r: Class: US 02 Date of Departure: 06/11 114.60 , o. . Vtatc:it. atifyagratt-W94. Pleasse fed on en peciahen bkcw, detach and fektri payrtmt Atteunt Was. Payment Coupon 3715457814-31005 JEFFREY E EPSTEIN 457 MADISON AVE 4FL NEW YORK NY 10022-6843 Mail Payment to: Total Amount Due $3,665.03