Blue from American Expressª p.

1/9

JOSE LUIS JIMENEZ

Closing Date 01/18/13 Account Ending 5-11005

Membership Rewards® Points

New Balance $886.56 Available and Pending as of 12/31/12
Minimum Payment Due $35.00 24,622
For up to date point balance and full program
details, visit membershiprewards.com
Payment Due Date 02/12/13 Account Summary
Late Payment Warning: If we do not receive your Minimum Payment Due by Previous Balance $1,776.59
the Payment Due Date listed above, you may have to pay a late fee of up to Payments/Credits -$1,776.59
$35.00 and your Purchase APR may be increased to the Penalty APR of 27.24%. New Charges +$884.68
Fees +$1.88
Interest Charged +$0.00

Minimum Payment Warning: If you make only the minimum payment each period, New Balance $886.56
you will pay more in interest and it will take you longer to pay off your balance. For Minimum Payment Due $35.00
example:
Credit Limit $10,700.00
If you make no additional You will pay off the balance And you will pay an Available Credit $9,813.44
charges and each month you shown on this statement in estimated total of...
pay... about... Cash Advance Limit $2,200.00
Available Cash $2,200.00
Only the Days in Billing Period: 31
Minimum Payment Due 3 years 1,077

If you would like information about credit counseling services, call 1-888-733-4139. Customer Care

See page 2 for important information about your account. Pay by Computer
americanexpress.com/pbc

See Page 7 for an Important Notice About Your Fair Credit Customer Care Pay by Phone
Reporting Act Rights 1-888-258-3741 1-800-472-9297

See Page 2 for additional information

Please fold on the perforation below, detach and return with your payment

Payment Coupon Pay by Computer Pay by Phone Account Ending 5-11005

Do not staple or use paper clips americanexpress.com/pbc 1-800-472-9297
Enter account number on all documents.
Make check payable to American Express.

JOSE LUIS JIMENEZ

800 W 1ST ST Payment Due Date
APT 1601 02/12/13
LOS ANGELES CA 90012-2480 New Balance
$886.56
Minimum Payment Due
$35.00

AMERICAN EXPRESS $
Check here if your address or
BOX 0001
LOS ANGELES CA 90096-8000 Amount Enclosed
phone number has changed.
Note changes on reverse side.
 JOSE LUIS JIMENEZ Account Ending 5-11005 p. 2/9

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 address to
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. Payments must 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 clearable through 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 clearable through 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 re-present to your financial institution any payment that is returned 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 electronically or 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 deposit or other asset account statement. If we cannot collect the funds electronically
we may issue a draft against your deposit or other asset account for the amount of the check. (2) By using Pay By Computer, Pay By Phone or 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 ours received after 8:00 p.m. MST may not be credited until the next day.
How We Calculate Your Balance: We use the Average Daily Balance (ADB) method (including new transactions) to calculate the balance on which we
charge interest on your Account. Call the Customer Service number listed below for more information about this balance computation method and
how resulting interest charges are determined. The method we use to figure the ADB and interest results in dailycompoundingof interest.
Paying Interest: Your due date is at least 25 days after the close of each billing period. We will not charge you interest on your purchases if you pay the
New Balance by the due date each month. We will charge you interest on cash advances and (unless otherwise disclosed) balance transfers beginning
on the transaction date.
Foreign Currency Charges: 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 dollar amount. 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 converted by establishments (such as airlines) 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 $1.00 or more.

Credit Reporting: We may report information about your Account to credit bureaus. Late payments, missed payments, or other defaults on your
Account may be reflected in your credit report.

Customer Care & Billing Inquiries 1-888-BLUE-741 Hearing Impaired Website: americanexpress.com
1-888-258-3741 TTY: 1-800-221-9950 Mobile Site: amexmobile.com
InternationalCollect 1-336-393-1111 FAX: 1-800-695-9090
Large Print & Braille Statements 1-888-BLUE-741 In NY: 1-800-522-1897 Customer Care
1-888-258-3741 & Billing Inquiries Payments
Express Cash 1-800-CASH-NOW P.O. BOX 981535 BOX 0001
EL PASO, TX LOS ANGELES CA
79998-1535 90096-8000

Change of Address
If correct on front, do not use.
Pay Your Bill with AutoPay
To change your address online, visit www.americanexpress.com/updatecontactinfo
For Name, Company Name, and Foreign Address or Phone changes, please call Customer Care. · Avoid late fees
Please print clearly 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 americanexpress.com/autopay
City, State today to enroll.

Zip Code

Area Code and

Home Phone
Area Code and
Work Phone For information on how we protect your
privacy and to set your communication
Email and privacy choices, please visit
www.americanexpress.com/privacy.
 Blue from American Expressª p. 3/9

JOSE LUIS JIMENEZ

Closing Date 01/18/13 Account Ending 5-11005

Payments and Credits

Summary

Total
Payments -$1,776.59
Credits $0.00
Total Payments and Credits -$1,776.59

Detail *Indicates posting date

Payments Amount
01/11/13* ONLINE PAYMENT - THANK YOU -$1,776.59

New Charges
Summary
Total
Total New Charges $884.68

Detail
JOSE LUISJIMENEZ
Card Ending 5-11005
Foreign
Spend Amount
12/18/12 USPS CHANGE OF100959MEMPHIS TN $1.00
800-2383150
12/18/12 COSTCO GAS #0428 000ALHAMBRA CA $59.00
4087301892
12/18/12 USPS 054517957003511LOS ANGELES CA $4.50
800-2758777
12/18/12 SAFEWAY STORE 2152PASADENA CA $2.16
GROCERY STORE
12/18/12 EL POLLO LOCO RESTAUALHAMBRA CA $7.60
6262899882
Description
RESTAURANT CHARGES
12/19/12 USPS 054517957003511LOS ANGELES CA $1.35
800-2758777
12/20/12 SUBWAY 449694PASADENA CA $4.62
626-5859999
12/21/12 WENDYS-WOLV #0125 00LAS VEGAS NV $7.34
6142940631
Description
RESTAURANT CHARGES
12/21/12 HERTZ CAR RENTAL LOS ANGELES CA $94.41
Location Date
Rental: LOS ANGELES CA 12/12/21
Return: LAS VEGAS NV 12/12/21
Agreement Number: 195083560
Renter Name: JIMENEZ /JOSE
12/21/12 SHELL OIL 5744153240BARSTOW CA $36.00
AUTO FUEL DISPENSER

Continued on reverse
 JOSE LUIS JIMENEZ Account Ending 5-11005 p. 4/9

Detail Continued
Foreign
Spend Amount

12/23/12 EDDIE BAUER - KENWOOCINCINNATI OH $25.50

FAMILY CLOTHING
12/23/12 DOD CAMERA # 109 042CINCINNATI OH $17.03
513-791-3333
Description
CAMERAS/ACC
12/23/12 KROGER #402 000000408666111979 $37.63
8666111979
GROCERY STORES
12/23/12 APPLE STORE 28 CINCINNATI OH $42.55
COMPUTER STORE
12/23/12 KROGER #402 000000408666111979 $13.69
8666111979
GROCERY STORES
12/23/12 EDDIE BAUER - KENWOOCINCINNATI OH $44.70
FAMILY CLOTHING
12/24/12 GRAETERS13 000000013CINCINNATI OH $5.84
5137213323
Description
RESTAURANT CHARGES
12/24/12 MITCHELLS SALON AND CINCINNATI OH $40.00
BEAUTY/BARBER SHOP
12/26/12 UNIONSTATIONFLYAWAY LOSANGELES CA $7.00
4155551212
12/26/12 RUBIO'S PASADENA #10PASADENA CA $8.68
6264493013
12/27/12 REDBOX DVD RENTAL 866-733-2693 IL $2.56
DVD RENTAL
12/28/12 BJS RESTAURANTS 458 BAKERSFIELD CA $46.00
RESTAURANT
FOOD/BEVERAGE $40.97
TIP $5.03
12/28/12 COSTCO GAS #0643 000BAKERSFIELD CA $22.00
6613984750
12/29/12 VALLARTA SUPERMARK 5BAKERFIELD CA $2.39
8188386953
Description Price
GROCERY STORES, SUP $2.39
12/29/12 VALLARTA SUPERMARK 5BAKERSFIELD CA $26.70
6613974490
Description Price
GROCERY STORES, SUP $26.70
12/29/12 WORLD MKT 001719BAKERSFIELD CA $37.58
661-5871620
12/29/12 ORIGINAL RDHSE GRILLBAKERSFIELD CA $31.00
661-587-8039
FOOD $26.23
TIP $4.77
12/30/12 PANERA BREAD #1364 0BAKERSFIELD CA $6.09
6616630355

Continued on next page

 Blue from American Expressª p. 5/9

JOSE LUIS JIMENEZ

Closing Date 01/18/13 Account Ending 5-11005

Detail Continued
Foreign
Spend Amount

12/31/12 VINCES DELI 0289 PASADENA CA $8.14

626-792-7149
Description
FOOD/BEVERAGE
01/02/13 FRESH & EASY #1003 0LOS ANGELES CA $47.73
3232551113
01/02/13 TVM-CIVIC CENTER TOMLOS ANGELES CA $75.00
213-922-4143
01/02/13 BURGER KING #9683 00PASADENA CA $6.08
623-405-9166
Description
FAST FOOD RESTAURAN
01/03/13 REDBOX DVD RENTAL 866-733-2693 IL $2.61
DVD RENTAL
01/03/13 ExpPay WHOLEFDS ARR 6262042266 $5.45
6262042266
GROCERY STORES
01/08/13 DONA ROSA BAKERY ANDPASADENA CA $5.01
6264409905
01/09/13 ExpPay WHOLEFDS ARR 6262042266 $6.59
6262042266
GROCERY STORES
01/10/13 VINCES DELI 0289 PASADENA CA $6.77
626-792-7149
Description
FOOD/BEVERAGE
01/10/13 ExpPay WALGREENS #12LOS ANGELES CA $1.73
8002892273
Description
REFER TO RECEIPT
EL TALLER BAJA MED CTIJUANA BC 880.00
01/12/13 Mexican Pesos $69.65
AVE RIO YAQUI 9916 REVOL
SU CONSUMO
01/13/13 ISLANDS REST 029 CARLSBAD CA $15.00
100500092 92009

Fees
**Foreign Transaction Fee is 2.7% of the converted US dollar amount
of the foreign currency charge. See Foreign Currency Charges on page 2. Amount
01/12/13 FOREIGN TRANSACTION FEE** $1.88
EL TALLER BAJA MED COCINA
$69.65

Total Fees for this Period $1.88

Continued on reverse
 JOSE LUIS JIMENEZ Account Ending 5-11005 p. 6/9

Interest Charged

Amount

Total Interest Charged for this Period $0.00

2013 Fees and Interest Totals Year-to-Date

Amount
Total Fees in 2013 $1.88
Total Interest in 2013 $0.00

Interest Charge Calculation

Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual Balance Subject Interest
Percentage Rate to Interest Rate Charge

Purchases 15.24% (v) $0.00 $0.00

Cash Advances 25.24% (v) $0.00 $0.00

Total $0.00
(v) Variable Rate
Blue from American Expressª p. 7/9

JOSE LUIS JIMENEZ

Closing Date 01/18/13 Account Ending 5-11005
JOSE LUIS JIMENEZ Account Ending 5-11005 p. 8/9
 Membership Rewards® p. 9/9
Monthly Statement and Program News

Prepared for JOSE LUIS JIMENEZ Account Number 1M31883997

Questions About Your Account?
Total Points Balance 24,622 membershiprewards.com

1-800-AXP-EARN(297-3276)
Points Earned this Period 1,760 InternationalCollect: 305-816-2799

Did You Know?

Account Summary December 1, 2012 - December 31, 2012
Use Points For Everyday Charges
Opening Points Balance 32,262 Use your Card for everyday purchases like
groceries, gas, phone bills and more, then go
Points Earned this Period +1,760 online and use the points you earned to cover
those charges. Learn more at
Points Used this Period -9,400 membershiprewards.com/everydaycharges

Reinstated Points and Adjustments 0

Total Points Balance 24,622

Points Earned this Period are pendinguntil charges are paid in full and all your
accounts are in good standing.

Points Transaction Detail December 1, 2012 - December 31, 2012

Points Earned this Period Points Activity On Bonus Points Total Points
Eligible Charges Awarded Activity Per Card
Blue 1,760 0 1,760
XXXX-XXXXX5-11005
Total 1,760 0 1,760

Points Used this Period Total Points Used Request

This Period Date
Total 9,400

Membership Rewards points earned may be transferred or redeemed as long as all enrolled Card accounts are in good standing. Points transferred or
redeemed cannot be reversed back into the program. Forfeited points can be reinstated for a fee by calling the number provided below or visiting
membershiprewards.com. Terms and Conditions of the Membership Rewards Express® program apply. For more information, visit
membershiprewards.com/termsor call 1-800-AXP-EARN (297-3276). From overseas, call collect 305-816-2799.