Funds Transfferrr Request ,0W^V:Mr. Effective Date: (Please Type tnstruaions) 07/17/13 Please enter current or Mute date only Select Appropiate Payment Type and Fields will be Displayed JPMC Transfer Principal: . Debit Account I: O ACM O Check 0 Domestic Wire $43,000.00 Income: O J.P Morgan International Wire 41.1601,?4, P laY Debit Account Ti0c: Jathey E. Epstein 'es Receiving Bank ABA: Receiving Bank Name: Beneficiary Account I: Address 1: 121000248 700 Main Street Wells Fargo Bank Address 2: Beneficiary Name: Milams Equipment Sales City: State: Lynchburg VA Zip Code: 24504 ii104.14eSK .-"MaIS Pn: ' 4Thrn :n 11,`Mci l 444 itestrios i;& Account Type: Interrnidiary Bank Account/Code: Q ODA (US) O Swift Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) t.; O Other Invoice 4403 - 2007 John Deer 310,) Serial ff. 148298 Qik Authorized By 107/17/13 Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059449 EFTA01580173
