Epstein Secrets

ting Unit (Optional) Div. ID Div. Name Dept. ID Dept. Name General Ledger # Assigned • Taxable YIN* MEA YIN' Mothers Maiden Name (Optional) Social Security Number (Optional) Home telephone N (Optional) ( ) tasccuinS:NUmber .(B.ankegrd OA flcilliNVI:fs • - A ..;:. — .: Cardholder billing address (Optional

1559 BRANCH 0000 DOB 000000 INS N 00 0 CIT N 000000 COLLECTION Z F 101601 0 DISPUTE N 000000 .00 0000 0 P/D CHANGES-M: N 0000 A: TRANSFER RCL N CRS N CR BUR 000000 N N N CREDIT DATA 0801 0000 0000 9008 FIRST USE R 090701 CARDS 0 0 1249 N VISA CARD REQUEST 000000 ENCODE Y PIN REQUEST N

(Optional) I Div. ID Div. Name Dept. ID Dept. Name General Ledger IS Assigned • _ Taxable Y/N • MEA Y/N• / Mothers Maiden Name (Optional) Social Security Number (Optional) PM Home telephone IS (Optional) ( ) , Account Number (Binkaird Use) Cardholder billing address (Optional — if not complete will defaul

ANCH 0000 DOB 000000 INS N 00 0 CIT N 000000 COLLECTION Z F 101601 0 DISPUTE N 000000 .00 0000 0 P/D CHANGES-M: N 0000 A: CRB N TRANSFER RCL N CR BUR 000000 N N N CREDIT DATA 0801 0000 0000 9008 FIRST USE R 090701 CARDS 0 0 1249 N VISA CARD REQUEST 000000 ENCODE Y PIN REQUEST N 000000

v. ID Div. Reporting Unit (Optional) Dept. ID Dept. Name General Ledger II Assigned • Taxable Y/N• MEA YIN* Mothers alder' Name (Optional) Social Security Number (Optional) Home telephone N (Optional) ( ) ;vte not Number (Bombast.: Use) Cardholder billing address (Optional — ((not complete will default to

1559 BRANCH 0000 DOB 000000 INS N 00 0 CIT N 000000 COLLECTION Z F 101601 0 DISPUTE N 000000 .00 0000 0 P/D CHANGES-M: N 0000 A: TRANSFER RCL N C CR BUR 000000 N N N CREDIT DATAii FIRST USE R 090701 CARDS 0 0 1249 N VISA CARD REQUEST 000000 ENCODE Y PIN REQUEST N 000000 UM1 > N UM2