Funds Transfer Request (Plena 1 ype insoiceons) Effective Date: 01/17/13 Please enter ant or future de e only Select Appropiate Payment Type and Fieids will be Displayed O JPMC Transfer Principal: Rkdslekt Debit Account #: O ACH O O Domestic Wire O International Wire Check $13,744.44 ti eceiving.Parti.ininnse94, Income: J.P. Morgan RIVeti ?4,,Asiinvys. Debit Account Title: Ae-ao 4. • • ef rk3,1:Y! Jeffrey E. Epstein artiffSil Receiving Bank ABA: Receiving Bank Name: Beneficiary Account it: Beneficiary Name: Address 1: 1619 Ponce de Leon Avenue FirstBank Address 2: Hodge 8 Francois Trustee Account City: State: Santurce PR Zip Code: 00908 Account Type: Intermidiary Bank Account/Code: Intermediary Bank Name: DDA (US) Payment Details (Reference/ Advice Description/Addenda) 7,--Kg70170 WIC IJW4,55;Ossee,j, ''"*.%A.Vtr-ftttitOrt-tstrettf, O Other ^1ZATTTOXVW Invoice #: 38816, 38817, 38818, 38932, 38933 & 38934 Authorized By 01/17/13 Date ID: 036301179563482 DATE' 0117/2013 21:47:00 Page 2 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059733 EFTA01580408
