EFTA00523962.pdf
dataset_9 pdf 1.2 MB • Feb 3, 2026 • 16 pages
Premier Rewards Gold Card p. 1.16
11 .O8 11M/ 8111 Account Ending 3-42008
Membership Rewards Points
New Balance $43,083.08 As of 09/08/11
658,322
Please Pay By 09/23/11 rm For details, pleasesee your
-, Membership Rewards page.
Account Summary
PJ See page 2 for imponant information about your account. Pay In FullPortion
Previous Balance S26,257.03
Your payment of $43,083.08 will be debited from your account
O Payments/Credits -$27,571.42
on 09/23/11. Any inquiry to American Express concerning this debit
New Charges , $44,055.79
should be made before 09/22/11. If your AutoPay payment is less than
Fees O341.68
your New Balance, we must receive an additional payment for at least
New Balance • S43,083.08
the difference by your next Closing Date.
Pay Over Time Portion
Previous Balance 50.00
5 YEARS. 5 AWARDS. Payments/Credits 40.00
That you to our Carknembers New Charges +$0.00
for rating us"Highest in Customer Fees +$0.00
Satisfaction with Credit Cad Interest Charged 440.00
Companies" for the New Balance me $0.00
P consecufive year. Minimum Due $0.00
AccountTotal
O 15,000 Bonus Points are almost yours!
Spend $30,000 this year to qualify. Previous Balance $26,257.03
Payments/Credits 427,571.42
New Charges 4444,055.79
Fees 44341.68
Interest Charged 440.00
New Balance $43,083.08
Daysin Billing Period: 30
Customer Care
Pay by Computer
americanexpress.com/pbc
Customer Care Pa Phone
O See page 2 for additionalInformation.
121Payment Coupon Pay by Computer Pi irU e Account Ending 3.42008
Do not staple or use paper clips americanexpress.com/pbc 1
Enter account number on all documents.
Make check payableto American Express.
Please Pay By
09/23/11
NEW YORK NY 10065-6218
AutoPay Amount
$43,083.08
AMERICAN EXPRESS
P.O. BOX 1270
n Check here if your address or
phone number has changed. NEWARK NJ 07101-1270
Note changes on reverse side.
IIIIIIIIIIIIIIIIII
0000349991648075752 004308308004308308 05 rl
EFTA00523962
Account Ending 3-42008 p. 2116
Payments: Your payment must be sent to the payment address shown on your statement and must be received by 5 p.m. local time at that addressto
be credited as of the day it is received. Payments we receive after 5 p.m. will not be credited to your Account until the next day. Paymentsmust also:
(1) include the remittance coupon from your statement; (2) be made with a single check drawn on a US bank and payable in US dollars, or with a
negotiable instrument payable in US dollars and clearablethrough the US banking system; and (3) Include your Account number. If your payment does
not meet all of the above requirements, crediting may be delayed and you may Incur late payment fees and additional interest charges. Electronic
payments must be made through an electronic payment method payable in US dollars and clearablethrough the US banking system. If we accept
payment in a foreign currency, we will convert it Into US dollars at a conversion rate that is acceptable to us, unless a particular rate is required by law.
Please do not send post-dated checks as they will be deposited upon receipt_ Any restrictive language on a payment we accept will have no effect on
us without our express prior written approval. We will represent to your financialinstitution any payment that is retumed unpaid.
Permission for Electronic Withdrawal: (1) When you send a check for payment, you give us permission to electronically withdraw your payment from
your deposit or other asset account We will process checks electronically by transmitting the amount of the check, routing number, account number
and check serial number to your financial institution, unless the check is not processable electronkally Of a less costly process is available. When we
process your check electronically, your payment may be withdrawn from your deposit or other asset account as soon as the same day we receive your
check, and you will not receive that cancelled check with your financial account statement if we cannot collect the funds electrooically we may issuea
draft against your deposit or other asset account for the amount of the check. (2) By using Pay By Computer, Pay By Phoneor any other electronic
payment service of ours, you give us permission to electronically withdraw funds from the deposit or other asset account you specify in the amount you
request. Payments using such services of oursreceived after 8:00 p.m. MST may not be credited until the next day.
Now We Cakulate Your Balance: We use the Average Daily Balance (ADB) method (including new transactions)to cakulate the balance on which we
charge interest for Pay Over Time balances on your Account. Call the Customer Service number listed below for more information about this balance
computation method and how resulting interest chargesare determined. The method we use to figurethe ADS andInterest resultsin doily
compoundingotinterest.
PayingInterest: If you have a Pay Over Time balance, your due date is at least 25 days after the close of each billing period. We will not charge you
interest on charges added automatically to a Pay Over Time balance,or to charges that were added to a PayOver Time balance at your request in prior
billing periods, if you pay the Account Total New Balance by the next Closing Date.
Foreign CurrencyCharges: If you make a Charge in a foreign currency, we will convert it into US dollars on the date we or our agents process it
We will charge a fee of 2.7% of the converted US dollaramount. We will choose a conversion rate that is acceptable to us for that date, unless a
particular rate is required by law. The conversion rate we use is no more than the highest official rate published by a government agency or the highest
interbank rate we identify from customary banking sources on the conversion date or the prior business day. This rate may differ from rates in effect on
the date of your charge. Charges convened by establishments will be billed at the rates such establishments use.
Credit Balance: A credit balance(designated CR) shown on this statement represents money owed to you.If within the six•month period following the
date of the first statement indicating the credit balance you do not request a refund or charge enough to use up the credit balance, we will send you a
check for the credit balance within 30 days if the amount is 51.00 or more.
Credit Reporting: We may report information about your Account to credit bureaus. Late payments, missed payments,or other defaultson your
Account may be reflected in your credit report.
New York residents may contact the New York Banking Department to obtain a comparative listing of credit card rates, fees and grace periods by
calling 1
Customer Care & Billing Inquiries 1 HearingImpaired Website: americanexpress.com
InternationalCollect 1 TTY: Mobile Site: amexmobile.com
Large Print & Braille Statements 1. FAX:
Lost or Stolen Card 1 InNY: Customer Care
Express Cash 1-800.CASH-NOW & Billing Inquiries Payments
P.O. BOX 981535 P.O. BOX 1270
EL PASO, TX NEWARK NJ
79998-1535 07101.1270
Changeof Address
If coned on front, do not use. Pay Your Bill with AutoPay
• To change your address online, visit www.americanexpressxom/updatecontactinfo
• Far Name, Company Name, and Foreign Address or Phone changes, please call Customer Care. • Avoid late fees
• Please /mint dearly In blue or black ink only In the boxes provided. • Save time
Deduct your payment from your bank
Street Address account automatically each month
Visit amerkanexpress.comMutopay
City, State today to enroll.
Zip Code
Area Code and
Horror Phone
Area Code and For Information on how we protect your
Iliork Phone
privacy and to set your COnlMunkadOO
Email and privacy choices. please visit
www.amedcanexpress.com/privacy.
EFTA00523963
Premier Rewards Gold Card p. 116
EXPRL
nci Date a,08/11 Account Ending 3-42008
Payments and Credits
Summary
Pay In Full Pay Over Time • Total
Payments 419,094.23 $0.00 419.094.23
Credits
342008 $0.00 $0.00 50.00
343014 •$8,477.19 $0.00 •$8,477.19
Total Paymentsand Credits -$27,571.42 SOHO 427,571.42
Detail 'indicates posting date
Payments Amount
08/24/11° AUTOPAY PAYMENT RECEIVED- THANK YOU -$19,094.23
JPMORGAN CHASE BANK, NA
Credits Amount
08/09/11 ORBITZ MANKATO MN 47,162.80
EMIRATES AIRLINES
From: To: Cartier: Class:
DUBAI PARIS CHARLES DE G EK
WA YY 00
WA YY 00
WA YY 00
Ticket Number: 17686988515615 Date of Departure:08/11
Passenger Name: EPSTEIWJEFFREY
Document Type: SUPPORTED REFUND
08/22/11 ORBITZ MANKATO MN -$319.30
AMERICAN AIRLINES INC
From: To: Carrier: Class:
MIAMI INTERNATIONA ST THOMAS CYRIL E AA M
WA YY 00
WA YY 00
N/A YY 00
Ticket Numbe Date of Departure:08/24
PassengerName:
Document Type: SUPPORTED REFUND
08/27/11 SEARS ROEBUCK 9301 3W DES MOINES IA •$63219
8472861940
Quantity Description Price
2 GENERAL MERCHANDISE $74.72
2 GENERAL MERCHANDISE $500.04
1 GENERAL MERCHANDISE $5.99
08/30/11 ONE KINGS LN•OKL CA -$193.80
DIRECT MKTG MISC
09/07/11 CAPE AIR 3061412 HYARR MA 4169.00
CAPE AIR
From: To: Carrier: Class:
N/A WA 1^? 00
WA 1^? 00
WA 1^? 00
WA YY 00
Ticket Number: Date of Departure:09/07
Passenger Name:
Document Type: PASSENGER TICKET
Continued on reverse
EFTA00523964
Account Ending 342008 p. 4/18
New Charges
Summary
PayIn Full Pay Over Time • Total
343014 $44,055.79 $0.00 $44,055.79
Total New Changes $44,055.79 $0.00 $44,055.79
Detail
n23.43014
Foreign
Spend Amount
08/09/11 ORBITZ MANKATO MN $7,162.80
EMIRATES AIRLINES
From: To: Carrier. Class:
DUBAI PARIS CHARLES DE G EK
N/A ry 00
N/A YY 00
N/A YY 00
Ticket Number: 17686988515615 Date of Departure: 08/11
Passenger Name: EPSTEIWJEFFREY
Document Type: PASSENGER TICKET
08/10/11 WILUAMS-SONOMA E-COHOME FURNISH $144.90
3205971300000000010065
08/10/11 ONE AND ONLY PALM DUDUBAI 200.00 $54.45
United Arab Emlrat
LODGING Dlrhams
RECP1-0NE&ONLY P
08/10/11 ONE AND ONLY PALM DUDUBAI 34,944.00 $9,487.04
United Nab Emlrat
LODGING Dictums
RECP1-0NE&ONLY P
08/10/11 EMIRATES TOWERS HOTEDUBAI 24.00 $6.53
United Arab ErnIrat
LODGING Dictums
EMIRATES TOWER H
08/10/11 EMIRATES TOWERS HOTEDUBAI 120.00 $32.67
United Arab Emlrat
LODGING DIthams
EMIRATES TOWER H
08/11/11 VELIB INTERNET PLAISIR CEDEX YV 39,00 $55.66
European Union
0130794634 Euro
08/11/11 W1WAMS-SONOMA E•COHOME FURNISH $210.22
3205971300000000010065
08/12/11 ORBITZ MANKATO MN $2,360.30
AMERICAN AIRLINES INC
From: To: Carrier. Class:
N.Y. JF KENNEDY I PARIS CHARLES DEG AA
N.Y. J F KENNEDY I AA
N/A ry 00
N/A yy 00
Ticket Number: 00186990879482 Date of Departure:08/13
Passenger Name-
Document Type: PASSENGER TICKET
Continued on next page
EFTA00523965
16i .CAN Premier Rewards Gold Card p. 16
ISO.RESS
!osing Date 0 9 / 08 11 Account Ending 3-42008
Detail Continued
Foreign
Spend Amount
08/12/11 ORBITZ MANKATO MN $215.00
AIR FRANCE
From: To: Carrier. Class:
NICE PARIS ORLY APT AF N
NICE AF N
N/A YY 00
N/A YY 00
Ticket Number: Date of Departure:08/13
Passenger Nam
Document Type:
08/12/11 CHAINE D ENCRE PARIS PA 152.00 $216.95
European Union
0142844157 Euro
08/12/11 ORBITZ.COM CHICAGO IL $10.99
ORrAP1101010SDZ3SJR
ROC No.177076354
08/12/11 VELIB INTERNET PLAISIR CEDEX W 39.00 $55.66
European Union
0130794634 Euro
08/12/11 AMAZON.COM AMZN.COMMILL WA $130.20
MERCHANDISE
08/13/11 YAHOO SPORTS CA $44.95
SERVICE
08/13/11 SISAL RUGS DIRECT 02CHASKA MN $470.00
9524489602
Description Price
FLOOR COWRING STOR $470.00
08/13/11 LA SOCIETE PARIS PA 278.00 $396.79
European Union
676414690 Euro
08/13/11 EARNESTSEWN.COM 8777331489 MD $800.00
Description
WOMEN'S CLOTHI
08/13/11 L'AIAON INT WISSOUS 1.646,67 $2,350.29
European Union
AIRLINE/AIR CARRIER Euro
79UCHG
08/13/11 FABRK.COM GA $1,229.76
MERCHANDISE
08/14/11 ORBITZ MANKATO MN $381.30
AMERICAN AIRLINES INC
From: To: Carrier. Class:
N.Y. _I F KENNEDY I ST THOMAS CYRIL E AA
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number Date of Departure: 08/17
Passenger Name:
Document Type: PASSENGER TICKET
Continued on reverse
EFTA00523966
Account Ending 3-42008 p. 616
Detail Continued
Foreign
Spend Amount
08/15/11 ORBITZ MANKATO MN $609.30
AMERICAN AIRLINES INC
From: To: Carrier: Class:
ST THOMAS CYRIL E MIAMI INTERNATIONA AA
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number Date of Departure: 08/18
Passenger Name:
Document Type: PASSENGER TICKET
08/15/11 NYC TAXI MED 6891 09BROOKLYN NY $6.00
08/15/11 NYC TAXI MED 71.63 09BROOKLYN NY $552
08/15/11 ALL TAXI MANAGEMENT LONG ISLAND CITY NY $9.30
Description
TAXI: 5M29
143418E65StN
14:45 168 E 54 St
08/15/11 SUFI MANAGEMENT INC MASPETH NY $5.20
TAXICAB & LIMOUSINE
Description
TAXI: 7H70
0908110th St New
09:11 106th St New
08/16/11 NYC TAXI MED 2F56 09ASTORIA NY $6.00
08/16/11 NYC TAXI MED 7O38 09WHITESTONE NY $13.20
08/16/11 NYC TAXI MED 2F10 09W0ODSIDE NY $8.64
08/16/11 AMAZON MKTPLACE PMTSAMZN.COWBILL WA $646.49
MERCHANDISE
08/16/11 RESTORATION HARDWARECOIITE MADERA CA $1,499.10
08/16/11 RESTORATION HARDWARECORTE MADERA CA $951.90
08/16/11 EXECUTWE OWNERS HOLLONG ISLAND CITY NY $6.90
TAXICAB & LIMOUSINE
Description
TAXI: 2M10
09:03 1216 1 Ave N
09:08
08/16/11 NYC•TAXI VERIFONE NYLONG ISLAND CITY NY $7.30
Description
TAXI: 4A41
1033
1038
Continued on next page
EFTA00523967
llW.I Premier Rewards Gold Card p. 7:16
/hi
EXPRESS
osing Date 09108!11 Account Ending 3-42008
Detail Continued
Foreign
Spend Amount
08/17/11 AA MISC SALE/ TAX/ FDALLAS TX 525.00
AMERICAN AIRLINES
From: To: Carrier. Class:
N/A N/A YY 00
N/A 00
N/A 00
N/A 00
Ticket Number: Date of Departure: 08/17
Passenger Name:
Document Type: MISCELLANEOUS TAX(S)/FEE(S)
08/17/11 AA AIR TICKET SALE 4DALLAS TX 5220.00
AMERICAN AIRLINES
From: To: Carrier. Class:
ST THOMAS CYRIL E MIAMI INTERNATIONA AA D
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number: Date of Departure:08/18
PassengerNamea
Document Type: PASSENGER TICKET
08/17/11 AA MISC SALE/ TAX/ FKENNEDY AIRPORT NY $25.00
AMERICAN AIRLINES
From: To: Carrier. Class:
N/A N/A YY 00
N/A YY 00
N/A 00
00
Ticket Number: Date of Departure:08/17
Passenger Nam
Document Type: EXCESS BAGGAGE
08/17/11 NYC TAXI MED 2U32 09LONG ISLAND C NY 511.50
08/18/11 SIRIUSXM.COM/ACCT NY 512.95
SAT RADIO
08/19/11 ROOTS DIRECT TX 5196.23
08/22/11 ORBITZ MANKATO MN 5319.30
AMERICAN AIRLINES INC
From: To: Carrier. Class:
MIAMI INTERNATIONA ST THOMAS CYRIL E AA M
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Numbe Date of Departure:08/24
PassengerNarta
Document Type: PASSENGER TICKET
Continued on reverse
EFTA00523968
Account Ending 3-42008 p. 8:16
Detail Continued
Foreign
Spend Amount
08/22/11 ORBITZ MANKATO MN $338.70
JETBLUE AIRWAYS
From: To: Carrier. Class:
PALM BEACH INTERNA N.Y. J F KENNEDY I B6
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number Date of Departure: 08/24
Passenger Name:
Document Type: PASSENGER TICKET
08/22/11 APPLE STORE 74 BOCA RATON FL $211.95
COMPUTER STORE
08/23/11 ALLUMINARE LIGHTINGATLANTA GA $223.00
CATALOG MERCHANDISE
08/24/11 ONE KINGS LN*773180 CA $211.16
HOME DECOR
08/24/11 ONE KINGS LN*770989 CA $92.95
HOME DECOR
08/25/11 NYC TAXI MED91.72 09ASTORIA NY $4.56
08/25/11 La Malson Du Chocolal l $119.22
66890 10075
CHOCOLATE PIECE
COFFRET CM2 ASST CHOCOLATS 310
COROLLAS SACHET 100 G 2009
08/25/11 MONTHLY PARKING TN 5452.00
PARKING
08/25/11 CANDLE CAFE 0036 NEW YORK NY $41.20
Description
FOOD/BEVERAGE
08/25/11 CLARITY LIGHTING INC212.288.9345 $544.38
08/25/11 FRONTGATE CATALOG HOUSEHOLD IT $71.50
W17988610101 10065
08/26/11 ORBITZ MANKATO MN $283.70
DELTA AIR LINES INC.
From: To: Carrier. Class:
NEW YORK LA GUARD! PALM BEACH INTERNA DL
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number Date of Departure: 08/26
Passenger Name:
Document Type: PASSENGER TICKET
Continued on next page
EFTA00523969
Premier Rewards Gold Card p. 916
tlt. , r/ 08,11 Account Ending 3-42008
( Detail Continued
j
Foreign
Spend Amount
08/26/11 ORBITZ MANKATO MN $213.30
DELTA AIR ONES INC.
From: To: Carrier. Class:
N.Y. J F KENNEDY I ST THOMAS CYRIL E DL
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number: Date of Departure:09/03
PassengerNamen
Document Type: PASSENGER TICKET
08/26/11 ORBITZ MANKATO MN $213.30
DELTA AIR LINES INC.
From: To: Carrier. Class:
N.Y.1 F KENNEDY I ST THOMAS CYRIL E DL T
N/A ry 00
N/A w 00
N/A ry 00
Ticket Number: Date of Departure:09/03
PassengerName
Document Type: PASSENGER TICKET
08/26/11 ORBITZ MANKATO MN S463.70
JETBLUE AIRWAYS
From: To: Carrier: Class:
N.Y. J F KENNEDY I PALM BEACH INTERNA 86 E
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number: Date of Departure:08/27
PassengerName
Document Type: PASSENGER TICKET
08/26/11 ORBITZ MANKATO MN S674.70
CONTINENTAL AIRLINES
From: To: Carrier: Class:
PALM BEACH INTERNA N.Y. NEWARK INTL A CO 2
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number: Date of Departure:08/29
Passenger Name: a
Document Type: PASSENGER TICKET
08/26/11 WIWAMS•SONOMA E•COHOME FURNISH S119.64
3205971300000000010065
08/26/11 PRET A MANGER 80220NEW YORK NY $15.18
Description
FAST FOOD REST
08/26/11 ALL TAXI MANAGEMENT LONG ISLAND CITY NY $5.60
Description
TAXI: 6D23
10:11 1101 3 Ave N
10:1521 E72 St N
Continued on reverse
EFTA00523970
Account Ending 3-42008 p. 10/16
Detail Continued
Foreign
Spend Amount
08/26/11 LISPS 359614001801391NEW YORK NY $8.95
08/26/11 GOGO/UR.COM IL $9.95
INTERNET ACC
08/26/11 DUGGAL VISUAL SOLUTI212-9243100 $245.13
08/27/11 DELTA AIRLINES ATLANTA $25.00
DELTA AIR LINES
From: To: Carnet: Class:
N/A N/A YY 00
N/A YY 00
N/A YY 00
N/A YY 00
Ticket Number Date of Departure: 12/31
PassengerName:
Document Type: EXCESS BAGGAGE
08/28/11 MAINSTREET NEWS INC $70.03
08/29/11 ONE KINGS LN*770989 CA $108.42
HOME DECOR
08/30/11 NYC TAXI MED 5P51 09LONG ISLAND C NY $8.88
08/30/11 NYC TAXI MED 7Y17 09LONG ISLAND C NY $5.04
08/30/11 PRET A MANGER #16 OONEW YORK NY $10.87
2122073725
08/30/11 AQUA SUPERCENTER AQUSARASOTA FL $552.93
08/30/11 JONAINANADLER.COM S1LONG ISLAND Cff NY $475.36
3476104311
Description Price
HOME FURNISHING $475.36
08/30/11 MTA MVM•SPRING ST & NY $20.00
08/31/11 LL BEAN 100 DIRECT FREEPORT ME $659.68
CATALOG MERCHANDISE
Description Price
WAIL MODEL RAIN CO $79.00
TRAIL MODEL RAIN CO $79.00
TRAIL MODEL RAIN CO $79.00
TRAIL MODEL RAIN CO $79.00
08/31/11 LEX SOUPS LLC 542929NEW YORK NY $14.84
2122552400
FOOD/BEVERAGE $14.84
08/31/11 CUDDLEOOVVN CATALOG ME $1,867.95
BEDDING/HOME
08/31/11 ABC BROADLOOM #201 ONEW YORK NY $1,370.00
Description
FLOOR COVERING
09/01/11 AMAZON MKTPLACE PMTSAMZN.COWBILL WA $83.50
MERCHANDISE
Continued on next page
EFTA00523971
ht i m
ICAN Premier Rewards Gold Card p. 11:16
EXPRESS
1.088 1• 110811 Account Ending 3-42008
Detail Continued
Foreign
Spend Amount
09/01/11 NYC TAXI MED 8V55 098ROOKLYN NY $6.96
09/01/11 PRET A MANGER #016 ONEW YORK NY $15.54
Description
FAST FOOD REST
09/01/11 NOBILIS INC 6108668320 PA $652.00
6108668320
09/01/11 PAPYRUS 82298 030002MANHAlTAN NY $34.08
2162527300
Description
REFER TO RECEIPT
09/01/11 DR THOMAS.' MAGNANI NEW YORK NY $220.00
DENTIST/ORTHODONTIST
09/01/11 STAPLES 05322 NEW YORK NY $31.01
09/01/11 ONE KINGS LIC785886 CA $192.21
HOME DECOR
09/01/11 ONE KINGS LN•785803 CA $165.51
HOME DECOR
09/02/11 ORBITZ MANKATO MN $119.70
JETBLUE AIRWAYS
From: To: Carrier. Class:
PALM BEACH INTERNA N.Y. J F KENNEDY I B6 0
N/A YY 00
N/A 00
N/A 00
Ticket Numberr Date of Departure:09/18
Passenger Na
Document Type: PASSENGER TICKET
09/02/11 ORBITZ MANKATO MN $1,093.80
AIR FRANCE
From: To: Carrier. Class:
PARIS CHARLES DE G N.Y. J F KENNEDY I AF
PARIS CHARLES DEG AF
N/A
Entities
0 total entities mentioned
No entities found in this document
Document Metadata
- Document ID
- 285c6c0d-6231-438a-aecc-f607b9877452
- Storage Key
- dataset_9/EFTA00523962.pdf
- Content Hash
- b29cd1cae85cd3db828518a0b7f93ed7
- Created
- Feb 3, 2026