne e S to not the Re out conven bet Agreement is -re 4 ,. Chang , S ection fos;y e ate ? malc►ng ar►Y the rewsed e rfanguag We in OCT are sncludrng... lion P. fee is . turned'Payment Fee sec ; . resen your hank; the o`e#fectrve smrr1edsateC the Re ; .. tfie f ►s`$35 H th+ t i w i t h the fallowing ,w_ usd t n a he firstt +me we p al 'd ieplac so'•. Eed,a r,...: ent that ►s rnK p� the next g,bsll�ng pe paY.ment may r. ele setu ed me,bdfsng .F, r yrrierit D enod ue•• �.up.to �g5:',lf y w,thrn tf;e sa l tJliniss►u. , Pa „ 5 if you`dath►sagasn t apPfscab nsact+oris above. - wrlf,,not ezceedr R for nesro tra- i. gilt AP ' $2 r ed aym. ,fee Pena • °,..::return,- • P - PR $Qe - 310s a eP sult'sn natty IfJIU ir .. •::,,;•. .- .. .. i f. DUPLICATE COPY Blue'',Cash Everyday' from American Express " P. 1/10 LRt MICHAEL -EMMET I • Closing Date 01/24/11 Account Ending 7-61001 'Rf '.S`?.iSlliSiti kW kYlisn�7tiAYrlt.:cc i`:'s:'"4�:tfiii ;i:4 °Iilx» "N a-L:: =ur. -• r..:� •:, r:•, ;.r a • !, .:ti „n... �'F.C:. � i;T. \iit..� .. s.• _,,,,r4 ' O t. Yff : ° -• w; nce _. r1,glue;Cash'Rewards:asS`wcj`•;; IVew Bala -03 , • , -.' ,,...t =..t- s:Y`a. $3,813 \: ;�as of 06/25/•1�1#`,� s ='t�:��:.: �; >v< L � � �; ` �-•,: t Minimtirim Payni nt Du $ `, Y` e e 76.00 . � . _ k ` , F.or;detarls; tease see: our''f•;t> : ; yu_. Reward Dollar,5iiitima ' `�' � r�; . Paym.ent`'Due Date 08/18/11 ' 1` Account Summary 3i".�". `ji n LL�� � ,,s ' r Wit :Y � .gt.i.�.E,. - ' T �s{> "",ta'p�`' =;� '1 �' i' .4: i•,Q.`Zji.F`j;. . i •?6 .' ?:,' -•;y . laa'' %oy,i't; ' :4ry u� "e.� ",.,, 'i t� r•`�y ` '�•9�3�'::'.�:''fe'`•r('F �L�. �Yti -^; rfi..,.• �, �Pevious Balaruer�'tt4 � hS1.,494:24sw X r .�.. c°7�5Y:��s: r _a'n't,.' t7. t ♦ +f Y 11S .{ � d • ' ti 3'V S^ " ,y /Cr ed z<� ,vPa nierlts /Critsr�a..,xs tai^ ,,f _f494 00rr .•K ' Cat ,r�'y`Tyi: t rb F + ,.Iy Y� , r v C, r> - 1 a•„-,t i•: t ":T•!i •.,*.:. }: 437. ; .,�•� ���NeJw.Chaiges�r ��? t � S2r � I t ij t! c,t Yl� �iy S .. �• ti c.! ti`r? i t a�1 .., f + "•ti;Z.ltc� Y ..rr :�i�: )'�Y+i .% "vi - .; (*•/ d [ �y s r ` v.il�t` t`;�'' h 3alnterCSt Cildrged�xpriel s f rS s F 4 1 n r .:.,.,, n. 9 [- � i ci � .�ky 1� t'� �i "� ���.� 4 �•'�r:. q:;' _-! ? :�' *e -3:`=Y r ..-- a' y r; ;';,�`?1i..� 't�r.:a �t q {, •. �,�.. , �-, r F.-'.' t r , 3 ,3, '•',i ve�� � :t• � t� �rr t 3 � 'lib •a6 r t ; " S pi ., �" f � , # � � �• :1�^t 1 �9;� tte i . i f � pp .' �N r • ;t oS�, tti... t °�' jj �1 ..,,c, ~•",�i y `: 2'`,� . 1 �3(', a.. ' ..4� �_ '; -.t1 „�Ka it v •r a � ` .` - i z . .: f� r , r` .• i •t , ,,�l. Y ,'�..' if } �l'( +i N . ' �� �?ie j � t??s�•y:"�•�c�.' i�it�'.ra r? r' <�ea...P ._. ') "1F�'!'7i•'3:i�.:.>, . �7a�js'' � -3 te a_ ? � 3tv - '�T�l � 1 � � \� ��''T� Minimum Payment Warning: If you make only the minimum payment each period, New Balance' , $3,813.03 Y64 will -pay inore in interest and it will take you'longer to pay off your balance. For 'Minimum Payment Due 576.00 eicam'p1e: - If you make rw ad ..... You will l ce Arid Credit Lim!t `F 4� `��; 'a { f W ) i.52 0 0.00 ` ditional: ' - off the balan •' charges ' �� PaY you will pay an : r �:- �:�- .= ,:�,.,�. -�,; and each rnonth'.you.. ,shown onthis statement in estimated total of..: " Available Ciedit it t � ;; • � }5„L ti $O,pp ; pay... : ". about.. , Cas}iAdvanceLimitt ` ' 40000� �. , " :s: ,50.00• -' 'Ohl y the, 20years 7.671 _.. Minimurri'Paymei)t'Due Dayfin 8'illing Period _ . s t\ c:, r�`- �':�:,• 2.•�'%f� s;T,'�"�i:ft ^k'`4.1 ^.�1� l"L' !^Su'''fi' �' .: >l� :'t <, s .t F ,�- 1'::� s"c 120 4,335 Custoer Care c years m (Savings If you would like.information about credit counseling call 1 =888- 733 -4139. Pay ' y mputer Co ®a mericanexpress.com /pbc r� See page "2 for important information about your account. " -_ :5'• _� . . �o•.:= • •• c : 7 ; . •...;- : <,� ,. . :; � .: � �'�,Cu'stomer b Phone � ai.'�' °•��- .., ... � •1= 888;25 � ?.rnA. Yt. Y ��`'',•"' O r Yot�rk�ountisoverfimit. Please a at least 1 13.03, plus Y �:.,�, 'i8'374�`,:.'i . pay ,8 P Y +. / �tr'cnr 1 t F':iA$:6'je_�t•�,t�tft�,, additional charges incurred on your. account since the itional .date of this billing ;;:D See i Page 2 for add lnformatiori�:': statement. 'If you would like.to receive email alerts about payments, K <v::.'� �: %'fi:,k .ii ti;•a F ..>fii: :: spending'orfraud p you-can sign up at americanexpress:com /alerts. ' Continued on Page 3 +'`- Please fold on the perforation below, detach and return with your payment + _ ......... _...._.._._..._..._.__.._...._-.._.......................... .............. Paymenttbupon` Pay byComputer Pay by Phone Account Ending 7 -61001 Do not staple or use paperclips I americanexpress.com /pbc ®1 - 800 - 472 - 9297 I Enter account number on all documents. Make check payable to American Express. MICHAEL EMME APT 302 I ts w , �,tN*;,_ r o '10125 • W 59TH AVE �x'•�; N CO 80004-5063 w" fist, _�xr: i � `108 /.18111 ARVADA' g t - 3,s * e -r tr�+�t, to. a'l��xc�ti- , r ?tS- i)t -`� 5 '•,,...t;j�•irjil�t r" - �.,� ':/t ' 4'';.i•> _ •. NewBalance C t 03 r,• ,..r s•�Z nr t;�•.:r.'.: nS3;813 �:.. .'��-`; •r}3 z. •Y::r. gi' i Due. ;: ' �'' �, �` �:> i. 1; �4' r- ' ;�}� um`Payment: .. ;`.i, 'rti_F'.. s�ea,c Via' , �L - ' 'g -' �'• J_ =. S76'010�'t a .�`!L .•F "::fi t. a ...icaA.. - <,�,�" s ::� �::. nr`e -; .: sC o - AMERICAN EXPRESS Check here ifyourAddress or P.O. BOX 650448 ; phone number has changed. DALLAS TX 75265 -0448 Amount Enclosed wNotechangeson reveise side. (, rr�r�r�ur�r�r11ur1! hill uri III Ir ill rr1r ,liFiI still nJI , r ...060 000381303000007600 20 H i DUPLICATE COPY Blue "Cesli;Everydeys"' from 'pmericeri Express ' P- �r10 '• ;..� j •' *` AMERIUW . � �...'s' %.x i " ... ,,, ;: .. �: ,;a't ; :'i ; ::n' ' 'i;Y.. - �� ^!.S'= .. ., 1 •'.�, ,.. - o�aessI. MICHAEL EMMET - = 1 • �• Closing Gate 07 /24/1.1 Account EndingJ 61001' i • ! ______ -_ ___ __ ______ __ __ --- .,;.-_--------------•--- ,. -'-- = -;_ .. _; _ _ --: _4 IT'S NOT }UST FOR YCRIR AMERICAN EXPRESS•CARD IS PERFECT,FOR YOUR WEEKLY,GROCERY RUN., . • ,.. , kffE u�iiKETS ALL OVER TOWN WELCOME AMERICAN EXPRESS. EXPLORE MORE GREAT PLACES YOUR CARD 15 WELCOMED AT AMEXNETWORK.COM/WELCOME 1 .>- r- ;4 ,. °rte''• Tr : a g sr s n i �+" ^."try S*r , afk�t ittT�i y payment'siand.Credits � � r �' ;� '«sjR�� F, - +;.il F k.::..'::; .Y::i!"w.•'?L vb :r•aµ•- 4:r1... . i'L ., ,. .. «...r,..... t-:� i:,.. _ �+s.s...21e _..":�•;,"9.�o-, i...:,..a.- ,•:t3.irt��_- a�j,,,_ t a5: r: ,?... -r . i,.:.Nit tr.:.:1.. •.Ira 1,. k_A r`� -s: ;b"F; : =•Yi• ;Tr:f ':'n -� 7 St +: -tR':- •Jns ?. cdaci- %:r - ;F:i fTlRlal �, x 3 ay^ it, y t4 a c... :...� y - *:i a i a i S 3 C 4 tR ' sa 4� � t} ?� �Z t _Z > > • - •::�:', 4 _. • : L •r,.. y r - °. y'1;.. ��.. ..a•1aiL ?� 4r— � t • Total- . Payments . - �;...,t . 5494:00 r,... Credits 50.00 T ,AoiPayrnents "and Credits' `.$ 494.00 -,f 1. .. .i.:l -.,. •l.. V: •' _. -- ,� -.TF. - _ v :� _ _ _ — _ �etatl $ � t c k <; L y� S L x k r 4 �\ �rj ti R- 1 Y a 1 -l.. .ar :• - - ..n�,e,s.. a -_ .x r�' . -- ,.?;,'va ��, . �.. „A : .t}. t.d. :�1 G :..�' > "t +:i..,, n:,.� A _�v, i, e...•3.:: r � 17_.:..1 _:T e - _.ZN:. Payments ` �' Amount ,06126/1.1 " PHONE PAYMENT - THANK YOU :. �. - $250.00 ` '07/03/1,1" PHONEPAYMENT= TH I -$244.00.. " r i' ' zl• - c` r " .r•c .%/`. — :k� a••. ..G t.�^:,'. � z•r . _ 'Y1.`.'.t � "^, . •'+il '�;M� t' �• •vvc ; ..,.. - ... I. ^. .p., ir•.xi. { 1�1ja 3 � A`'3 , _51 s ` z1 r % �.`. ' ry. j. a ` ' ?• { 6tYla l a S\ V t ,New Char 3es a 7 � r �,: "A r,� � � �t � � ��'� �� �, � � tC � g� , , +�k. ? ..rA " t) iii .o:'w•3S`2�7t,1.y�`•�,` =3..F. its'`- a;..i�'�.,- ES'.,Y1i," chi ,;�'...''4,�fG`.°a.r,v;n�;rk�,c ,. tt'Tt. {'�.',.�R?ti?M1n5.1:k°.: ., _. -c F7,; z, �y � <F,.. : �. ic..••�cr Xf`- �t _ r r� � _ _ �' '.�.. ntS : �� z, - � rr t+ , „a l , . "'SilfilfTlaY'/ - u ".y , "s� _i F s ' c - s, $� i�.. -° t+•,`••t"`' 'a' £ .. t� "fit x'S _ �•-- ,xa y, - \, N, a c ; ,.. iL. .,•... . -.,• :, \�- .T,':. -_ r ln.. ,..�?%. y ._l..e, ...3 )a :r \a .n. z :._. .� Total ':Tot N ew Charges .. ' ' i .52,612.79 - 11 ..... y -. �: Cam. _�::hS _ .. _- ^'� _:a °Y hK_�C: - •rc: � _ _ _ _ _ 'gin- v��,.__ .._ ,._ .. — ..,,.. ._ • " <:_,,:::.�ty�•t _ _ __ _ _ _ �Detad �r�i --� \ ,•: �? � � � 'T - 2 •-r'>-':i xx r 3 a e F .. .e, • r, - :l! h,.: e MICHAEL EMMET, r „ Card Ending 7 -61001 •Amount`, .. :06%26/1.1 BUDGETRENTACAR DENVER' CO ,. ....__,_.._......_.�._� ..... ____...._._....__._.- .- •. -- - -_. $629. . - Location.' , , Date ' Rental:. DENVER CO 11/06/17 Return: DENVER CO 11/06%26 y Agreement N6mber:247370631 I Renter Name: EMMET;MICHAEL 1, + 06/30!,1.1, SHELL OIL S744381020ARVADA CO $11.75 a , AUTO FUEL DISPENSER D 7101AT • SOOPERS N0724 F8774154647 - E $24.09 8774154647'.-- ; a ".AUTOMATED FUEL n 07/04/11 'TRAVEL INSURANCE POLRICHMOND VA $27.00 o . 800- 729 -6021 Descrip4ion ° INSURANCE•BROK Continued ;on reverse? DUPLICATE COPY Blue. Cesh Ever y day' from American, Express, { p. 5/10 E�REss MICHAEL EMMET. _ m Closing Date 07/24/11 Account Ending 7 -61001 ` t t i iiJ1.1 r - p 3. - i l Detatl,Contmued� sK�� .v '� j t .jt,', r � S, x � c � y.; . Amount .07117111 7- ELEVEN 3437400073DENVER CO ! I $18.t2 303 -388 -1926 Description Price GAS /MSC97 58 577401 $18.12 07/17/11 WAL -MART SUPERCENTERLAKEWOOD CO' $36.24 I DISCOUNT STORE I :'07/17/.11 �•„ KING SOOPERS #0724 F8774154647 $5692 8774154647, AUTOMATED FUEL I 07/17%11 ,KING SOOPERS #01248GLENDALE CO 4 $22.40 ••8774154647 ' ,Description Price .GROCERY STORES $22.40 I 07/17/11.' KING SOOPERS #0124 087741 54647 $55.72 8774154647 ---------------------------- --- ---- --- ---- --- ---- -- --- -- --- --------- -- -----•-lf'------- GROCERY 07/17/11::. 'ACE HARDWARE 6701214DENVER CO I $5146 HARDWARE STORE I 07/18/} 1 WAL -MART SUPERCENTERDENVER I CO $48 . 06 DISCOUNTSTORE 07119/.11. 7- ELEVEN 1863000071 DENVER CO $13.64 303 -377 -7006_ Description Price GAS /MSC97 30143034 113.64 07/20/.11 ', 400836 ALBERTSONS OODENVER CO $40.52 .3033204661- ' .07120/11 ; 7-ELEVEN 00072DENVER CO $1552 303 =394 - 3016 - Description Price GAS/MSC9510082734 $15.52 07/20/11 ' HERBS & ARTS 303- 388 -2544 $31.23 303 388-2544 f 07/21 _ 7- ELEVEN 2473200072DENVER CO 2 _ . ..... .......... - .............. ._ ..... _- . ...... .. -" ...... - ................................. _............. .......... ...,.......-......_ _.........,.................. -• - ................._.......... .6: ..... ...... _.... 303- 377 -0052- Description Price GAS /MSC95 45483234 $2.15 ! < 07/21/11 • 7- ELEVEN34374 00073DENVER CO $10.91 303 -388 -1926 Description Price g GAS /MSC9S 78057401 $10.91 $ .07/2111.1- WALGREENS #17690000DENVER CO ; $24997 8002892273 a , Description REFER TO RECEIPT 0 0j/Z2/1.} MOBISTEALTH PRO -X 8583507473 CA $99 '402 -935 -7733 " Description 'ECOMMERCE SERV Continued on reverse DUPLICATE COPY 7/10.. �AMERIfAN EXPRESS :lVIICHAEL .,' Closing "Date.07 /24/11 a. Account,Ending 7= 61001:. : "';t `,�E:'•V, ::::et`i1`S °- w .' `'li,w_r .t - P.t1�L; 3tiFIr�+S{"`.tlenr¢~y'.' y:fli�. <t •'�T`� � �':''.4y{SS�i. •• _- � Reward''D011art?Summary � fl kr � ��� Hr A t�Tota! R Dol This Period x �r; 2 �:l7� /r�`•1 *tCk �c'k5 S�Y.'. L�teast ?: +nrU'ixtt_f'4�a _xat� �°.o- Beginning Reward Dollars Eamed`. +77.51 t T/ Total Reward Dollar Balance +77:51' 1 ' j. "`Reward Dollars Earned this period are pending uniil minimum due is paid and your account is in good standing. , ' •-.s ;;� '; :v - - „ ,�'.', �.F� �,l _ �y'S..�t w�c fit: t s iF - a. :. y. ::Base Rewartl Dollars , , This Period. Qualified'Sp nd S i Reward Dollars •:� GROCERY' $491.28 @3% 14.73 GAS 589.52' @2% .1.79 DEPARTMENT STORE r 50.00 @2 % - ,, 0.00 Everywhere Else. `51;099.40 @146 I 10.99 Total ! $1,680.20- :...� 27.51 Total QuallfiedSpend This Reward Year 51,680.20 ---- i t -'- - -- --- --- ------ _ -- - — - -- ----- -- ----- - - -- -- - - -- . -- -- -- -_.. =P r`m ootiona! fk ' w id/Doll " This Period Reward Dollars 749fl " T021 S50 Welcome Bohus 50.00 .50.00 . • - -v- -�,i,: _.i'. -_ '•.TI.L'.: i.T:✓ "i^'l'. ^' - +�= .2^::• _ - •:te:° '•I.ti::<.,R':L �. �';..,... .,r'1:I.:":V.i.r, -Me St1 -= •:r; ..;>' :fit., , \.. s��' ,, ..tom -� • iri`�- � •.. .a�.t..,. ', p . .9. �h:. .. ti. ..`,aL -r. .!. :{., ;:�v`,' t.Si t. - T : a_ �Y_;,1 LT' '3 ��'�. r i I Renieinber to payat least the Minimum Payment Doe: bytlte Payment Du6bate, to beeligible to earn or redeem reward dollars and to avoid late fees:. 4•, .,�.. ,4_ Terms_and Conditions x� Jr' J ta r s u x R i t }` S # yE t t� e? " will receive Reward Dollars for eligible'purc6i se, s. You car redeem Reward Dollars for statement credits; or, at discretion, additional •items like merchandise Arid gift cards; whenever your available Reward Dollar balance is 25 or. more: The`number of Reward Dollars'yo e "e u - will ; receivach billing period.is based one pe�ceritage oft ie dollaramourit ofyour e ligible purchases niadeduring the billin period. Each . eligible purchase shall qualify foca,reward of 3, 2, or 1 %of the purchase`ainount is follows: 3% for eligible 06i6 at supermarkets ' (ezduding superstores and warehouse clubs), 2 %for,eligible purchases at departm and for bile gasoline purchased at• • stand= alone'gas stations; aM*f l %far all other eElglble purchases posted to your account. El purchases for goods `arid; - - - "" services minus returns and other credits. Eligible &NOT include fees or interest charges, balancetransfers, cash advances, ` purchases o f Ame {ican £zpress Travelers Cheques, purchases or. reloading of American Express prepaid cards 6r purchases of other cash equ �- Additionaltermsand `condit ions apply." " = S � f 1 1 aau+ poA l�yi �uaaw oyM s �gwa�wP 2 � ° ; �� uo a��� eae san�v .. •�txaa��a asa�u�l��llBnb u�sua� � �8 •s�sa�! -s� - i .0 %vy °� Y _.•. n�.a_- ta�"eeS`''.�.4'6���'��'�s O�+�Bti� } �.h 6 �'1..� .��a\ /s.��;� � •, 3 i�"'��4�y' �'ti ^ • , W� 4y +�e , b t�. '°:v "�„e B -;e�_ �. !, ''. . -.'': . F . - � � ;� •v *fi t. _ ., N�.il'�• �Jt � � i., ,V � � j � ••� ....: . ;e : ', ' Y r ! �j MAO W?�IFS �»'Y I ''�. i; ✓J . .J- , r .:, r i� •r a - s x�'r`" tv;,+ al w ^.[ .' •, • �: • • �' � -; .:J =f '. ,., s r i r x ri d� I ts 711. a .s t� <r �;�qyy ?S �r" .1��(�n �s r ,,•t ./ i4 } �' t J T � �y� + y ' �l"• k'.'1 !Jj J ; 1G � ���f� ✓Mt�,L!��.i"'I - k fE�- it F� • 33 77 " " P l ' 4 ' �• � � V\sr3 N'' t •• pJ+ l t.y}' - � ' i ' /' � � � { y �• J`� :,, f,. � 4 �� � ' '" �`. .c• � �..5 ¢ �- Ji t Jar ss r :: - CV no .•'`mss St r : J t ` • �`'1� 1 {�' ' a ���. l0Q l,9-L Bu!P�� lUnoo�d n,f�'� y? +: ----- ------- -- - - - - - - tt /t1ZiL0.?iefl6u�sa1� y3WWO.13dKaiW ,s _ :. Ae �Uar3 ysu��anjS.� Jawd S Saadx3 XdOO I DUPLICATE COPY Blue Cash Everydays'':frorn Americsnc- F press 'i :ip.'18 c M: MICHAEL-.EMMET, ' ' :5 a •.ii•a,,, ,'; :.J; - r. ~ Closiri 'Date`U8 /24/11' Account' §1 00 t .. to �' .`�, r'tr" g - .. ' •:, i:]ft':re••'' s, • ",'N'i•: "J,:i.`f.tiic. - i +7° Si tr: ?T'1 \tif+ttE S? '.IYA ,Y.: % +4 »tC:7.�!4 +tr si.lo; �Mi11 xfH:i5+N�1 �a'Jd{1tY!!yS�tuiN� it ISYNd 4n 't °f:G. !'. ..>;,'?; •:h i1ii,:: .� "L alG1G ^ {: , . w :: .i , 4 `cn ew a s4z " i j 'm'Fx i _• '' � a.... rf :N Balnce 4 , $3,8 2 'x ��'- -a j , 9: 3- as "of•07 /26 %:ll,ca? .t f� }S` tS!i1�9,�� lc!Yf' * -�u .rte g �. �' �' f..p-h.•t -tp. wi rat. ; Pa ment Due 117:00' "`` '`^ .. � � ,�- • Y- ���o:9s". ;Y.. �,4, t °r ,, fir_ � �` .�'i`.i1Z ?z' " q""." y ^ •'.�1, ,' .S ° For;detalls,please.seeyour•, Reward Dollar Sumrriaryi� n`s�1 Paymerit'`Due Date t. • .<, 09/18%1.1 , R y' :. :�� :Acco' t'Summy, 1 �4et�'•!,. �.. •]�s;�:v^ ^ "2v:114'T °• :i:`1 =':z -`T:.' ` •lcU= .., ' "d_.•_?.•.o ct „ - �' _ , s ' ,. n ; .�', n 4 ;�•�- ;.��.�' ..rt: ucl ar . :• � �' tit :.�' • :, ; �u'�!�'.t . .:/. 3`v,:, �\ f t” „ nPi. •.f� + f t`4 •.' � ' ,�• m n If a o.riot�Te 6e e " e 3 ' " R r � Previous.Ba an ' U i I. '»;Late Paytrtent,Wa i g: w 'd #: your ; Minimum Payment.Due by f .: fik ce �`• /.. gi val3.03a .. +,.. . -wn -a >• x., ..'.. =P'x.- Arzn'•:a r+n fc ���`], +fa•'N,w.,,:,.� . 4 4ahePa merit:Due.Datehsted'aliove` ou:ina have :a;late:fee.ofu to��`' Payments/Credas R= "� �d't= t00.00r ' y'4 .11 .]t1i yyT • 'i;�ti. }"q ?f��35.00an_if your,P,urc hase'AFR maybe increased to,the.Penalty�APR of.�27 2490: ' � , i NewCfiarg'es;" „"! if,•• .' .:..Y,;1'(y} �' .� t,'�•+'. ;�iscy,/i:, v ...,n }i"� ;i4' }§+v y+7' . "' 4- „�•t:�Yi}:y',St, ,. �,5 .. .e r .:t. f�1��!•:�• ;! \,,. ,,, •,T't, . / v.'- - rr a �trr '��sc..' ,s c �,• .tY ,i i' t •�.R•\ ..!�4r a,1766s f ? . ; g4g , .� vP � }50.60: X �C+ 2 ^i ^.;.fl �� rt S �. c l i4R } 'i. +`� r)'lti - G:r� ° _ Yt 3' ^ �a a� '\ -i�iQ txu}; s + Interest,Charged y +f 0.00 `/ ' .kh •r 'F 1�.., 1 3' `r. j' y(r l '�� p.; _:.Qe' 'G;,='•L — �4' ••'y °�(.'•.:<-1,'* . a�. 'i .:e�5.. {� i r!. c r .. i'f• _ ! •,li r.: ',•.',',�_ 3 "1N t T , `�.`r?r i , ' :'_t� # i,,j' r a <•, S si r ,7'i'' F7.' `ti..� C,l.. ,. `x�' .i;. e " c �a1�` ?cl ,! pi�'� V 1 Lfetfr,'�+lf.. If ✓: 'r�lt c;.�i A�1�+!' �y`?r` }� '} ^ry' p''i••s,:�r r ' r'. r ,� ,. ,f ;�. �;: -i• 'jT`�,7 I tSS,• §i. .r'•,si: 1 h f . �:{,h1Jj"i'Sf`•i ' t - 'ES.. . - t �? ay � :4 1 i,'n'�r..'L�' >�..\.u•_ t�:•:Z. �:[:s. , +}�: � t,_'.r: �i`�i'`,i t � �`s.'o .t� k'• = L .z -..,,. s-1 n4...v`?;i:a -� � d :�?:ati. a_ �:t^ v s•_ .,1.�•..� ' '.r' �•..�., .. :r i • . - :. • . :. •. -• . ; ' ��mLtfL v $i� +.< � 4 M�vi f fi�d • Minimurtt Payirient Warning: If you make only the :riiiniitium payment each period you wi , ! :New : Balance, i 53,849:23 i -ll,pay;more inAnterest and:it will'.take. ou:lon er=to a _ off our balance: for. Y. ,9 P Y Y P :Minimum P aymen t Due 51.17.00^ exam le: .: _.....:.y:...:.a , s t . t..r; - .?ia =•!1= ,., ..S f l. •- .Y'�`: "`.`: : �.•'��-�i i �CieditL'Imrt , t_ 52000.00.E if ou make no additional • -• You will off the WISnce� - : Arid u wild an = vailalile Ciedit y i?aY. .. i Yo Fay charges and "eag6rrionth'you shown on this sfetement ins esti,mateddotal •• ,!.... a' . about,. i> : • x<'„ 1. u UWAdv Pay ance'Limif3, '" , . K 5.400.00 -- .,... l t , , _ ,;.i.. .., R x ,ry ., } �.:� �� • 50.00•. ; " Onhe Minimum PayirienrDue 1,1; ears,:• �, 6,267 Y Da s in'8illin Period a 31 . A4�' i3�". I` L C���:. t�.. at �. l`; �Yrl isf ; "•�1`��FC �_S� . 4,420,,. Custo mer'Care years (Savings - .1,847) ;''If you•wotild :like information about credit coiiriseling'services; ca1 \� pajr by Computer,' 'See iamencanezpress.com /pl; 4 x D e 2 for im rtant information about Custo your a� ? . Pa.R po ccount.�' <, 'ai;.. 3 +� -'s;t _ 4 dYs e;�';c••::•ra� -• w: -.r. . _. .mer :Cae� b Phoneme "� �� t . Y;. Y•: r.: t : ... .:.' = 888'258;r • 374 1 1 '�1�,800�372�9Z97•�:'?�:`�`.�? �Youraccountisoverlimit. Please pa at'lea "_st,,1,849.23 �� f_ *-oF'=?�- Y r.+ r'�:•rs° additional charge's incurred." on'your.eccountslnce the date,of.this bil ling• ?a9e .zfo state'rnent:.if you'would'like to recewe email alerts about payments,. �� r •:spending or fraud protection; you sign'up of '`` :• L "' ' > i,americanezpress.com /alerts:. •'!_ SeePage6'' for.importantinforrilatidri,'re 'diing'benefits - y^ underwrifteil'•tiyi AMEX'Assurance Company'ind Marine. r; Continued on Page 3 , +,Please fold on the perforation. below detach' and return_with'your.payment • \ Payment Coupon', . , Pay by Computer•;, Pay. by Phone Account En ' '< �' ding 7- 61001 ".® D, not stapie or use paper clips amerrcanexpress:corn/pbc 1- 800-472- 9297 • -i Entei account number on all documents. "Make chek payable to American . Express ✓ - .. ... �, rrl�rul�llrllillr��l lr�lilli.n•nl�.��llaill!lNi� i.rir,a,.r.rll.'.., :� �.., ,, . "N:�,.F,h •••.:�,;.> .,.' :..:„ o • - MICHAEL:EMMEi 7 a1 n Payment:!t PO-BOX 1815+ � �t Y�!$k Dueya a .ARVADA CO 80001 -1815 ` t , r `L tSfNc?+`; ii't1 S' New,Balance W • ,�,:� T � { _ �i • "1' ��� r'"'" "ir3`'�e✓b` � ` a �?xi �1 `�• y y zMmiinum a Pyment Due • e • �!4r, �xx4rru�J i��i�?f�r�": 3� ,��ia`t";i3.�i�11:;�''rYxi�3cs I�I ill 1- 1111 rl. 1. Il r�rrnrlrli ]Iinlr.Irr�llrrl�i�pr��l��) Checkhereif,youraddres sor :"AMMIGANEXPRESS' : - • , ` a,. •phone numbei has changed. .: ' P:Or 8QX 650,448, Amount Enilosed' ,,,Noie :changesonrei,erseside.! DALLASTX'.75265..'0448 00003'4 `I9 :00038';4923000011700' 20- ri DUPLICATE COPY ! Btue Everyday' from American Express p. 3/8 u.: C IXE SS . 'MICHAEL EIVIMET Closing Date`08 /24/11 Account Ending 7 -61001 •- ----- -- --- -- - -- - -- -- -------- .--- -- •---- •- -- -- -. - IT'S NOTJUST FOR -PLANES ANDTRAINS. i R t ` . YOUR AMERICAN EXPRESS-CARD 6 WELCOMED E7�RE55 r i ! FOR CAR RENTALS AND AT GAS STATIONS. . ! r • ..: •: ! . .• - . - : •i" . - • HERTZ. EXXON AND MOON_ STATIONS WELCOME AMERICAN EXPRESS., r EXPLORE MORE GREAT PLACES TO USE YOUR CARD AT AMEXNETWORK.COM/WELCOME �:`• 1' 2��e�i .``^`.••- 111:tiC�t'rir_ry.'dr: PaymentsandCredrEst ;y *'�a }?� ww 3�• ->s= ts ' 1 '+D._ i)+q•'.•\ - -� -, rfi:....C1f -_ ::':"i .. . -�-a .,...aV..,: ....s,;;- ":5' r. m:, t n i Total Payments - $100.00 Credits $0.00 , Total Payments bnd Credits . „ - $100.00 3 ti .: F. ,�, �t•Yfy_ .�.� :e: \mss ,T mow„ �. �. _ �'• ..� � •' [_ Payment,­ ' ` Amount X08 .• 'PHONE PAYMENT _THANK YOU - 5 100.00 ��'•` aiy�tlYi:;'• a • : ; h�ttlB�: �:l':'����i`�'�v`�� d��rS�y •,�.n'' f � f' �- � Y`. �,��EL�`'•%� �R�4, �' [F, � -y q 'Si } 1c,+��1� S �`flh ir.� "-�'T f +..e.�� s , ti • Ti"'t l d }` �V��, \f<.�.�.., .!;f•!`F'v.,`a QJ'+t4,•'�.ie lip •. :L. 1+'.. �D.t�tC! R t'_,`Y.��k... *SAC: iT *�a'f 1 \'{p,\,+ aP - �,.r �:j•: R'u4 i �. C ?,i T �F- i . t rfi R . ti ,�� s� , k :�:>•t -..?�- •f }, s;:•� k � t ::i � �., \ � . w.Ss �lt yr $- Summary, _..i � „�.a� ?' � ., .t-. .. •j L_:,m._s :. x._,....y:'.�c .i �'s „�i ;� .sc. i. .,.. 4 '. ' �' _ . Total Total New Cli:irges $ 136.20 e MICHAEL EMMET ' Caul Ending 7 -61001 r Amount 07!25/11 7- ELEVEN 2S06900072DENVER CO $b9 303 -292 -6024 ,�..._:_..... _;--- ...,_.._...- ---- _ ------ ....._...._..._......... - . -............ _._ ...__ ............ _ ............. ..---- ..---- •------- - - - - -- -............. .... _ ............ ..... .. -- ....__................_....--.....-_. ....................- -_...._... - Description . Price GAS /MSC961803691A $69.00 0785111' '.KING SOOPERS #00220ARVADA CO $67.20 8774154647 i Description Price „GROCERY STORES $67.20 . � ' F�INi •+ l :^: i� a•TM1' ''� � lj �i r�t� � `.. , ..n`�! �:f. Ail. �.� lyy t y�:<yt' .Y: ;�f= f n'r�:�F r I�Flvi�a :�• • �•M_- r 3S�-' � S.,' 11W1 !,'.` `r�' tr '�S:t�'{ l -, '"'�' `SKI tf'� -'"i i � °` � `� xtiW - try � • � f+ Fees ,E. � r• r p �r tY,.7! $ 1 I a y ,w � t . i e �`�' i f +11 .3 G �'pn�n ki�I� ��'a� ^ J �' �h r +S�' ,t D ! +�'�� Y } , E'� ' W y ���• '"� �'�4 � �`{if Y�;w. , s,,1 T,� `:`�^ � � � ,c4' �''}`i � <.t� >�r }. �5 " t • � i �, r.,c. r � „ 4 . x`�. ?Zt - .tF."nrs�k a7F:sa�,•ia�G.:i •., a� .:!kt..��;�?'!'.6..��`.:"Z >,� �.,�YA'inr iti: !- i., 3 - _' ..:.. ., sac.. tip. * .,r.k lxo'tF,� �_J _NP. r�rY :. �;,'It�';t"�y. .t i t -��.e O '• ��'• ' Amount o Total fees for this Period $0,00 Continued on ieverse DUPLICATE COPY S . r•,. ; :AnnEaivw t. P. 5B . owRess .MICHAEL EMMET m . Closing, Date:08 /24/11 ng 7- AccountEnd 61001 �,3,•t,.lr a.. C•;i ?', ;er�4 *.r;�i','�?» s "<� t '3 eft•+ � 'M•c �i `"�•1.r `YEN, 3..-+ K" .ue , r x... •o '' ` j -lif<<3�L �S �� "• tk > Re ... -. ward Doltar Summa t t Y:� -'z�$ '+ h �; Totat RewardtDotia�s asrof,Thls Pe�lodt co - � d t st)% S '# _ ^-' �(`�rJU g,"6 ei-- f .., u fF t' r ,t«• y , a . ; ar. i „ t : r+P '�rcr= x ; rF, t?� �z ti ,11095�f " Beginning Reweid Dollar Balance ' +77 -51 Reward bollars Earned". I +33.44 - Total Reward Dollar Balan +1 10.95 "'Rewfird Dollars Earned this period are pending until the minimum due is paid and your account is in good standing., 1 . S'. -- •'.r s r l\. a''k -. - .ci s :4Z Y :.rrLw�^ .n, is r' -si:K \ _' ^e+ - v.'h� Bsse:Reward Dollars L, 7 A „ .� � ,. � r r, � � ,�: •� •�. � �- � �. , This Period Qualified Spend (Reward Dollari ` GROCERY, ' 5276.80 . @2% 5.53 DEPARTMENT STORE i #0.00. @2 %'.••', 0.00 Everywhere Else x #2 407.90 '. @1%" 24.0 Total 52 ;81 ` 2.79 33:44 Total Qualified S This Reward Year: $4;492,99: IItnportant Messag @$ k� ,t n y x t C Visit americanexpr .com7rewarddollars to r edee m for cash'bac gift and merchand Red emptions start a t} u st 25 R Do Remember to pay ai least the Minimum Payment: Due, by the Payment' Due Date, to be eligible to earn or redeem reward dollars and to avoid' ' 'late fees. ,.�. Term :and C aY ;_;'a 4 er: 1.. s_ ondlttons;. .aR- .��..:�.;- :MY •�:�,:;•.;,,. _ . .,. :: kz You will receive. Reward Dollars for eligible purchases. •You can redeein:Rewardbo(lais for statement - credits, or, at our discretion; additiorial items like merchandise and gift.cards; whenever your.available Reward Dollar balance is 25 or'morei. The iiurnber of Revrard Dollars you will receive'e'ach billing F e66cl - is based oii a percentage of the dotlai'amouni of.your eligible purchases made during the billing period: Each .r eligible purchase: shall qualify'for a reward of 3,"2, or 1% of the' purcK eamount as follows: 3% for eligible.purchasesat supefntarkets ;.(excluding superstores and warehouse,clubs),2 %fo .eiigible purchasesat dpartm eent stores and purchased at , nand -alone gas stations, and 1_% allot her eligi6hl purchase's'posted:to your. account: Eligible.Purchases means.purchases for goods and: services minus returns and other,credits:, Eligible purchases do NOT include fees'or iriteiest charges, balance transfers, cash advances; purchases oFArnericen Fxp Tiaveleis Cheques; purchases or reloading of American Express prepaid cards or. purchases of other cash " ey Additioiia [termsarideolditionsapply.' ' < < DUPLICATE COPY Blue Cash Everydayl from American Express p 7/$ • /1MERIUW ' EtwaESS MICHAEL:EMMET. Closing,Date 68 /24/11 Account Ending 7 -61001 --- ----- - - - -- ------ -- - - - - -- - L.... ,A_ netiti secfion•is.added after the section relating to Fraud .'Incontestability No,siatemerVmade by a Covered Person can be used in a contest after the Covered Person's insurance has been in force two years during r, -r .his/her.lifetime. No statement the Covered Person. makes can be used in a contest unless it is in writing and signed by the Covered Person. I ;This provision shall not preclude the assertion at any time of defenses related to submission of a false or fraudulent claim based upon t provisions. in the Policy that exclude or restrict coverage." ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. - TAI- f3D(31 -NFI -08!16 - Applicable for the Residents of the State of Indiana: " Qi►esGons,regaidfng your - policy should be directed to: AMEX Assurance Company „ 800- 437 - 9205 If you (4 need assistance of the governmental agency'that regulates insurance or (b) have a compliant you have been unable to resolve with your insurer you may contact the Department of Insurance by mail, telephone or email: State of Indiana Department of.lnsurance Consumer Services Division 311 - West. Washington. Street .Suite300 ------------------------- Indianapolis, IN 46204 - 2787.. y' Consumer Hotline: 1'- 860 -622 -4461. ; In the Indianapolis Area 1- 317.232 -2395 CompUnts•can be filed electronically at www.in. ovridoi - , 5110 Tokio Marine,Pacific Insurance Limited For residents of Guam,. Commonwealth' of the Northern Marianas, the Federated States of Micronesia, The Marshall Islands, and the Republic of:Palau „the insurance products that'come as a benefit of your Cardmembership are underwritten bjl Tokio Marine Pacific Insurance Limited. a v o 4 • A O SWT81 . BP /AACWTAI /0811 I ' I ' . ,.., DUPLICATE COPY... Blue Cash'Everyilays 'from Expresss :p. 118` . 0. AMEFU .. FJd'RESS ' : :•.1.a . . < . , .• ;:;;,.. j • pC;i r ", ^'° T -• . .MICHAEL %EMNIET .r, ?� ti ;•`:�... ° _;,., .,•..... ':, ;i „'; r: ^• ,,. _ ,. ` �Closirtg D`ate`09 /23/11; < "' + • Accourit,Ending.7- 61001:,, - S' - •'';a n.,�: -''�V2 .. .i.i...'. s ni \.,.. {:gtil�c y . .. . {., ..J„�' / � • '' F r " ' :�. 1 . ,, ;�.. � �a •' at:•x3:U: ,�•� :,. .-t laan.•q i•v' , Yr��� .;.. • ij :,ti .R`EN;•nY�ry '$ °a`• y.. � »,��.:_.la r. ,try , • r: ' - v t`.?1•%!3il,.t..lv�7lC? .r „�d>= %:a�i'v •'' �.:/] i.., �,\,. oT t' 3f! 4:•t.�:o1�Ti..'i?7S1�:;:�,�1� \, _ t� �+Ft.., ,� 1°3 `� at x.Yi �f15115�,t`� fit' .: �,�BIue,Cash • , a V , .. ...: ......... :New`Balance -,.r °...$3;872:` ;; ,: �:4... V;a:Yi. ' 35 ' as of 08/26j,'l1 � 1 � i � '•Minimum`Pa .,me . n 9 t �' ` 2�.. �_ �'� �3'�;�4 ue $ 5:89,. } ?r : . . xy, ;; , •. • � details p e se ,Includes the past due amount oES 116.89 - r^ , Reward Dollar- Summary ..! f' ? �, 1 1 ' - 1!, .'Payment Due '.Date 10/18/1'1 mmary > r - Account Su •li_'r',�- +, "' - ;.s • --it:. �a- .t.sv•;i,+1:gj <: = •a• , r V tcrya.. ; ��5;.�. 'f >'.: :s.y�: •.:v ,�U1 .. - �.- :n • - n . ,,�t a,._ �t .,h „ _.. , t. ,, - ral r`•. f > � a a 't4 3§2/ • - :q� ht '•�.t 4 , ypr {: Gri a 1S,! ar �N(lyf � `L "r•:' ysF{ ,3;8 4423 M 4 Late Pa ment Warmn If do not:receive our Minimurnza ment•Due.b ,t: �. Prevrous.Balance �. 53;8.x; Y Y Y \y7 y . w ..ti r r.T:•...•.r. _ *•I �w•,+ •' J /'' .♦•, rc':aN:7 +t_..,•: y.f :» / the: Paymerii`Du "eDaielisted.akiove;: you. rnaylhav "e'to R. :Payments /Credits_.T ir . „�... a ,• ,,.tv s � . sa .eh . a'4 - .. -- ':.: -,;y� a a' 3 1,{ = s:S35:OOand'your�Purc ase. APRrnay: beincreasedto :the;Penalty'ARRoft27.24 %: c t r NfVew�Chatges; .; .'1 -� +_50.00 '•air rit=u• .j.� r ` , � Jr�� - ; �i , �.rJ }'�;'T'.s1 �:x. • �i�R 'T ^>;, E a. .�.,�z` fit, 1 #,f�g'' ! . ::s•' ° ^.ok± " Fees ' u• +%.. Y .y Yt• W�'L� `�< i.h i,�f�, f � � y'sS rK: '� s-'s 5.�. l: .�v - li Y f.� .�!Inte ,s i 1 „, ,/yil{ •�.T,..sy q• 7 . Y �Ce hy �)r.•t�SR , �•*� i yYlsj4 i.;i= ff; }}.{� .v iinterest;CfTarged • r , I ! , l ; x \T t'�"kr tia y s x' ;r * .iF. "''w 1 a•/ 4 �?'"' t't +" ,jf• `P' u. 1 ,1+ 4 Z ••• 'i?s., :�`'' sl7' .:'$.' 4/� k �"�. `,�,� i ''�., - `-'h'•c,% ,L' t r i V �• t e 1 s #'t \ i -'•' ^ ,ern at! ;:r)'- ��iTi.- z��t14Se # >'F1?.. t '� !-: oy� tbrfl�:,:.'�: "� 1 ,? }" t!"?tl,��z ��i . ... .. :. .x4..1 {t ��\'`• J�y_�� •4i��. , y t�.�..�,,�• �: �,j '. .. ••, ,' , -' .. ... .. .: ... ., .� W-" �fl "t.. "J.:.�.�.31��._CI }.`°c?n.1 ii1.1.9i -aY. v.�' \�i Minimum Payrtient iNaming,' �If you makd.'8 il9 the:miriimum payment:each 'r :New Balance- ',.: I { t $3,872.35'. t - you.will:pay more in'interest and it wiil`take you, onge� to pay off your balance. For ; Mini ' mum Paymegt Due . ' S ?59 89 i I i . .;. L .? Limit pi:,F,'�rJ~^� tf, oii rriake'noadditioiial, You will offt' Cr' ii:'` �' y _ pay he balance J, :_ ':And.you Will pay an char ,' seAvallable'Credit .1 $0:00 § es and each month our' •shown on this statement in esiiinatecl total of.- l " ; ' 9 Y ;Gash' �4. P ay. .,,, :about: ' ,, ., .I,,.,:r.. - •,i' a, x Ad r a ' { �i eC c !�• REAM �4OO:OOt �'< the Minimu ;.:AvarlableCaslis��'�; . Only, .•}' •' !•� �eDa mBillin P enod: 30�; �;?� �'_ s° V rii Payment Due 11 ears 6,231 . — ,il.1J�: _' 4�it� ,2 ti - � .'�'iY..l����!.`!.l•K!�.� •� • T • . r� lf.yo Se u'would like information about credii counseling.ser'vices, call 1- 888 - 733 - 4139. Customer Care Qoepage2' for, importantinformationabout 'youraccount. , � Pay b'y Computer ar !Youraccount'is�past ue:an .over i i l'• „0' d d -, . l,'m t:�.: at Feast 1,872.35, =ti, A i ; r, . , li?, -. A- M' iVC•uv`yit w 1 s,...� ; µ.. " plus any: additional, charge`s, incurredeon your;account s ince :the date•,: t, �" ut ` 3iae� Pay tiy 80011J29297x, of this'billing statement: _{f,you vvould like to,receive,e- 'maii•.alerts , � 3�Ati*� f \�N°�, V r :.'st,�n,•..' x r: Tr•• :: ”. ,,. ` 3Y• 1x"?c 1, -9Sa'!ia ; about payments, spe'n8ing',or fraud.pr6tectiori,.you.can sign up at. ; ,�i'QI See Page t:foradditronall forrnation:F } y a mencanexpress.co m/alerts. Continued on; Page. 3 . 'Please fold on the perforation below, detach and ret Pay by ' with yoi r,payment. . , y Payment Coupon. , , pa . Computer. , -, •'.,. P.ay.by Phone ;'_ • Account Ending 7-61001'' . ' r� fro not staple or use per clips.. , ® amencanexpress:com /pbc ; . 07800-472 -9297 r Enter account number on all documents. „ Make check payable to American Express. :. .. - .. - II IIr'iilillllhlllillt oil Ili III III 11i ;1r101lI IlI�IIII "`�. . MICHAEL EMMET% pay 4 ment:DueAa PO BOX 1815:,';. tiro' �r� ' ''l0 /18%1 ARVAOA CO.80001- 1815 *! ',�s,, ,•,,. ` - r.R ' xut i ?� :;.�� New K � ' `, yment $259 W , Ti if• ��a.1'y +� \� ��, 2l( 8 �'\1-�'�'�L�2, ^f.1�_L,'. h ,, a sMmimum ?a DUe 89 heck here if yobr address or ' . ,..»�• r °- ,,, i ll" Ill�lrl rill i , �I Il�r lr� .�ll'r - er `AMERICAN EXPRESS C "' Amount Enciosed` • a,,.phonenurimberfiaschanged. P.O. BOX 650448. Note. changes on reverse side: bALLAS -0448 00003499918 48.0376'93 000'387.2350000259'8.9 20 d DUPLICATE COPY LOU=* B166,Ciii;K Ederjidayw froin.Arnerican:Express.' i p 318 1 1 :MICHAEL`EMMET Closing Date Account Ending 7 -61001 ' •ri:.yJ 1 .5 YEARS. 5-AWARDS.- ti Thank you to our Ca members 9 fo rating us "Highesfin Customer a y: Satisfactionwith Credit Card Companies" for the Read about the award at ' 1 Pconsecutiveyear. americanexpress 3'Y Seri ,com/dpower ' .'.`;r..ngry. p r I 1� �.; a ;o...,•... �.. ft r :9}' �t h`t �c,C /' �'l� :J J t 1 Mfr ��1}Sbs^ ` i , NPa. menu and'�Credits -,Y ^3 ti;; ,�; � ' at'' '! <z "`i �` y t�2➢:l;i ;:.�' n:N:bS:`ri�.�r�`fyl::.i'.ti, lzi blln'es.�t�;?lgT�iJ'._f._w ,,np1.C,,'cyr's'�3 6'1�K', • r: f LiyJt`.� y�(�,� Ir r,N '��� , ..+��.Yh7tt tTJ'.S rs.y 1' wrli,�?•,!3 *`:�r�? `:a°Fi. i;: w ?.rtii �`5.`-M .;z c :' =siEi'x - - c:ro. , .z-.5a.:• _ - - - ..t.- 'v ..`... `R:i•::�i. :�i: - =.�:r - 'tom: 1CF °<._ - - - �{7 "Reo- _ 'acP +•:[i �J�,�'µ'C <�'v�' ..( >.:.. :.E�'.i: '4�it`:` � .�:c: -;:; c. `:Summti ;>•,� _�- ..z. �.- ..:� ��:>�;:�_ _ :�:; - -. c:� ='•:.k ,•h ..r:.c.:a ? >ritii` >.'•: ..t..• .a. .': / slit: r::] '.:..?'ti.�'':R,::.'•%..- .t:li'. - - ♦ h..:_ r - }�'.` ' 4'•': .4,:., _ „a._�, _ _ y � ir':=, `;,..: :::t�v....- ._.._... n. ...X? i',_t r'.,;:!'_::.:�'ni:r: '[" ' =n. -`,`f ._ - _- -:7 :•c Total Payments $000 r Y�edits 4 1.94 Total Payments and Ciedits' i 4 S1.9 1.9 l:D @tt31 �W'V �( - :.v` Y:_`: r fT :.. .. n: ..:1- �:: ,:.:_�.i: "�Wr _. \`J . \.:�:,- „:'� "( - - - .Y�a<c`.E�ac:a w:i'A- :�i2.y :rYi1__�si ..�.+__,_ra�fm'rid1.'`,..}�.l a.: ^.F�♦ _ ,�;:, ut _ ,`,l • ,y.., r:`• "i�:�'�:�'\ -Amount .',08/26/11. • WAL611EENS.If.176900006ENVER Co - $1.94 8002892273' _ Description . REFER RECEIPT ' i ?* -',," �•�• - 61ft. - a� ^ �. c 7, .n- i cy .,- , \ a . { ., ^�'y in '- t . s..,. •,.,.e.-- ...lc;. t r t y 1 {'r , ry } , E.i�,•, . 'sc _ Y'^1N'. ::'•wtF'JG.' p. ?A;= 7,;;•rT/as ,�.i._n(..j ^. r, .Fees' k d ya�U ,�X ". �' ti�P f?4�'eµC:t M. R�Ft .i _ F s Q f., '.P. 3 .r'M.,•yn ":t:.'�7 Y $i .l.a \ t, 'L' :'}T ,�.� :?c . - :'' NA. " .4 53 "' :�': Amount '09119/11. Late PaymenYfee $25.00 %Total Fees foi this Period STS.00 RM F� �,;� ��: ':+J ?'�F's, Ft �� _yi {� � �_ � .(�(. � ; Y rr�.`^: ~ Luc?• -+ �'.�i`L= �..+'1'`. - c•.., FF...t?:•r.�'i;,,rz"J ,' ' - l./ 1 - � . <a `2 ,. �t s� '� .�'' !+'..;, l•` `i',r`T� .._ ........ _ .,.. - ._..._..._ .. -.. _........... ....... _..... -..... _ ...._... r - -- ._.._._... -- - .._.. ._....._..........._...._._..._ ...... _ : - .- ,_,,, - - - - -. . Amount 09123/11' Interest Chargeon Purchases $0.06 Total. Interest Charged for this Period $0.06 . x � t,,, a �� • k�•' TF' tIS?'�: ° i'1t:P' , �:�•+:• - °�+:>< i;.� - ;'4v v�vy4 7. st" 1'•'. nt "7. p r•,r., -. • 5 t a r 111cg..' A a' • (,. $ ,4 F+''..t ; w' s. 201k1aFees3andInterestrTotalslYear o' missi4^?ti7i�• €.1;�'`+�p, - - l" >` c •” �-.- ?.emu• 1.,•� �- _�'•:�s. .r ,�. ,r�•�5_x�f:' e, ^,. :t { sfc ; ri'i"y . 2 - o Cl�,`r lk_L A'�aF: •(.�ri:'W' $. �! r., J_:.v?(i:t� Z ,�5ti +e'R� -n�.f i,�..J� b/. --,, 'iF °i� g -, H�=: ��;+ ?;: 3 ati: 1" y��R�ys , �- .��.• ,�.,e �� ; . t ..,�. ,. _ 5,�� x�.. .u� - ac.� , � gfyZ� ^'r''e v�fi"?n '?'', �, r.. &qtr 'tf. r.s._'�c;�, _. _ _- _i_•'LV ` e'er = : .r. - - _ �• .., c. �.`,., r., r.,:.. r., t .. .:.:...:.:...:a,,, - .:.,;;e;;: c,,.:, _ '• +`. t ,:''Amourit;� y ti Total Fees in 201 $34.09 W Total InteresYin 2011 i 12.Oi - _ ......_.__emu_ ,.v... .. _. .. �.. -_. ,'�.._.....�. _a... .., n, _.:.,.... - f;:if: , \;,c;iiq -,lCo•L ^� Sas::`;_ :� , \a . � - c a �, . ..a . _ ..na:: •.. •..� .: r' fns : -._ ._ ._ . ... . _ _ .., . r. - , ,. ...:.. .,(j=2_. : :.;F. ° $ :::� .. - , Yi(5:.: 3'.:. 4j.' :T \� '( » :.<`.n F' ••� ' i D'•- i1: �C�` • i Continued on reverse DUPLICATE COPY ..:.AMEQICAN ` •a. , t p: 5/8 .. o�taESS MICHAEL EMMET e Cldsing Date,09 /23/11 Account Ending 7 - 61001 .. ,t 'ia•: r; '}"tava i� " ::'a + 7 �tL'i - f i`y \t �.iY1•t 1, .. i -l�r, °' x'''.i 1". rt• d in x:l .pie,' ?Jf "tn`.,ef - 4 a ; 'M,yr. )k t •'r {': �. ` .. -e ,, p, r. , t �� v"�Yw -� �1 l�' st 4�'h ti ) �. }} R eW afdk0 ' OIIa1;.�SUfTl fTl aryit `'fY' �' %`• : r ; j �F7f� t � `},, }^ _ Total Reward D / ollars as o Thrs Pertod • 1�.kf k \ k'' - r2 't t• Kt. ? r� 1 '7?•t, -. -Y Y YT F ,hl,\ }• .�,,tr *kc h}SSr: \! Beginning Reward Dollar Balarxe -x-110.95 Rewaid Dollars Earned' . +339 f Total Reward Dollar Balance \ - +11434 'Reward Dollars Earned this period are pending until the minimum due is paid and your account is in good standing.. ` ........ -. =:q y r ^.. � �•. •..c 3 r �_...:, . - ' ti' �5 rY i r ♦ c vc' �.'*+,� , v - ..(Base This Period Qualified Spend $ ; Reward Dollars GROCERY'.: S67:20 - '. @3% ' ( 2.01 GAS . ♦ $69.00. @296. 1.38 .. DEPARTMENT STORE `" x0.00 @2% ' 0.00 EverywliereElse: - 50.00. @t% 0.00 Totah 5136.20 3.39 ✓ Total Qualified Spend This Reward Year $4,629.19- i • -... ', ^_: ^.rt' .C;,i ^'�" 15: 1WS w..?S ^ii J ti- - - - - � - -`C- .�'. _• ,•,'l,. t\r r T 1. ea fix' 4 L� {. t.1� - 1, ri c c '�. c'� t Impartent:Messeg @s � \ , Visit americanezpre3s .com /rewarddollars fo redeem forcash gift cards, and.merchandise. Redemptions start at just 25.Reward Dollars. Remember to pay at least the Minirriur`ri Paynient•Oue, bit he"Payment to be eligible to orredeem reiWard dollars and to avoid lac fees. ;;ti7 +1 q s... ic9:'% 'S:r' ^_ r..ti.:. :x•:'S5'?s''3 - ,,Termsand <Conditlons; his �'� t.. Yoiu will receive Reward Dollars for eligible pu rchases. You can redeem Reward Dollars for statement credits; or,at our discretion, additional ' .items like�merchandiseand gift ia rds; whenever,youravailable Reward Dollar balance is 25 or more. The number of Reward Dollars yodwill eceiveeacli billing.period'is.based on apercentage of the dollaramouni of your eligible purchases made du'ririg the billing period: Each eligible purchase shall qualify for aireward of 3, or 1.% of tlw'purchase amount as fol lows: `3% for eligible * p6�chases . at supermarkets (excluding sdperstores and waretiouse'clubs),2% for eligible'purchases atiiepartment stores and foi automobilegasolirie.purchased at ' , stand -alone gas stations, and l % for all other eligible purchases'posted.to your account.. Eligible Purchases'means purchases for goods and services minus returris and other cred its;. -Eligiblepurchases do NOT fees'oi interest charges, balaneetransfeis, cash advances, ,•.purchases of American Express Travelers Cheques; purcliaks or reloading bf Ameiican Express.piepaid cards or.purchase.s of other cash egtiivalents. - Additional. terms and conditions apply.' 4 LL W , A O i DUPLICATE COPY Blue Cash Everyday` from American. Express p. 7/8 E�wRESS MICHAEL EMMET Closing Date 09/23/11 Account Ending 7 -61001 BLUE SAVINGS PROGRAM tcC ORMICK �A .Enjoy exclusive sayings as a 6enetit of membership with any.of the American Express Blue Suites'''of Cards. C t � MI LKS i SEAFOOD RESTAURANTS - y � ��'N'�'f .� y c i, F •V � Syt, � •` , eau � � . ���5, i' Y / Sr: t A t a•,�lt'a '� 7 `.i.x� ; `,�. W �y 2 11^' r1- iK'� € .�. F $' d "Sv'�` R M+1 i• '-"i '�_''� `"'c�'vw"' i��'��a! � � �'� b r � I gY�"y�fs�o ' ;yF i •� J,. i 1 i 3lv''N,j'r/ `c..� � �'`� T 'G `'i 3�+(� '� t � • t ^ L � Ud. }� ��� L ? '� .�1 . 7 v 1 � - - { �?�' _ 9�,� ,� ' -.. �, � C � , ?��1.•�(- �'y� Y _ " �'�"3._`_.-- Y__- ._. -.--. .... -. p } I� �' `^ 3' ` r°'i - y j a A q "djY' A.Y Cl " 5 a _ -• CC012M ICK Ne i .. .ice . l a 7 F' �' _ .t ' ri:. vqr :!n I �j'� �, Fr 1! MICKS f sr.Ar-t,nr) RESTAURANTS.: mYr L �C rr;; �� � � � t � � "k �� �' fYr ..r� �:`;vfia+�a„�1 -�(s.r maxr a+Jd • 14 • � (�.na M� � �. b. �? °` J'. � .n a,p � . � ! �. n `'" s'� R � 4,r r. , ly.� �r r :..� ^'•a A. fresh way to save. Earn'a,$25 Darning. Card to McCormick & Schmick's. 'We are pleased'to welcome McCormick & Schmick's to the BLUE SAVINGS. PROGRAM°, and, for every $100 you spend at the restaurant, you will earn a $25 Dining Card: • Visit americanexpress.com /bluedining to enroll your Card • Use your enrolled Card every time you visit McCormick & Schmick's • Once you have si)ent $100 at the restaurant, your $25 Dinirxl Card will be sent to you The more you .go, the more Dining Cards you can earn! Enrol! today! Visit americanexpress.com /biuedihing Cardmember must enroll in the offer with a Blue from American Express®, Blue Cash® from American Express, Blue Cash •.. ...... Everyday' from Americam - . - - Btue -- Cash P ref erred'° from - Amer ican °Express; - Blue Sky - irorn American Ex -° 1 '- or Blue Preferred frorii:American Expresse, and charge all purchases with the enrolled Card. Card account must be �• active and -in good standing'at the time of enrollment, the time of the.purchases and the time of -the McCormick & Schmick's bonus card fulfillment. Offer applies to purchases made in -store only and .does not apply to online purchases. To be eligible to receive a $25 McCorm ick & Schmick's bonus card, t heCardmember must be enrol led in this offer prior to their first purchase and must spend-an aggregate of $100 with their enrolled. Card at any participating McCormick & Schmick's Seafood Restaurantifrom September,l, 2011. to August 31, 2012.Offer not'combinable with other offers, discounts or promotions. The McCormick & Schmick's bonus card will be mailed to the Card member's` address within 4.6 weeks of completing the purchase. Offer is subject to change without notice and is riot transferable. The McCormick & Schmick's bonus card can. only be used on purchases of $25 or more -and may riot be used to pay for gratuities or taxes. One McCormick & Schmick's bonus card may used per guest g per visit. A Cardmember- can earn an unlirnited•number of McCormick & Schmick's bonus, cards during the promotion period. g The McCormick &,Schmick's bonus card cannot be redeemed for cash, except as provided by state or federal law. Lost or stolen bonus cards will not be replaced. See the back of the McCormick & Schmick's bonus card: for additional terms and conditions. ®2011 American Express Centurion Bank. All rights reserved. � wraww•,�.r O A - !7 O Offers are made only to Cardmembers who meet certain qualifying criteria. By responding you will tie disclosing to the merchant that you meet these criteria. DUPLICATE COPY t Blue Cas veil/ Y• p..,..:.,.. li`E iia s"" froth Arrlerican:Ez Cass ';,= p. ,.. cz= :MICHAEL•"EMMET :Closing;Date :10 /24/17; "'' , <t° Account,Endirt 61001 a _ r id .r ,.. .. '•,• .i. '. ;' � �4•. \.I`; it {.,Y •1..; .'( "i" ,j ```. ,:,' �t^l ra: v' � 1L.':!;,?. hriti! E! ts•'!+, �1sC?!.,+_` SG. S'_ StKk,'. ��!c. �-, Ys ';{;..::t4,�! =:r.. tat lu.% JRk: s.; �i5: 6n: St?(' ::d�:d6Y>''�at�'ll,;:t�t � ^u:.^� ";f.�•�.�•.; ?�Y71.'ir • s•i+":`.6: �BIue;Cash'Rewards �' '` ew'Baiance $3`797:79 y Y µ_..�. �`` } ti .as of Sep2011� r, a ' f �.� a ... .�, : . ; t - `S I�, •lam �. ��• r.�l„ 3 +y£', . Minrrium .:Pi mentvDue $235:89,.. "v< 94 1! ' . . ,... :: . J. , .9' ^ " w +k ^f1 ":;l..� i includestFie stdueamountof. ;159.89' t�iFord�tarls ,.p!easeseeyour;,,;kv;; r ; •�;' + a Reward DoIlarSummaryir, .' Pamerit-Du y ':Date e Account. Summary. • il'-y' t4w,.[ 'ts�;�i.�.; :. ??z, • �!atai•G _ 1' :t. .. .. 'l ,. .hnit n r1il.,J.:.ia: �•iY_" ^•��'. \�:`: sJ,i sT ^.��'�i'� �;i�l .� . t in . ' ... x•a: :O:^ s,�, •ry:i{.a;v. r� ` inentWaminlf`wedo�'not'receiv �'� ' �� Y' '�' "' 1�',.� 3872:3S�e �Late.Pay -,.. g eyourMrrnmurn'Paymen�tDue�by, ; P �ev!ous c :y t i L S the P,ayrnent,Due Dafe;listed : above`'you mey,have,i�o''pay a late fee of up o, - M 3:10000 , .. , :�T S35 :00end your'Pur chase''APR the Penalty APR 6(,27:24% ;' New.Cha�ges : � s ��`� f x �� +5000 -. e� `3 t ?i`''t,t -u �;': ti: • ro' .>yyl ii-S .i4, h',- ''t �`f4" •c tiiYi:'i7fn >L ,., ..',�," �,: •S.3F` .,, t.}'•�. J. !. '} F ,.�... : `��;� .� ,`Y � } 'f�:,� y .� t . ,;,'tl� P � �•~�� �, Y 'Fees •r - sr � /� �i r:,� �` ' b r;F ��,` rJC ° xtt ` 9iJ.t�l� k � t�. /ty` A.�4v 7� �n �e_'i'i-.•- �!,�`k= ifs,,,;.,, a s-- 's "',`' t�'�{ tl�j'�.YC �• + ,.' r t� 'A.a;. ;,�:isl���y�' e�d '�4��a!'�1 an£:'_ .`5- , a� ; lfr .1'Fitil t<<�•7 4�'.}T�`,'f a �" +�:� �� �IfliefCSt 'th'arged�t��•4-z;arj� '= ti`5ir��!'' :r .r i.i:1�.44?�ro ' f• i 1 G �. ,. rrt � l ti -. Y Y� i"' f , fir•',, i .'lh• it t @ /,. �.. _•i � 4 ,. :V •�a ,tz '� � 't`� i 10••a `?, .n ., - ¢ r J a��� F `4�, '3, %.. a,., rJ .��y. ��' � 1 � a�_.•�., "Sa. . r , {; c• yu e i�%�`i� w.. Z�o:'s'a• _P;t• t•.f �S n ^ ' > -r,j i�tfi,:r . i x t t� \. vtSAzfr;wK tlt�i ?.y:,. ,:4t.� �:� / . :`{ v Y r` � 1 � +.e E °1 . rl�l ;���W � •1,�.; f;,7 t � �r� �:' r '� s��•. - ��. •� ,r S, ry "s T . r, 3' .�y ,. 3 '� t t s '�.C' y y v t� , � ...'Jf:.�C v � L l �:� f � J i t,t.•• tik�.. ' l+ S , t s 1� �t ,1 , •.R ,�• t .L , - r �?:.�. 31Ji.. •. f..._o. >a 1.�: _ �v,,�i• r's. ?•�„ - .cud.;. .kial:��•J�.s. 1 � Yk r� 7`�'�' t» �• I , e- . w •.cc$t. Minimum yo make only the;ininirnurri payment each period, ! :New, Balance.' 63,747.79` you.will;pay.more in it will'take you.longer'to pay off your'balance. For ;Miniinurri Due ; • $235 89• : example: � � 1�'ii• ; .lY` �: •�h�� I,f�..3��,'f ti� l••p.:4 \i.1.111'�' , L. .. •� ci6dltbrbia RV Ify6u' 000.00 makenoadditional: YouwiN off the balance; :And ouwill f' x.'ti `'`' " "� ' " - 5 ' P?Y. Y. PaYan Avalla6le Credit r.�4x 7 ( n nt� O.WN char es and each niorith tad total oE:. i * f: ' ou shown onahis statement in, estima P �, 9 .Y i -:�sa. i s: PaY- r' ;\. Casti.Advance'L•!mt � $0.00 'Ava!1able Cash'�??� ' h;? e�� Y _ S. try,' i"r 3}-.cl'�1 ?i,,xr! i, t ti�->-`.t :. Onlythe r �; , a� y , . . Minimum Payment Due 6,216 t ,...; Daytr�n 6llling Beu'31 ^'• �. a c! 1 ,E" s' "" C *'; �: ►f you.w Se ould like information about crediticounseling.services; call'1- 888 733 4139. Customer`C.arA; ' �., t • :� r r e page ir 2 for important infdnai66 abot your aceounte i ' 1 ` .. u ,,, ,: ,... • �PSy,byComputei � �° ...,`... J`_ , ame0cane*e s coin/pb ac c Q,:Yourcount -is. ast•dueand.overiimit:'- 797.79 .at least 1 ' ' 4.. r - >' Y • !, .. r • .. rf ..� { `t ' i I.�r'�b ^+.M ; W'skNt,es ✓1" p r ..., v J • . Plus any.additional;charges ineurredsonyour account sinc' the.date ustorner:earg, y Pay.by,Pfione' ^�ti ¢ ,' ' ' 1.888 25$37411 800 472 9297 " of,this'6i {ling statement: • 'If : yoii n would IIke;to. receive .e= rrlailtalefts. r F � , c s IN aboutpayments, spending or:fraud'protection, yoti canaign up at' y See Page 2 for a. ditioiial information F' y americanexpress:com /alerts: t�h. .rczra_��+n LDLErll2t ?.� See Pa a 7' o I •... , ,., r g f r mportant Information , Abut Your•Account • !� Please fold on the perforation below,detach and return wrtfi jlotir.payment, + © Payment Coupon ; • . ., Aay by Cortiputerr� '� ® Pa • b ' Phone, - punt Ending 7- 61001 , A« Do hot staple or use paper clips americanexpiess.com/pbc" 1- 06' - 9297 . account number on all documents:" Make ctiecli payable to American Express. .... ; '• ' I' Ill� !1:.1111111��111!�II'I I l rr li �1 � I�� r -._r.• :.. ,..,..� � ' '., . ;.::i ..' � �: ,.. I i III •I Ilili Ili. ll In IN"11i;1§5 r. PO 'BOX MICFiA i' ;�•,i;uazref' EL•EMMEI`'`:. d! "` D` e`Dbte 'b?E.t ^ Payment: u 181 r*v��` x;';3 ARVADAC080001 �' 17(8/1 °t; :'' S =7815 r`a•xt��r "r':'*�i. .'r vim• ° -rug s�t New Balance .,, " ►, r, C.f.. $3797 ?79�ct �..t57�t .F.: �?„ :�•t?, <,. y� k" i"� S ?Pi4 ��o. �r •-i� u�,^... �fr tn.•��L?�Y` -wF ty o- ! t ,• r G, s t+Y, Minlmum`:Qa Due :. i T�omi�:; [[ �+� =•` �. �(�, 5235.89. .. ,. ewer;•. �r.:�.+a i�:!>: W.'•' AY 9�ia� ;r:•'.ld <'`'rt ti. �i; i�xJ nlrllllii�illi�l', IU��II!irlllllliii�ia!II!-h6I1. l�illu'I "AMkiCAN,EXPRE55 Check hereifycuraddie ;s or AmountEnclosed `, ,'phone number . hasclhanged. P..O. BC)X 650,448.., . ; Nche:chainges on reverse side.. DALLAS 70448 •, ` 00003499'118,48037.693 ..000379779000023589 20 ri s DUPLICATE COPY Bluetash.Everydays"- from- Amencah', Express . p. 317 C38,011 iV)ICHAEL EMME7 Closing Dete;10 /24/11 Acco6ntlEnding 7 -61001 ,,;, -: -- rl"'`1�1.44.I`;1r�aF +.r-"4 r,.. �L�S. t�_#' "� r"-. � � f L . �'•;+t �« r G -c s c4 i •�i � , r �'3f :�� �� c�•qr �' ��'•. .��:^• �y's� nx sti sa'� a >�� � Y \`1rf { r 1 }t�! �.�`�{, "-'�k � �+�, 4f Pa r ments,andCedits ��t }r��t +� �^ ;v�rkk K,1��r, ' Y. r n e tk x z s f y [•3� �'�s v ftr 4 i l Tin �4a•l�`M: �:'rs - ,:s,\ar- .A„•,.:c.. s., . : c. urnmary.. ::' :,:,,.. .• �. -��w:. .nom :��.i �: 5 ..1, 'i'J ._. :: :.:. ,' \`�_�� ...G_� : f,:... �,y av t +.'.' h Total I - Payments.. i - $100.00 I Credits , $0.00 Total Payments and Credits $100.00 I y j.=. f: - c Uetail end cat sti d e = I e n t ..x= PD g a S � �• � > Payments t Amount 10/16/11' PHONE PAYMENT -THANK YOU 5100.00 };({F:4�y:,l r•H i� r,�'!s'#Pax,�- �3,r.., , � l � t+ i•d YifC''•(,''<?`, -.� t� cr..Y ri ". r.:'r,1 a �.'b. F 4 .;? - .u - z. \ kra., -,�. e i E'! r�t1'+t� 6, Fli�rA r�7ri � 2 ;�, z"` :. f 'y.� -l 5" : td -tl•.. gr r t° r ,.0 x.� tz� 4 . Amount '10 / 19 / 11 . ; ..': • 1. ate. Payment Fee, ---------- '------------ ---- ---- --- -- -------- ---- - -- --- -------------- -- 525.00 - - -- - -- Total Fees for this Period ;25.00 ri }+ F: ^ � a Y ,ti �c.k.,K.i?Y i ' ':;i!t. •fit, , r• R' =SSA \r yG •i.. Tltl.'.uc<r�\ , '�'U, iiP Interest.: Char . A e d } ttl�+µ ;�rT�11`�r1�L3oy�° a djti:�0.rK r 1 t ;y}5r K "f x L� :;47{ tYf.�S °ITtF�,<` r _ 00 r Wt�-4 ; Amount v 1024/.1.1 Interest Charge on Purchases $0.44 Total Interest Charged for tftis Period $0,44 rr- .:. zry.,•� -• .:: a.. �; tti`, S ;,e's]i'Y'S ?A:tF$ c;RGI`rll.'. g a'i�_l.P ¢t�:: <••r- x. •s, ik NF - •�. �:: : /r - - ...P -• - .�.. !'::'J..u:r - I n . b.vyr f201,'I > # tTotals Year to Dater�� . >� r ,,; ' „„ 5`�a.5r:1±t't'3- v:7�.N rv..r ..Xtire :aaafi..:t:A�;a '� .r,•. "+• +� ' ri:a;Y.:..5 >V*. -' ems t .Y y - MW Tot Fees in 2011 459.09 Total Interest in 201..1 $2.45 • <a�. �� � � x..^+n1+ i•` \. 5 r `•.'7 ne > � \ � '' { � . ) \ � ♦ - \ � ' i z r•� ,; 'l , ° � r' Lt �Vrr T : � cv, \s : .' .s- , � •.�: , , a x � � i; r Z,:, ^ d�. "`� , �t \ .ti ~x,^ �a,.�, +�''titv ^i.3 • .ny.c<'^fR- F'•lG. -. Gr' 'b: - ! .;•w.ira.\+:x'e�•- .: - . ...... . ..... --------------- ............................. _ €:1,.1 N .n ,,. •.f1: �Ar ,� t., <• .�H f', �`rti � , r < < + < 1.• . � +�5'f,Y• :�'.: •t i,y. , - :7i:i • °C,:;a, +y . 1 ` ,{ *.$� �y.,,�x x t ti�[.r� .rt. y r�.t'�4i.,, ' '� A� ^V1'�IS- H��'�', 1 � 31 �rMy L9, y, r4 �' ki1 1. e�,rl�¢i� t•� i�Y 5�, i Ff'{ .5 Ylnterest�Charge `Catceilatlona�, I .��'�.•� t '�' r�,•� �� �,,t�`�„ ,��; -��� � �� �,r �� ti • ' L��'`a'ec °.raa_.ti '� �• �r >_3': c- ''� • .c • iF• 1,� - ate .�SFS �w� 3 - i '� : �- �.-re f . ���; : r+ --+.. . e.:v r �Sa .��?R3 k� . > ra(-.. ..,"'Q.J.^ �1\. •a t, - - W Your Annual Percentage Rate (APR) is the annual interest rate onyour account. Annum 'Balance Subject Interest Percentage Rate to inteiest Rate Charge Purchases '< 17.24% (v) $3 $0.44 0 . .Cash Advances 2514 %(v) $ 0.00 _ $0.00 .Introductory . Rate (Promo Rate Expire 0 6/22/12)" 000% 53,81 $0.00 Total - �__ - - -- - —._ ? $0.44 e (v) Variable Rate 0 < • The APR for this balance is a promotional rate and it will expire on the date shown. Any balance at a promotional interest rate that has not been paid in full by the expiration'date will begin acciuing interest at the APR applicable to Purchases (current Purchases APR shown in table above). i DUPLICATE COPY o tens MICHAEL.EMME7 ' Closing'Date 10/24/11 J Accoiunt'Ending 7 -61001 4..� c'?/ {3:^'"" ' o '� r �tr:. - •r, `1' .:; 3.st �P,),i.,,:w „y .�'`•�rf"F".r?{^ ` �i15 r rt o : Fyn F ,y .; ' eward Dollar,Summary };� �Total'Reward Dotlass as`ofiSep'2011VBillirigyPenod� . :ty�.�`�`:,"�,�;� -,-- 'Beginning Reward Dollar Balance - +11434 , Reward Dollars Earned* -0.01 k Reward Dollars Forfeited - 3.39 Total Reward Dollar Balance +110.94' ; "Reward Dollais Earned this period are pending until the minimum due is paid and your account is in good standing. " { ?r 4 ~Bess ReWerd,DOliar5l;,:,. %• �_ ,,.... 'r�� _�,.. -.� ... _.s'... As of Sep Billing Period Qualified Spend S Reward Dollars „ GROCERY $0.00.'• @3 % !' 0.00 ; GAS $0.00: @2%. .... 0.00 DEPARTMENT STORE $0.00 @2% 0.00 Everywhere Else = $1.94.• . @19b. -0.0r Total =57.94 -0.01 - -Total Qualified Spend This Reward Year - < -------- _ " S4;627:25' s' < ; c'- •ry av:oeati °xarx:,•• ^m _:i -av aaxc<a. ^. •:v � ,rc -; .r..c.:; onr, c:;x:=:.::::a.�.a . • , 1Ia •• rS • K orfe "ReWerd'DO F�teeir'. lir �Fa i a 1 e e _ .i4.r,:. , Reason l Reward Dollars Forfeited- Date Forfeited / Pending amount month forfeited' I 3.34 '' 09/29/1 1 - . -, .. . r . r - -- �r � r . � aK' - - .c:r:' -� `ut ac ^tr t.,r Rw.y •. �m ortant @S� e ax r z 1� z h. v w �: r v �ti� oaf �t r L•'__< P ,.g. Since your account was in default, you did not- receiveyour base'Reward Dollars for the billing period ending S602011. ' - <:i' :6� _ ��... .;; •a'c�ic' ex:'iY..+.. - - �.5p, •'!'`:.Y %:. "'��x'L t_i: L.A._:.: x: .`..a''3 Terms end "_i ti .r ....`"p't.- .x'k }.:Y:. { - #at- :ar �Y Y.,o-.1 \. ,•`k 'w"t�,_+�'!t.SY ,; i ° rk : �,k i' rr p You will receive Reward Dollars for eligible. purchases. You can redeem Reward Dollars for. statement credits, or; at'our discretion, additional'_ items like niercharidise and_gift cards, wlienever .your,available.Reward'Dollar balance is 25 or more. The number 6f Reward Dollars y66 will receive each billing period based on a.percentage of the dollar amount of you r•eligible purchases - made d6ring th rio e biIling'ped. Each . eligible purchase shall qualify for ayreward'of 3, 2, oIQ,% purchase amount as follows: 3% for eligible purchases at supermarkets F (exclu superstores and'warehouse dubs),2%for eligible purchases at departinent stores and for automobile gasoline" purchased at stand -alone gas stations, and -196 for all of her'eligible purchases posted,to your. account. Eligible Purchases means purchases for goods " and "services :minus .returnsand oihercredhs...Eligilile. purchases.. do NOT , include feesor- interestcharges ,balance'transfeis cashadvan(: __- _- ._- _ -. - -- purchases of American Expres's Travelers Ch.eque's,,Purchases or reload ing'of American Express prepaid cards or purchases of other cash equivalents. 'Additional terms and' apply_ a r W - . r DUPLICATE COPY 'Blue Cash Everyday' from American Express p. 7!7 AMERIWJ E.RE55 MICHAEL-EMMET - y - Closing Date 10/24111 Account Ending 7 -61001 The - importance of Paying on Time "We'd like to share information to help you manage your account and to emphasize the importance of paying on time each month. ' Paying late has consequences,'including: A late fee of up to $35 will be charged if we don't receive your minimum payment by the time and date shown on your statement. • YoUr.account will be reported as past due.,to credit reporting agencies if you fail,t6 pay the minimum amount due for i two billing periods in a row. Paying late can also,trigger the penalty APR and restrictions on earning and redeeming rewards. To help you make payments on time, every time,-we offer a suite of account management tools: Pay online or by phone 24/7 — Login to your account online or call 1- 800-1- PAY- AXP.(.1 -472- 9297). •. AutoPay' Have your payment automatically . deducted from your bank account each.month. • "Account alerts' Get -email or text alerts when your payment due date is approaching. •`Mobile services =View and manage your Card account from anywhere. Go to financialtools .americanexpress.com/alerts to learn more. - 'We` hope; you find this'information you." " " "`" ' "` " " " " "'- "` " " " " "' " "" "' " " " "' " "'" "' -`" -` "' " O O 0- O N O � A O. -.S01011, BP /CCSGLND /1011 f DUPLICATE COPY ':t `Blue`Cash::Everydays'"'.�from A•merican�Ezpress:�r,: � - •p�`1�•• •� :: ream ,,NIICHAEL-ENIIVIETc ... "' =! 'Closing:Date'•1.1 /23%11 p; 'S ,pri `r,.;`' 'Account Ending J001 7- 6 •.... +:,upaJ . :J�g - •. ,nx •�r' ;,:s ;A',• ,:�.• s.a 1 'Y rl nN. , .,,.�.•.. e' t sYt:: - :Iva„ 1: � r .•� 1T .I r.rw. c;S �.c-, r- r ' %':ae . ,. ,.�a'!:r Y3_:=vr.:,wk,...ti'j•,Lr... . .1'C7i5t:xl.,nlV3/r'15'�1ff!':� rv.t'1?z Fllc.ei- .n...,_ 11. ,1..dt..v_�-- C ?;l{t. (� {1 ks"'�j:(� v S °3',�t,,'x.- '{...7 .Y'!r ..-t del. sq t .. •� e . •, . ., .' .. •z•= •;,: , �' Get�cashiback',virtuall �} , � _-• ?New'Balance $3'823:51'•,' ve uset C' rd ,, � . �• a rywtieire your , tie. a v' •" • t!�i . • • '•� . + c s ,...:...<:.1: t . Fi? - }'+�S•r o :t��.�, - � E +" al�J' . ' M • �• Y ` = �..' . . ,. - �,� Y _,�,.. i +l'�JJ [,' '+y�`�'i�j� � `'.�. ''��3jy. Y irrum'Pa �rndnt,Due .$31'1•.89 - � ''^ J t• � = i •' `� Includes the past due amount of f235.89, : ` � - .Y,-� -• �=� n , ,_... �»'C . ' r, ��._-•. �? '•., ., � � + f �.•�c 2 ^'$ ,Payment Due'Date 12/18/11. � im.:'Account Summary r:,.t�t�i'r �f. .:i ''pe'•' • "�', :r lrn ^ �.2. : , - H�:'ttx•,. i x' :iri?I'�'n'= tti r `• . 'r?c'yr'� - mr•'• u�: ic: :� �a •r: n„4 rl �t.7t. :•f.e;••s' 1a::43:JU! ? q,:v:,,r '7 }'�SMV ° f: Pr: i. :,1..•a;rx.- ... ii.,•'. --, ' l ,.?cr', 4 a 1 T . .iF�. : . •R,... , .: Previous Balance :'' ,Late, Payment' blaming;=, If, we do, notrecei. ve.youQMinlmum=PaymentDueby;,t: 'Ii.._ 33�7 . l - the Payment Oate listed ;above':you;may,have ao"pay a lat fee of'up to' 4'PayAmerts /Credit c: SOw00 335.00 aril your Pur'cfiase increasedito of;27 249b ^� New.Charges �' cis Q +SOOO I'taY. vy,.:��< {; �a " - tv •• trl, }_F. iZ'•• �. 7.< '�,` [s� 7• ,�. �: •,. _. ' ht ` t y 'y ( ,':�'`. .:N.IJt "•stt t'"::Y.••' r :.SS� s Nli r. J - •J. `1' ..Fees �`,: .-' "r• ,1 Sf• r- b �,•. ' ` {y",Ly i1,Ch ' ,•" r � �{ 1 ¢' -, aiJr} t : �^ N �, ,J ,:- '.i: ,; ,,# �b� .1 ,t'3n' t• ���ft -. .Ya.�a, t - Y- F+.1' „• ” :�? , ` a re `*-, - ".. If,% li it '�"� , t o m E� ! , Interest Charged i, a 4�:' +80`.78 �. t 1 � t r t g k�;rq�J r o t .��.1i4:A . .t�,�:°Ty .F;':s�,.. ••y:� .t , t S � +:? �• n l.'p".;q - 7' , ;3 �.+..i�p, {'Jr e5`'h• ���'K.. s��t'�V , j Y' ,S,'t+il��•a,�.. 7,',} y�, i �t,F'� 1 ` a h [}�"f� 4 ..rf•�j . '`��' �L� ��3, •Q .l :[. , f r : •?� � 1, r,a• t •ri �`; !. ;% •; t Y -� F +',. �r f ta' • � ;t� .��� � i � � al �i�cf •:ti� J• ���'+� ,R' x i<4 t� 4 f4 �. •'3 y .. � t } �..,Slh r � i c •Z'�•, .�; � „ i. L 'S. � + �'� �`' ..?:�.� �2:.s ;,r.,• k .sxi.c�u'"�i< r `' fa ��•' �p ��:- ..�'�.,,'•'•'�'��1:tta s�'a� ,ype••iT� ,r�,,.�� ;�q� { �tj t,�,: ; �,<< . < .y. .. : :�..r,.;• j�,«ki.. # 1+ 1i,: �Sa�. .••S_•.- F CAtti.<k�..'•.��R.i'..- Y1."••'ls- -�-•�' •Minimum:Payment'Waming:'if you'make cinly.the iniriimtiin paymer t each period, a , r .New :11alarlce.. `� ' • • 53,823:57.` E Z "you:will:pay.more it will take you' longer ''to For, ,. ,MjnlmurviPaymentDue ' ;5317:89 ` example: : , , :,,.• <. :. s `' „.' Y Ciedit LlmltT r�? �$2,000:00k?! ' yo pay o(f•the balance yo. ill pay . ygvailaiile Credity f�,Yi : " >;: t r 1 ,5000 .� If u`rnake no additional ; You wiU r,'. -•: And u w an j?:i ?. char es and e"' h month ou • .shbwh on this statement:in ''' •' estimated total of... 4 vt s q '• • , �'"'' 9 , Y .it ;} s'rltt} Et si ��t 50. PaY•: • .. *• about...:. _.,... GashAd4anceL 00 im t� u .. °AvailableCasfii� `s xc'1 - � y Y 0`Otl , •. . .. x �.� tytr�sws?. ' ?` . On the. .. " 7c _c' r;• if �> r1 ' 7 �f. 1.1. ears. 6;218' Days•In`BillIng:PerI& 30 Ninimum Pa ment Due X �.• ., R c v � , .w; r,. Y s�a V �5 1�,7�> �* �a. �• 3:^ ti*: I' �"?.::ti�'i6k3iG :aJf??"i�� }y�:;5 y . ��,v:fi)^'lt�...r t K you would like.information about'ceedit counseling services, call 1- 888'733 = 4139. Custom C are Q•: See page 2 for important infoimation eboui;your account.' ' - s ®pay by Coinpiite? - B ' americariezpress:coin/pbc f 4 1 Your account.is.past,ifue and overlimiV least 1',823.57, a'. sa'itd1 ` ?. SAS, "K.,.k'. . l is an .. additioni l`chzie es >incurred'on our account since the date �ci,> omen; ,car@ pay.by,Phone;� P Y. 9 Y. ► a ofthis bi116 stateriienit. I ou,wul ; d >, 888'Z58 =3791. b1 800= 472 -9297 zr:. �,�•, ,J : f : Y. o _ c!•like•to receive e- mail.alerts \ ,• �.:•v ��, „ about - payments; spending or`fraud;prot,e" ; you can sign up:at , D SeePage2'forSaditi6riSH formatio n. a . mericanexpress.conm /alerts: ..�,y ( �. ji: x. '.•��:.?�m.�.•�a {?,U�?0. �:+En�7t',tb.�'3.4k�;Ft` ..:1��[r 4 fold on the perforaiion'below; detach and.'retilrn With your payment I, Paymerit`eouPon Pay by Computer, Pay bq Phone Account En ing.7- 61401 not.st41e oruse paper clips . •\t ©.americanexpress:cortVplx 1- 800 472 `•' •` ` Enter account number on all documents 'Make check payable to'Arrtericati Express.' . •, •: .�!1�11��111111��III11�1' VIII! illY�l�ilrllll�lllillll ,�llll����i/!1•• , � '�,�•,., .• . • MICHAEL'E .. +'. �N � �'�"� S• '1.-W'•' "tSc 'tr4�'�S:sY'�c :. t'' �� '. NIMEf. �� „�I 5isi'�tyR�t t P.ayment;Due.Date , = PO 80X 181 �''•. j _ .fYMRn ... , ARVADA CO 80001 -,181 S �t', E�tr ;.:, 0 1.. tt •;; .sr v r�YrbNew Balance � ` Y.a'' �, 1 §Minimum „ o Ild P11011I YPayrn Due ., r •. , t:r:. �S.:i , i :il? s; ' 4 .- a. a' p1S :ti N ti 1 1 1 11 1 1 , �! il + •AN4ERICAREXPRESS b ' ' i • Check here if your address or. R0 BOX 650,448 Amount Enclosed•`. . ; phone num6� vhas changed.. , i : .;Noie changes on reverse side. DALLAS TX'.75265 =0448 ; 0000349991 00038235 ?0000 20 H i LN s '` a .. ♦ ;G �° .. � ,• ' ,. � -. � � • ` • DUPLICATE COPY C $Iue,Cash.Evervdaysm from American Express . P. 3/3 E MICHAEL EMMET. Closing Date 11%23/11 Account Ending 7 -61001 . 1 rist R + - •,." r r �r.^t.5 fz'`'''e �, 5r - - 9j' �i."` 1.. o `- ,ti3:: ,rl < ; K.,: -a .!i - tC ri•:. S xsxS;F e t3 t1 2" ��� i� . , �!• ((,, a �1 . r t y :, i ' "' tees �'t [� rt { �-�' S 3'`F` rr•�Y{ }��1 � i � ; � S �d 1 �� r� ,t, � ti �,�,� ,� � � '�sn.� a � .•� ate I d X +• i`! h�ti: �?` d:_+x� ra ai t,�`i }Y•i {��'�" :Y X� >i,C Yt�v<• �.,tF' T ,..,trr .:r..� 1'j?gG:t��t;++ ,c 7c:h� t.t�,.. �i t� .3�•S at e �.: Amount 11%:18/1.1. Late Payment Fee 425.00 r Total Fee f or t Perio $25.00 l II h'. :_,� e e -7 y �yLth ! } r. a., 7. ♦ '� •�, .k 9 1 �4 - » +' u•t }C:.F 4TMs" i r. •" r 4 V r l�` r li ! x j.� t Vs ele u i3' y S 3�,� RFF•� 1 3 f ly I xlnterest Charged' ,, M ks H � a } `X? fi \i. sr x1 °bra tr t k;a:Er?`S:tr ..,lR,.. _:: .....eaeYrt « °.�.. ��t*�w ?,, Amount 11!23/11 • I Charg o Pur $0.78 Total Interest Charged for this Period $0.78 �•cu� .vUmre.. $q;. ., :r�: rN. Llfr .. w�•p., an>F;v 'dt.' ..,rq•qu[;:".x, " _ =•l , •.br••• i C "' m ? ).J, -� { r ^�. ,b� r� *::'i'•`J.rrR. d' �"` "6'$1 �" s•�j �w��L�4Z��Tp ' ' s,. SYc s+�i �� �J $'�.0 Jr * ���"4�, . �s:.a .. ��iWtA�+t'r %rte -:I.�F .: �:�. �F�,+'� r... `.- �•c•:�t. ;!!•:�"..£'w.::..r�:�'1iJ, � _ i.ayti y_,, a.r t. .f�,.::. . r!:!t�` , iiJ t.��+.r.r•. �.te�e.;r ,�� .`.1. 1a5�, k .. :_._,.._, . ,r =::' -:tom: .:..: .•- :_,....- ...,:. ..: ..,.._...,.: - - - - - - ' _ _ ti 34'1 fn1,. !- -'� �+• � t - ^ :.;..�,�. Amount Total Fee. s in 2011 384. Total Interest in 2011 $323 `F: ¢'• t t_ s- 4..: 5, _.. `y - .. .tea . �•e"..^".'.i\ ti 1-F� t „�. _: tirM1t <« . .i� >.' t . ..r -. fir„ .� .t ,Ca, r �' �, ; .'c`-r .t� a. S t.` �.'.Y.?L'�M4i�� , .^..; }'3i: r• - - ,i!w'aii .,�- t.^7hy, •-- "'r. ;.`:it . _• F, ufic 7 n .��.r..S ., x.+..; .;1 �: •a,.a;r �4'tj'••�a•.n: - e.�• �., aylrr�,. A .. }Z3t�f� i)1� w kil �'tr -r4 i�`�ia • �... � �� 3lntf3restChargewCelCUlatlon, � , i Mi x � N,t r _F;� 'r can Tr; �u ` - 121T , ye:. - 'r5 H y w ,li•:3>.. C ., �; ry .w !! �, t i r Jam. zi.- .�r�`:'aF ..�,l:e ??��1":,-R" _ i�'n, 'T..�'� � r''t,. ��t..C•i3?N.�. K3. �aF.e .2fi �•,:._�r;..:s � 1fxn�.1.9 �'ly. L� hc.,•, a ` , ' ....*��. i 'v��i�;�i- �'1?",�', r '`.2 4 :.u.,r. Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Subject Interest Percentage Rate to Interest Rate Charge Y ` Pur chases 17,24% (v) $55.01 $0.78 'Cas Advances 25.24% (v) $0.00 $0.00 `lniroductory .Rate (Promo Rate Expires 06/22/12)• 0.00% 53,747.29 $0.00 Total $0.78 (v) Vatiable Rate ' The APR for this balance is promotional rate and it will expire on the date shown. Any balance at a promotional interest rate that has not been paid in full by the expiration date will begin accruing interest at the APR applicable to Purchases (current Purchases APR shown'in table abov • I, o , o� 8. m - 0 N - d DUPLICATE COPY BIue;Cash;Every'day'' -from America ; p 1/3" `••• : owRESS MICHAEL•EMMET Closin 9 Date 12/23/11" Account Ending.? - 61001'' . IL:- L' 7 .. �""".'!"„???_ i. h�k' AK.` f�?: r1�... i{ i- 5:.: �A2` t(!. fF�3�i' w?'!'.>. u..: �: liit�':: [ <i'�.�finRi.LSl.^,^t!'�.Y��dFt ` •� .L1 . n• +'t::. r•�_.' •t - ♦ � `'k- lllt='•:y�:Y1 /•°a,(i.`n "'SSr . . " �v;!" . �' Gef= cashibaek v�rtuall e },' New Balance $ M T` ;; 3;823.57. „ `4everywhereiyou'useahe Card: � F.. �`�^�. w:��t'7s: <. t3 -.� .�•• z ",Minimum .Payment Due $ lI .aTs ,;`: `�, �,�g� w u 387.89. t' � F ,'N , 4� ,;�� in 'Includes the past dueamount of.S31.1.89 :Payment Due:Date 01/18/1'2 ' Y Account Summary 1 ��i'� ,.c � >'^•��r 2 =5':_ ";'3?iSi'•.?e�5'�Y cam �» _vs't , .... + :fit a' ^-.. ,`�.•.: .- t :. , 1v ^ . a "' t3t • ..,�.. • •.. ��p; ..�,. ��•.�.0 : ♦w >,it .::�%•N�i�^'+'�`�,'Ao'�♦. ^.� •� "',(. .. -• .rS...t _.��� . ,, Late P,.ayirierit Wammg.if receive youur by 3 a"� >Prevlous:Balance'"iE1 ".53823'57 >< the ? Payiiien% ue ,� Avila o . ,,, j41' 2 f f '• vi i u s : ah' . s > 1 � wr ` . p.. � D ` `Date bsted above;' ou,ma :have to' aaate fee.of,u ment "?i °+' y y •Pay, , " i y- z /Creel *TS !:.• �: l ",'� E35.00.and: our•`P,urcliaseiAPR ma' ,, jiEie ed;t creasa:th ePenal APRofr273495!� New:Char es' „`i- ki%y1? „� 'dx ''T•',i.;�i 'jri r'= ��•�' x �Yisc,:; t '�"r; ”. >�+� .4.�: Et'h�c�it S�"S: i4� �.•�, Z ' \ ^.r..:. :3``?,il+• >; ;{iY , g c_• y..t. �:?nyct�;;;�: xl���g`�s��'' ���.�.1._'rti� ; c�` ��,. P:1 :1'i.�y` f- :�,'•,'.`t'?'•�b;; ` � ''�r"�f � .Fee +` 1 `�- { `3,�. :1�'�.� + 0.00 �? `' i li:S%t -,�, ,;p i.. , .n,:7 �.e�ri�t�. e. `�i t4:. l3{�d �' ��+��' ° � '.hi �!- is "•F• - +y:-�";^5,''irr, ;i:h:: r` l�b ?•_ sw°., , ,5., , , t ,t'r•:•Y�'f' 1 • �rT w, �„ i.13 1�'` 5+' , s : 'i',1 k'4:,. t - `=.�r� 'lnterest:Charged : f3 = +50.00, .�.'�+> -'� ...:... -t , y am- y f .nl , • \ i s ') t�•r+ . r : 3'i �;. +j 't .: r: �` -,�' �?:7 i 3`. y� rt ^ y-� : :, '*iy.;wat; � � . 5:, \2. ' r rF _ u.:i 5 �.,?,�'f � •• ` I�t.i i �� .,.�1E;3;,,,�,�',�;_'�;,;r .n�„. t.: �lt� +� }- '^1d,` � :'!- ..t}ii$` r : di 11�,y, c. Fe., s�. t � r: ;� .v::rS.t�!• C C ? '� t f� �! 11 _ ti. , T• n. a f .; t' ' i� S t .. +� I :�••:'�;i Fx��, �, l i `�;ti ' }�} . � 3, $', t 1: r -:i� . �.t ": >7 , o <, l ' .t � = %��. .) 1+� .. "•i'.ti3 i�,.�:.:]:; •. �•' ��n�Bt `�r._r�'Sj +'.� 3' s.,. "`•, t� �F .f.'�� {, .'LF. `'t: .;)= �k�,'="�.: i:; ., � l lS:�.: ` . ��!�•.� & °: i�•i £i:�4.:2 =� Y . -_�.4. �..bE'�'. .. «... 71 ..- , f ,ate'' !, q �,,^'Sa � �f• (,�.�y %r ��_ r _ _�... �. �.4v.•:... L'•Z t, ,.'i"•� -�aY �L �'J.t!�.��::Ydl s zzi�tt s � t`�� � ' �x �y c }� 1�•0 ... - i ' yTi�S�:' itt:FS 7 1. Mi6imum Warning:, If you make oniy the ntinimurri each period, :New Balant e _, - f3;B23.s7" i vvill.pay.more,in. interest and it.wifl take you.loriger'to.'pay off your balance. For , ,• ; ,Minimum Payment Due ' S387- r CreditTimlt r f�i2v��tl�8a Y�1 @ ,�� _$2,000.000 Ifyou make no additional You will pay off the:balance v'.: ; ° <And you will pay an jAvallabfe Credit .:i; "rsYla charges and each month you ' �showri on thls statement in'" t • estimated'total of. Y? Cas Alva ° nce Liir =1 r i t 'r� . about: l ; .,, Vi ;,..,. .`' - vallablI Dnl the s : 1 i ears "ryt Minimum Pa ment Due Y 6,228 Oays in 'Billing Period • If you would likeinformation about credit counseling services,`ca11:1- 888 - 733 -4139. Customer it t �< -D See' page2forimportantinformationabd6tyouraccount: " " " ;. } Pay byCputer, americanexwess.com /bbc .Your account"is pesidue,and overlimiti Pay at"least 1,823.57, plus ariy. additional `charges.incurred.on,your account since the date : F r,CuscornerCare Pay,by,.... a " "oF this billing statement.. if you would !"ike to receive.e- mail'alerts 1il3aa 2st3 3ia1 ,.nsoo 472` 9297 r t� about payrlients ;.speriding:or'fraiicJ' protection, "ou cari.si n u at � al m p . Y g. p �� $ee Page:2 for k amen cane Xpress lerts. .COfT1 a .r t �a7t�: >: '� L i =gig i dt • t�.' % : 0 •This statement is for only: 7tiis,is not.a•bill: `Please contact your•colledionsa enc . for' account 'information. "Disregard.the' ' 9. Y . Minimurrt'Paym`ent jiour account is ir1'default'and'the'balance is "due ' 'Please fold on the perforation below, detach and return with your payment + .._.........__......... -- ._.._........__._.._....._....._.__ .._..........._.....:;_ :....... ................ ...__............. .............. �© Peymer t Coupon " : Pay by Computer• Pay by Phori'e "Accotint; Ending 761001 Do'not staple or use.paperclip, ©a mericanexpress_com /pbc` ®,t 800 472:9297 • Enter account hurnber on all `documents.' Make check payable to American Express, ' � . � ' Il�llrllltllli�rlil��'�I'II�!I' 1111 I1�1�i,��lrl�li����!II�I�I "I'� • . . �; .: '' . � • ° g � 9i v '•!' MICHAELEMMEP a` ".� y!a' PO BO ^t ar Y Payment.Due;Datei`a g - X.1815 ° ARVADA CO �'t, -_ x s�1%187G4'2 C 0001 -1815, n g "�9xt;kty !r' fit, -tz r 4 r=,` :fry, Yr� ,� t :• ;c'NewtBalanc6M o " .'YMinlmum`•Pay'ment } `$387_ 91 . ° 11111{Illllll lol ` Illt l tlr�t�t�ttl�,llllllt . S Checkhere'ifyouraddressor '•AMERICAN EXPRESS • ' Amount .phohe.niimber has Changed, i?:O. BOX 65U448 ' • Enclosed changes on.reverse side. DALLAS TX 75265 -0448 " 00003499.91848037693 000 20 H DUPLICATE COPY Blue Cash Everyday' from American Express, p• 3/3 'C . MICHAEL EMMET Closing Date'12123/11 Account Ending 7 -61001 t.<:F,�•r:k '')... lf�'. f `4!�.r -, M1if. �ao l ,f� r t�. }` '� .''�i - tL - 1't � i S 1 1 -'' .H,'4• .f r ctrl- .: - ��.. - h x� R 3�� � , rl ti. s .+ �l i •r�r 5 "1 '•� t ' k ., 3 '� i\i�:c.��:��• tif.�.��y :�"�!� o,3.�t.. .�xwar.i k „n.. { « �;�r�'� iS: L r c F1�' > r +'3• Amount :Total Fees for this Period $0.00 e1t'' ,f Interest :Char i'l ..:.s.y.:r`Ii_rr �"'2- -�.,'i..`•ir:•'.y 3 �e., *i tF?' 1`t_t`�!�n•,^;ce.•'.. ;}: `''r``'�''� .• ,+y.. 3 5'�t iC+n - �.., r, - v�:5i •• �r o -t t�4" $ 3 f >, � h� Amount Total Interest Charged for this Period $0.00 c \ ; 1 h S.� .rj• Yf �- -yid � _ X201 <1�Fees andlnterest Totals Yealr Date��.��, _ 1�,�,�, Xiv Yi'�'!•..'�";, '.`.{:�'h FaL r { F,q - ,- •,� d _:i- y , s , i."r .n.S Amount, ?: Total Fee in 20 11 $84.09 Total Interest in 2011 M $3.23 7 ,r,7...Tl...,tt :s :Nr+ i'4tt%� 3•rrr. r n.1'.•' 1,A�:?'4c "1�Y"v j5 -' ,r °'viF; t' - r. t. �- 4r °' : iN. d r 'C: • •ask ^Interest Charge Calculatlon r Y lc 4 J j r lut+ (l }4 a � }).. .}•n• Z?r.�api',:' /' \ :��t t '{ �!: s '. FF. t�. et��?r�: �, x��' il._.��h_�:?'.;�'3.:,'tt!i;��? ��� .�:..�ti'k'tuv_z�{ yt }- Ti 7_:..:. r uL .: #�- yr.���'_R.�?. � �����,�'r�".,�. t:(�y. rv.L � �` Your Annual Percentage, Rate ( APR) is the an nual interest rate on your account. Annual Balance Subject Interest Percentage Rate to itterest Rate Charge Purchases — 17.2 4%(v) $0.00 -- $0.00 - Advan 2 524 % (v $0.00 S0_00 Introductory Rate (Promo Rate Expires 06 0.00% $0.00 $0.00_ Total. $0.00 m variable Rate . . The APR for this balance is a promotional rate and it will expire on the date shown. Any balance at a prombdonal.interest rate that has not been "paid in full by the expiration date will begin accruing interest at the APR applicable to Purchases (current'Purchases APR shown iit table above). o ' g w W .. m s - - 1i1 H O THE PRO € HOHO r fid 2013 JUL —5 PM 12: 57 CUMBERLAND COUN i r PENNSYLVANIA PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proof of service MUST BE FILED WITHIN TEN(10)DAYS AFTER filing of the notice of appeal. Check applicable boxes.) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ; ss AFFIDAVIT: I hereby(swear) (affirm)that I served ® a copy of the Notice of Appeal, Common Pleas No 13-3643 CIVIL, upon the Magisterial District Judge designated therein on (date of service) , 07/03, 2013, ❑ by personal service ® by(certified) (registered) mail, sender's receipt attached hereto, and upon the appellee, (name) MICHAEL EMMET, on 07/03, 2013, 0 by personal service ® by(certified) (registered) mail, sender's receipt attached hereto. S ORN (AFFIRMED)AND SUBSCRIBED BEFORE ME T I 3 RD DAY OF July,2013 1 E li / Si 3r'o cial before whom affidavit a de S.nature of affia t CO WEALTH ---- °°s s�'vv_ _ .a�7'a. _.i Notarial Seal Dyanne E.Rupp,Nary Public I City of Scranton,Lackawanna County My Commission Expires luly 2.U,7ri5 Title of official M ()/26 / 5 y commission expires on , 20 AOPC 312A-05 U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT r (Domestic Mail Only;No Insurance Coverage Provided) 0- N For delivery information visit our website at www.usps.como': ru D O Postage $ ..0 Certified Fee p Return Receipt Fee ■_ Postmark (Endorsement Required) Here O Restricted Delivery Fee (Endorsement Required) ru Total Postage&Fees $ ru Sent Toi t /(_2 CI or PO BoxrNo. 9 I St-6k i!51- I / City,State,ZIP+ p , ,+, I. , [ fI tG PS Form 3801 . . r r ti See Reverse for Instructions U.S. Postal Service,. CERTIFIED MAILTM RECEIPT 0 o (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.usps.como rU rR Postage $ Certified Fee ._ Postmark O Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) rl ru Total Postage&Fees nJ Sent To ru Street,Apt.No.; 2 r- or PO Box No. �-� J I yvl il f yr e k.J' f` r ld'+ v`'� I ``c {K City,State,ZIP-b4, M v r i „ I ;: ) 7 0 PS Form 3800,August 2006 See Reverse for Instructions IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA AMERICAN EXPRESS CENTURION BANK CIVIL ACTION Plaintiff '? MOD M C_— vs. n r-- NO: 13-3643 13-3643 CIVIL < ' MICHAEL EMMET p , Defendant w; CERTIFICATE OF SERVICE I, Michael F. Ratchford, Esquire, hereby certify that on July 5, 2013 the below named District Justice received and signed for the certified mail containing the Plaintiff's Notice of Appeal of the District Justice Judgment. District Court 09-1=02 Honorable Elizabeth Beckley District Justice 1901 State Street Camp Hill, PA 17011 Edwin A. Abrahamsen&Associates, P.C. B ichael F. Ratchford,fouire Attorney I.D.No.: 86 5 120 N Keyser Aven Scranton, PA 1850 (570) 558-5510 SECTION SENDER: COMPLETE THIS SECTION COMPLETE THIS ON • Complete items 1,2,and 3.Also complete ture 1 I item 4 if Restricted Delivery is desired. 11 Agent • Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. • ad printed a e D■ Attach this card to the back of the mailplece, or on the front if space permits. D. Is delivery address different m item 1? 11 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No of Co'u'A� 09— 1-�,2 I q 0 StLt k' S-. O 3. �Syvlce Type Mail ❑Express Mail Y ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Trans/er from service labeq ' 7012' 2 21`01 0 0 0 0 1 610 0'..;2 7 ' � . . 9 4i_ I: PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i � ; • .!It ria 11•;14:1 AMERICAN EXPRESS • CENTURION BANK : In the Court of Common Pleas of : CUMBERLAND County,Pennsylvania Plaintiff : Civil Division • vs. : NO: 13-3643 CIVIL • MICHAEL EMMET : Praecipe to Withdraw Civil Complaint • Defendant : • — • t-y • 7,-- • I%) • • • C"."‘ ir,$) • PRAECIPE TO WITHDRAW To the Prothonotary of CUMBERLAND County Pennsylvania: Please enter the above Praecipe to Withdraw the Civil Complaint. Thank you, 1 f Michae F. Ratch .rd squire Edwin A. Abra .msen&Associates, P.C. Lawyer ID # 8285 120 N. Keys, Avenue Scranton, P• 18504