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match billing statement) Credit Card Billing Address: 457 Madison Ave City: New York St NY Zip: 10022 Terms of Purchase: (Please Print Clearly) I. Jeffrey Epstein, give Data Management, Inc permission to charge the amount of $ 5029.00 for this purchase (including any applicable shipping and taxes) to the credi
s of Purchase: (Please Print Clearly) I, Jeffrey Epstein, give Data Management, Inc permission to charge t
22 Terms of Purchase: (Please Print Clearly) I, Jeffrey Epstein, give Data Management, Inc permission to
t card number and arbodulicri on ile for any future purchases. 0 Yes. Please consider this single form b be authorization for at future purchases. El No. 1%W' fill out an authorization torn, each lime I make a creditCan:I purchase. (Check One) Please check one: WAX MASTERCARDO AMERICAN EXPRESSO
IM 'MSS As Financial Trust Company, Inc. Type of .Business Internet Address .il ,,(7 1 t . 6 PARTNERSHIP Hit-OHmA !ION Contact Ferson• Fine Jeffrey Epstein President 'Alum I. Apakeked renew Telephone Fax Current Mailing Address do American Yacht Harbor 6100 Red Hook, Quarters *2 Tax Identificatio
IP Hit-OHmA !ION Contact Ferson• Fine Jeffrey Epstein President 'Alum I. Apakeked renew Telephone F
ARTNERSHIP Hit-OHmA !ION Contact Ferson• Fine Jeffrey Epstein President 'Alum I. Apakeked renew Tele
arket Sweep FunJ I HERESY APPLY FOR A LIME OF CREDIT SECURED BY MY ASSET ACCOUNT UNLESS I CHECK THE BOX BELOW (CREDIT IS NOT AVAILABLE FOR IRAS): El No. I do not teLpieu a line of Oulu PLEASE SELECT A PRINCIPAL REPAYMENT OPTION FOR THE LINE OF CREDIT: K Pay in full each day to the extent that foot
ocputalicn/Pannentip/ Doing BU•IICNS As Financial Trust Company, Inc. Type of .Busintss Internet Address ( 64 / ,'(7 14.57 Contact Person* Dale Jeffrey Epstein President • Alum k Amilteteed renew Telephone Fax Current Mailing Address do American Yacht Harbor 6100 Red Hook, Quarters *2 Tax Identificat
( 64 / ,'(7 14.57 Contact Person* Dale Jeffrey Epstein President • Alum k Amilteteed renew Telephone
Address ( 64 / ,'(7 14.57 Contact Person* Dale Jeffrey Epstein President • Alum k Amilteteed renew Te
arket Sweep FunJ I HERESY APPLY FOR A LIME OF CREDIT SECURED BY MY ASSET ACCOUNT UNLESS I CHECK THE BOX BELOW (CREDIT IS NOT AVAILABLE FOR IRAS): El No. I do not teLpieu a line of Oulu PLEASE SELECT A PRINCIPAL REPAYMENT OPTION FOR THE LINE OF CREDIT: K Pay in full each day to the extent that foot
ureau of Investigation Victim Services Division Epstein Briefing RSVP October 15, 2019 - Miami, Fl I I O
ny incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. K Yes, my support person will require separate lodging (El No, my support person will not require separate lodging If bringing a support person, will your support person require airport transportation? 0 Yes,
Entities connected to both Jeffrey Epstein and El No

Financial Trust Company
ORGANIZATION
New York State
LOCATIONAmerican Yacht Harbor
ORGANIZATIONy, Inc.
ORGANIZATIONThe General Terms and Agreements for Accounts and Services
ORGANIZATIONDisclosures and Supplemental Forms
ORGANIZATIONUNOERSTAND
ORGANIZATIONPrim Nan
ORGANIZATIONiFor Cab
PERSONAditional Accounahokle
PERSONApplicalion
LOCATIONAccount Tyne
ORGANIZATIONMorgan Deposit Account
ORGANIZATIONP Morgan Federal Money Market Sweep Rind
ORGANIZATIONK J.P. Morgan Tax Exempt Money Market Sweep
ORGANIZATIONCustody for the Asset Account
ORGANIZATIONEl Brokerage
ORGANIZATION