EFTA00186185
73-0,0(Ava- o4/oc, 05/0 5
is a siteck-tin...sC s
EFTA00186186
U.S. Department of Justice
United States Attorney
Southern District of Florida
500 South Australian Avenue, Suite 100
West Palm Beach, Florida 33401423$
Tel: (561)8104711
Fax: (561) 8104777
June 007
VIA FACSIMILE
Colonial Bank
Hoover, AL 35243
Re: Federal Grand Jury Subpoenas OLY-01 and OLY-28
Dear Ms. Muller:
I write to follow up on Colonial Bank's response to two federal grand jury subpoenas
numbered OLY-01 and OLY-28. Colonial Bank has responded to both of these subpoenas, but
it appears that some items are incomplete.
I have enclosed copies of the subpoenas, but, in short, the seek all account o
documentation and correspondence related to Jeffrey E stein =, [or
Janusz Banasiak [or Banasiar], Alfredo Rodriguez,
NES, LLC, Jeffrey Epstein Household, and JEGE, Inc. The subpoenas also ask for account
statements, canceled checks, and billing statements for accounts and credit cards related to those
individuals/entites for the period of January 1, 2004 through December 31, 2006.
The items that appear to be missing are:
(1) Billing statements for VISA account number for the period of
February 1, 2005 through April 30, 2005.
EFTA00186187
Anita Muller-Page 2
(2) Billing statements for the following VISA account numbers for the period of
004 through December 31, 2006:
(3) Account statements and canceled checks for thei sio id of Janu 1, 2004 throw
December 31, 2006, for accounts in the names of [or and/or
(4) Account statements, account opening documents, correspondence and canceled
checks (front and back), related to a multitude of accounts related to Mr. Epstein, including
account numbers
From the review of the documents we have received thus far, it appears that there
probably are several more accounts related to Mr. Epstein and the other listed
individuals/entities. For example, there appear to be several more VISA cards associated with
the NES, LLC master account. So, in addition to providing the items specifically listed in this
letter, please re-review the records of the bank to determine if there are more documents
responsive to the two subpoenas.
I have enclosed another Certification of Business Records to authenticate and records
that you produce in response to this letter. Please send the Certification and the records to
Special Agen , Federal Bureau of Investigation, ININIMINIMIM
West Palm Beach, FL 33401.
If you have any questions, please feel free to contact me at Thank you for
your assistance.
Sincerely,
R. ALEXANDER ACOSTA
UNITED STATES ATTORNEY
By:
Assistant United States Attorney
EFTA00186188
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF FLORIDA
IN RE FEDERAL GRAND JURY SUBPOENAS
OLY-01 AND OLY-28
ADDRESSED TO COLONIAL BANK
CERTIFICATION REGARDING DOMESTIC RECORDS
OF REGULARLY CONDUCTED ACTIVITY
I, the undersigned, , declare that I am employed by
Colonial Bank in the position of , and, by reason of my
position, am authorized and qualified to make this declaration.
1. In my employment with Colonial Bank, I am familiar with the business records it
maintains.
2. I certify that the records attached to this certification:
(a) were made at or near the time of the occurrence of the matters set forth
therein, by or from information transmitted by, a person with knowledge of
those matters;
(b) were kept in the course of regularly conducted business activity; and
(c) were made by the regularly conducted activity as a regular practice.
2. Among the records so maintained are the attached records itemized in Appendix A
(Document Inventory).
3. I further certify that the documents attached hereto are responsive to the Grand Jury
Page 1 of 2
EFTA00186189
Subpoenas served upon Colonial Bank.
4. I further certify that Colonial Bank has no documents responsive to request number
in Grand Jury Subpoena number . [Fill in or strike out as appropriate.]
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing
information is true and correct.
Executed this day of , 2007.
Place of execution:
Signature
Page 2 of 2
EFTA00186190
APPENDIX A
DOCUMENT INVENTORY
The documents submitted are as follows:
I
Signature of Records Custodian:
EFTA00186191
06/19/2007 14:39 FAX 5618021787 USA0 WPII FL li!)001
*********************
t*s TX REPORT s*s
**************s******
TRANSMISSION OK
TX/RX NO 4930
CONNECTION TEL
SUDADDRESS .
CONNECTION ID
ST. TIME 06/19 14:38
USAGE T 00.55
PGS. SENT 6
RESULT OK
U.S. Department of Justice
United States Attorney
Southern District of Florida
Mil ve, 4th Floor
.,50 1.Az wiati
West Palm Beach, Florida 33401
FACSIMILE COVER SHEET
TO: attn: Anita Muller
DATE: June 19, 2007
FAX NO. # OF PAGES: (7,
PHONE NO. RE: Grand Jury Subpoenas OLY-01 & OLY-28
FROM:
PHONE NO.
COMMENTS:
EFTA00186192
U.S. Department of Justice
United States Attorney
Southern District of Florida
SOO S. Australian Ave, 4th Floor
01
FACSIMILE COVER SHEET
TO: mum. attn: Anita Muller
DATE: June 19, 2007
FAX NO. # OF PAGES: G
PHONE NO. RE: Grand Jury Subpoenas OLY-01 & OLY-28
FROM: Millaillallitssistant U.S. Attorney
PHONE NO.
COMMENTS:
EFTA00186193
United States District Couri
SOUTHERN DISTRICT OF FLORIDA
TO: COLONIAL BANK SUBPOENA TO TESTIFY
BEFORE GRAND JURY
FGJ 05-02(WPB)-FriJNo. OLY-01
SUBPOENA FOR:
PERSON DOCUMENTS OR OBJECT'S]
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury ofthe United States District
Cowl at the place, date and time specified below.
PLACE: ROOM:
Palm Beach County Courthouse Room 4-A
Juvenile Courts Building
205 N. Dixie Highway
DATE AND TIME:
West Palm Beach, Florida 33401
August 18, 2006
(Temporary location for the United States District Courthouse, West Palm Beach)
9:00ani
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
All applications, signature cards credit or back round invests ations conducted, and correspondence
related to Jeffrey Epstein, I= for Janusz Banasiak,
Alfredo Rodriguez, and/or VISA Account Number
For the period of January 1, 2004 to the present, all monthly billing statements, individual charge
invoices, repayment records disclosing the dates, amounts, and method of r a e t, and checks used
to make repayments (front and back) for VISA Account Number .
Please coordinate your com liance of this subpoena and confirm the date and time of our a earance with
Special Agen Federal Bureau of Investigation, Telephone:
O Please see additional information on reverse
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting on behalf
of the court.
CLERK DATE:
August 2, 2006
(BY) DEPUTY CLERK
This subpoena is issued upon application t U.S. Attorney
of the U States of America
500 So. Australian Avenue, Suite 400
235
Te
Fa
'If not applicable, enter "none." o bc :c, ',eu dA0110 FORM ORD-227
EFTA00186194
JAN.86
RETURN OF SERVICE'
RECEIVED
BY SERVER
DATE/J'4 3 PLACkk i paim.geoci. n
SERVED DATE PLACE fi
036437C6 COI4e4- Pi. C (-1/ 4 /12 4K
/
SERVED ON (NAME)
C O 7O A./ t li Lax-k ik ( 7 A -k44- AV/( -e r)
SERVED TITLE
?B+ C.(442--
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVICE'
I declare under penalty of perjury under the laws of the United States of America that the foregoing Information contained in the Return of Service and
Statement of Service Fees is true and correct.
Executed on Og/02/0‘
DATE Signature of Serve
Address of Server
ADDITIONAL INFORMATION
1.As to who may serve a subpoena and the manner of Its service see Rule 17(d). Federal Rules of Criminal Procedure, or
Rule 45(e), Federal Rules of Civil Procedure.
2."Fees and mileage need not be tendered to the witness upon service of a subpoena issued on behalf of the United
States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure; Rule 17(d), Federal Rules of Criminal
Procedure) or on behalf of certain Indigent parties and criminal defendants who are unable to pay such costs (28 USC
1825, Rule 17(b) Federal Rules of Criminal Procedure)"
EFTA00186195
United States District Court
SOUTHERN DISTRICT OF FLORIDA
TO: COLONIAL BANK SUBPOENA TO TESTIFY
BEFORE GRAND JURY
FGJ 05-02(WPB)-Fri./No. OLY-01
oover,
SUBPOENA FOR:
PERSON DOCUMENTS OR OBJECT'S]
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District
Court at the place, date and time specified below.
PLACE: ROOM:
Palm Beach County Courthouse Room 4-A
Juvenile Courts Building
205 N. Dixie Highway
DATE AND TIME:
West Palm Beach, Florida 33401
August 18, 2006
(Temporary location for the United States District Courthouse, West Palm Beach)
9:00am
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
All applications, signature bit c riagrouialage ducted, and corres
related to Jeffrey Epstein, [or z Banasiak,
MM, Alfredo Rodriguez, and/or VISA Account Number
For the period of January 1, 2004 to the present, all monthly billing statements, individual charge
invoices, repayment records disclosing the dates, amounts, and m t, and checks used
to make repayments (front and back) for VISA Account Number
Please coordinate our com liance of this subpoena and confirm the date and ce with
Special Agent ederal Bureau of Investigation, Telephone
O Please see additional information on reverse
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting on behalf
of the court.
CLERK DATE:
August 2, 2006
(BY) DEPUTY CLERK
This subpoena is issued upon application S.
of the UaiCed State of America Attorney
500 So. Australian Avenue, Suite 400
West Palm Beach, FL 33401-6235
Tel
Fa
*If not applicable, enter "none. In be u,ed I.0 or A0110 FORM ORD-227
EFTA00186196
JAN.86
. ,
RETURN OF SERVICE,
RECEIVED DATW03/ 0c PLACtoes rp ast s, ? ea, a _--(
BY SERVER
CF.- I
SERVED DATE0
876ild,
PLACE
00fre-1-
/
a_ ((Joel //I'M' )
SERVED ON (NAME)
Colo &It sl L_ (Ra....L.IC (4-7,..;4. 4 Liffe r)
SERV; TITLE
1-8 I --7.5c:f..42- 4 -
8--e-if —
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVICE2
I declare under penalty of perjury under the laws of the United States of America that the foregoing Information contained In the Return of Service and
Statement of Service Fees is true and correct.
Executed on oeingAtc.
DA E Signature of Serve
Address of Server
ADDITIONAL INFORMATION
1.As to who may serve a subpoena and the manner of its service see Rule 17(d). Federal Rules.of Criminal Procedure, or
Rule 45(c), Federal Rules of Civil Procedure.
2."Fees and mileage nood not bo tendered to the witness upon service of a subpoena issued on behalf of the United
States or an officer or agency thereof (Rule 45(e), Federal Rules of Civil Procedure; Rule 17(d), Federal Rules of Criminal
Procedure) or on behalf of certain Indigent parties and criminal defendants who are unable to pay such costs (28 USC
1825, Rule 17(b) Federal Rules of Criminal Procedure)"
EFTA00186197
U.S. Departmen,t of Justice Request for Financial Information (Authorization,
Washington, D.C. 20530 Purchase Order, Receiving Report)
This form sball only be wed when requesting financial records of individuals and partactskips of five a kiver individuakt.
I I'urchase Order Number/12CW: 2 Date Order Prepared: 3 Case Number: (Optional)
ill), I - 19 6-1z , 08/02/2006 FCJ 05-02(WPB) NO.051-01 (OLY-Ol)
Section A - Authorization and Purchase Order
4 Names and Add ion: Attn.: Anita Mulle
Colonial Bank, " ' oover, AL 35243 - Fa-
5 Deliver To: Special Agen Federal Bureau of Investigation, G Return I /ate
Suite 500, Florida 33401, Tel.: 08/18/2006
7 Remarks: FOR REIMBURSEMENT PLEASE RETURN THIS FORM, THE RECORD OP
SERVICES, AND A COPY OF THE SUBPOENA.
8 Name of Requestor: (7)tioe or Print) 9 Tele hone Numhcr: 10 Date of request:
AUSA 08/02/2006
Section B - Financial Institution Invoice
No Payment Shall Be Made Unless Expenses Are Itemized Below Or On Your Forrn To Be Attached.
11 Service/Financial Records Provided: Quantity Amount
thiit Price
Cost Pa
Please note that reimbursement cannot be made for the records pertaining to 0.25 Copy
corporations or large partnerships of six or more.
IMPORTANT: The DCIA Mandates the use of EFT/DD. In order to receive
payment complete the attached EFT enrollment Form.
11.00 Hour Clerical
Tech
17.00 Hour Manager
or Supervisor
Do not proceed with compliance: If cost will exceed $300 without prior approval of
Assistant U.S. Attorney/Budget Officer.
PLEASE REFERENCE THE ABOVE DCNN ON YOUR INVOICE FOR PAYMENT.
I 2a Signature of Financial Institution Official: 126 Phone of Financial Institution Official: 13 Date Signed: Total Amount Claimed
By Financial Institution
16 Disallowance
Section C - Receiving Report
(See Attached)
14 I certify that the articles and services listed were received: 17 Net to
15 Date Received:
Financial
Institution
IS Right to Financial Privacy Act - Public Law 95-630 19 Signature of Approval Official:
(12 U.S.C. 3401.3422) Request Pursuant To: (Cheek One Ono) OBJECT
SECTION CLASS
O 3404 Customer Authorization 2540
O 3405 Administrative Subpoena or Summons 2541
CY CC 1 2 4 PROJ
O 3406 Search Warrant 2540
O 3407 Judicial Subpoena 2540
O 3408 Formal Written Request 0 00
O 3413 Grand Jury Subpoena
21 Schedule and Voucher Number:
O 3414 Special Procedures 2540 DCN
22 Remarks:
Funds Available
Date Form onn2i
Budget Officer I APR 84
This form was electronically produced by Nile Federal Roma. Inc. Page I of 3
EFTA00186198
GENERAL
This is a multi-purpose form designed to sent as an Authorization, Purchase Order, Itemized Invoice, receiving Report and Payment voucher in
conjunction with - requests for financial information," pursuant to the Right to Financial Privacy Act of 1978, P.L. 95-630, Title XL, 12 U.S.C. 3415.
NOTE:
Payments under this purchase order will be due on the 30'a calendar day after the date of actual receipt of a proper invoice in the office designated to
receive the invoice.
The Prompt Payment Act, Public Law 97-177,96 Stat. 85 (31 U.S.C. ISO), is applicable to payments under this purchase order and requires the payment
to contractors of interest or overdue payments and improperly taken discounts. Determination of interest due will be made in accordance with the
provision of the Prompt Payment Act and the Office of Management and Budge Circular A-125.
PREPARATION INSTRUCTIONS
ITEM 1 - A Purchase Order Number will be preprinted on each form. This number will be used for reference purposes on any correspondence relating to this
specific request for financial information.
ITEM 2 - Self explanatory.
ITEM 3 - This block may be used to identify the specific case for which the financial information is required. This block may be left blank.
SECTION A - AUTHORIZATION AND PURCIIASE ORDER (To be completed by the requesting official).
ITEM 4 - Enter the name and mailing address of the financial institution being requested to furnish financial information.
ITEM 5 - Enter the and address to which the financial information is to be sent by the financial institution. This will normally be the name and the address of the
requesting official.
ITEM 6 - Enter the date the financial information is required.
ITEM 7 - Include, if appropriate, any pertinent information related to the purchase order not provided for elsewhere on the form
ITEM 8, 9 and 10 - Self-explanatory.
SECTION B - FINANCIAL INSTITUTION INVOICE (To be completed by the financial institution).
ITEM II - Self-explanatory. Completion of this block constitutesan itemized bill or invoice for reimbursement for the costs incurred in providing the infortnation
requested. The DCIA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Form.
ITEM 12 and 13 - Self-explanatory.
SECTION C - RECEIVING REPORT (To be completed by the requesting official, when the requested financial information has been delivered).
ITEM 14 and 15 - Self-explanatory.
ITEM 16 - This block should be used to reflect any differences between the amount claimed by the financial institution and the correct amount to be reimbursed.
Differences may result form computation errors, or failure of the financial institution to deliver information requested.
ITEM 17 - Enter the amount certified to he proper for payment.
ITEM 18 - Check the box which identifies the appropriate procedure authorized by the Act, which necessitates the request for financial information.
ITEM 19 and 20 - These blocks must be signed and dated by an official of the organization whose funds will be charged. His or her signature constitutes a
statement that the records to which the invoice refers were required for official business and were provided by the financial institution in accordance with the
ordering instrument.
ITEM 21 • The Schedule and Voucher Number will be entered by the office which actually schedules the approved amount for payment by the Treasury
Department.
ITEM 22 - Enter, if appropriate, any data not provided for elsewhere on the receiving report, such as, reasons for any claim amounts disallowed.
IAORM OBO-21I
APR. 84
Par 2 of 3
EFTA00186199
VENDOR ELECTRONIC FUNDS TRANSFER (EFT)
ENROLLMENT FORM
Please comply to this information if you have not done so already
I
PAYEE/COMPANY INFORMATION:
Vendor Company Name:
Address:
Taxpayer ID Number
Contact Person Name
Telephone Number
E-mail Address (if you would
like to be notified via e-mail)
FINANCIAL INSTITUTION INFORMATION:
Bank Name
Bank Address
Bank Phone Number
Nine Digit ABA Routing Transit Number
Type of Account (Checking or Saving)
Depositor Account Number
Signature of Vendor's
Authorizing Official
Name & Title of Authorizing
Official
Please Return or Fax to:
U.S. Attorney's Office
Southern District of Florida
99 NE 4 street, Suite 200
Miami, FL.
Attention:
Fax Number:
The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government, including vendor
payments, must be made by electronic funds transfer (EFT). A benefit of receiving payments by EFT is that your funds
are directly deposited to your account at a financial institution and are available to you on the date of payment.
If you have questions regarding the delivery of the remittance information, please contact the financial institution where
your account is held.
If you have any questions on the completion of this form, please contact , at 305-961-9254.
FORM O11D-211
APR. 84
Page 1 of
EFTA00186200
U.S. Department of Justice Request for Financial Information (Authorization,
Washington, D.C. 20530 Purchase Order, Receiving Report)
This form shall only be rated when requesting financial records of individuals and partnerships of five or fewer individuals.
I Purchase Order Number/DCNa: 2 Date Order Prepared: 3 Case Number (Optional)
11011.1960 08/02/2006 FGJ 05-02(WPB) NO.051-01 (OLY-01)
Section A - Authorization and Purchase Order
4 Names and Ad tion: Attn.: Anita Muller, Research Dept.
Colonial Bank, borer, AL 35243 -
5 Deliver To: Special Age Federal Bureau of 1nvestigatio 6 Return Date
Suite 500, Florida 33401 08/18/2006
7 Ranatits: FOR REIMBURSEMENT PLEASE RETURN THIS FORM, THE RECORD OF
SERVICES, AND A COPY OF THE SUBPOENA.
8 Name ammilains) 10 Date of request:
AUSA 08/02/2006
Section B - Financial Institution Invoice
No Payment Shall Be Made Unless Expenses Arc Itemized Below Or On Your Forrn To Be Attached.
I I Service/Financial Records Provided: Quantity Amount
Unit Price
Cost Per
Please note that reimbursement cannot be made for the records pertaining to 0.25 Copy
corporations or large partnerships of six or more.
IMPORTANT: The DCIA Mandates the use of EFT/DD. In order to receive
payment complete the attached EFT enrollment Form.
11.00 Hour Clerical
Tech
17.00 Hour Manager
or Supervisor
Do not proceed with compliance: If cost will exceed $300 without prior approval of
Assistant U.S. Attorney/Budget Officer.
PLEASE REFERENCE THE ABOVE DCNN ON YOUR INVOICE FOR PAYMENT.
12a Signature of Financial Institution Official: 12b Phone ofFinancial Institution Official: 13 Date Signed: Total Amount Claimed
By Financial Institution
16 Disallowance
Section C- Receiving Report (See Attached)
1
14 I certify that the articles and services listed were received: 17 Net to
15 Date Received:
Financial
Institution
18 Right to Financial Privacy Act - Public Law 95.630 19 Sign lure of Approval Official:
(12 U.S.C. 3401.3422) Request Pursuant To: (Check One Onfr) OBJECT
SECTION CLASS
O 3404 Customer Authorization 2540 20 Ate— Cod..
O 3405 Administrative Subpoena or Summons 2541
fY 2 3 4 PROJ
O 3406 Search Warrant 2540
O 3407 Judicial Subpoena 2540
O 3408 Formal Written Request 2540
O 3413 I Grand July Subpoena 2545
21 Schedule and Voucher Number:
O 3414 Special Procedures 2540 DCtt
22 Remarks:
Funds Available
Date I Form OBIY211
Budget Officer I
APR 84
This form was eketronically produced by Elite Federal Forum. Inc. Page t of 3
EFTA00186201
GENERAL
This is a multi-purpose form designed to sene as an Authorization, Purchase Order, Itemized Invoice, receiving Report and Payment voucher in
conjunction with "requests for financial information," pursuant to the Right to Financial Privacy Act of 1978, P.L. 95-630, Title XL, 12 U.S.C. 3415.
NOTE:
Payments under this purchase order n111 be due on the 3e calendar day after the date of actual receipt of a proper Invoice In the office designated to
receive the invoice.
The Prompt Payment Act, Public Law 97-177,96 Stat. 85 (31 U.S.C.180), is applicable to payments under this purchase order and requires the payment
to contractors of interest or overdue payments and improperly taken discounts. Determination of interest due will be made In accordance with the
provision of the Prompt Payment Act and the Office of Management and Budge Circular A-125.
PREPARATION INSTRUCTIONS
ITEM I - A Purchase Order Number will be preprinted on each form. This number will be used for reference purposes on any correspondence relating to this
specific request for financial information.
ITEM 2 - Self explanatory.
ITEM 3 - This block may be used to identify the specific case for which the financial information is required. This block may be left blank.
SECTION A - AUTHORIZATION AND PURCHASE ORDER (To be completed by the requesting official).
ITEM 4 - Enter the name and mailing address of the financial institution being requested to furnish financial information.
ITEM 5 - Enter the and address to which the financial information is to be sent by the financial institution. This will normally be the name and the address of the
requesting official.
ITEM 6 - Enter the date the financial information is required.
ITEM 7 - Include, if appropriate, any pertinent information related to the purchase order not provided for elsewhere on the form
ITEM 8, 9 and 10 - Self-explanatory.
SECTION B - FINANCIAL INSTITUTION INVOICE (To be completed by the financial institution).
ITEM I I - Self-explanatory. Completionof this block constitutesan itemized bill or invoice for reimbursement for the costs incurred in providingthe information
requested. The DCIA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Form.
ITEM 12 and 13 - Self-explanatory.
SECTION C - RECEIVING REPORT (To be completed by the requesting official, when the requested financial information has been delivered).
ITEM 14 and 15 - Self-explanatory.
ITEM I6 - This block should be used to reflect any differences between the amount claimed by the financial institution and the correct amount to be reimbursed.
Differences may result form computation errors, or failure of the financial institution to delner information requested.
ITEM 17 - Enter the amount certified to be proper for payment.
ITEM 18 - Check the box which identifies the appropriate procedure authorized by the Act, which necessitates the request for financial information.
ITEM 19 and 20 - These blocks must be signed and dated by an official of the organization whose funds will be charged. His or her signature constitutes a
statement that the records to which the invoice refers were required for official business and were provided by the financial institution in accordance with the
ordering instrunrnt.
ITEM 21 - The Schedule and Voucher Number will be entered by the office which actually schedules the approved amount for payment by the Treasury
Department.
ITEM 22 - Enter, if appropriate, any data not provided for elsewhere on the receiving report, such as, reasons for any claim amounts disallowed.
FORM OBE-21I
APR. 84
Page 2 orI
EFTA00186202
VENDOR ELECTRONIC FUNDS TRANSFER (EFT)
ENROLLMENT FORM
Please comply to this information if you have not done so already
PAYEE/COMPANY INFORMATION:
Vendor Company Name:
Address:
Taxpayer ID Number
Contact Person Name
Telephone Number
E-mail Address (If you would
like to be notified via e-mail)
FINANCIAL INSTITUTION INFORMATION:
Bank Name
Bank Address
Bank Phone Number
Nine Digit ABA Routing T ansit Number
Type of Account (Checking or Saving)
Depositor Account Number
Signature of Vendor's
Authorizing Official
Name & Title of Authorizing
Official
Please Return or Fax to:
U.S. Attorney's Office
Southern District of Florida
99 NE 4 street, Suite 200
Miami, FL.
Attention:
Fax Number:
The Debt Collection Ithprovement Act of 1996 requires that payments made by the Federal government, including vendor
payments, must be made by electronic funds transfer (EFT). A benefit of receiving payments by EFT is that your funds
are directly deposited to your account at a financial institution and are available to you on the date of payment.
If you have questions regarding the delivery of the remittance information, please contact the financial institution where
your account is held.
If you have any questions on the completion of this form, please contact at 305.961.9254.
FORM OBD.2I I
APR. 84
Pate 3 of 3
EFTA00186203
ED-448 (Rev. 6-2-97)
FBI FACSIMILE
COVER SHEET
PRECEDENCE
Qcs \kr>. ti g
El Immediate Time Transmitted:
Ej Priority Sender's Initials:
Dig Routine Number of Pages: 6
(including cover sheet)
To: COLONIAL BANK Date 08/08/2006
Name of Office
Facsimile Number:
Attn:
Name Room Telephone
From: FBI
Name of Office
Subject: Subpoena Request
Special Handling Instructions:
Originator's Name: SA Tim Slater Telephone:
Originator's Facsimile Number:
Approved:
Brief Description of Communication Faxed:
WARNING
Information attached to the cover sheet is U.S. Government Property. If you are not the intended recipient of this
information, disclosure, reproduction, distribution, or use of this information is prohibited (18.USC, § 641). Please notify the
originator or the local FBI Office immediately to arrange for proper disposition.
EFTA00186204
Colonial
BaneGroup..
August 22, 2006
Via Federal Express
Special Agent
500 South Australian Avenue, Suite 400
West Palm Beach, Florida 33401-6235
Re: Subpoena Issued to Colonial Bank
Dear
I enclose herewith Response to the Subpoena Duces Tecum issued to its
Research Department in &min am, Alabama, on or about Au rst 2 2006 re ardin VISA
Account Number , Jeffrey Epstein,
Banasiak, and Alfredo Rodriguez. so enc ose is a statement representing
fees incurred by Colonial incident to its photocopying of the documents responsive to the
subpoena.
Thank you for allowing Colonial Bank an extension of time within which to respond to
the subpoena.
Sincere! ours,
Davi a B. Byncc, r.
EV -General Counsel
DBBjr/pac
Enclosures
Post Office Boadigimilitta 36101-1108
AN EQUAL OPPORTUNITY EMPLOYER
EFTA00186205
MEMO STATEMENT
/ ACCOUNT NUMBER
PO BOX 1111 011.10-06
MADISON WI 53701.1111 STATENOff DATE
1107.44
TOTAL ACTIVITY
-curia) STATEMENT ONLY"
DO NOT WAIT PAYMENT
Im MOM
JANUSZ. DANASI AR
Ici Ai,
NEW YDRA-- Nt. foo22-6843
CARDHOLDER SUMMARY
Teal
putowLple Omp = Ambile
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$0.00
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£100 re 0
Ceecemeder TON SIST44
CARDHOLDER ACTIVITY
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Dm WO Reference Number yrimmodon ispealplIon
"...........Fa
NOTICE MEMO MM. LISTTO BELOW M"....nAnn".. M32.AS
0S 224 os-aa 91 14470010tr100026 ASIA DRILL 11Y768O116 NY NY 1.14520
0S-IS 06.24 20111444814600I9,15000292 MEDITERRANE 0 NEW YORK 1438.27
MOLINE(14600BWASS21111 MONA FUN NEW YORK NY
03-26 0546 NY 4426.20
05..20 05.2E 2410304.51.29001131771569 MEDITERRANE0 NEW YORKNEW YORK NY 1413.12
05-261 (6-27 243230301401224360205eS PATSY'S AT ROTH STREET MEMO ITTIAMP _ SWAM
"' TOTAL AMOUNT OF
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY
LoST/STOLIN CAROB CALL
TOLL FREE 1400-221-SW OTATLIAENT DATE
PURCHASER &
1-806-040.770C OS/16/06 OTHER QUIRGES
INTERNATIONAL
CREDIT LIMIT CASH ADVANCES NL_
SEND IMOUBNES To: 53,000.00 CASH aDVAtIft PEW .00
CREDIT RESOLUTIONENTER
EOES
CREDITS .00
DISPUT DISPUTED AMOUNT
PO BOX lilt 116744
$0.00 TOTAL ACTM1Y
MADISON WI S3701-1111
Page 1 011
EFTA00186206
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER
L. PO BOX 1111
MADISON WI 53701-1111 STATEMENT DATE
TOTAL ACTIVITY S42.04
MEMO STATEMENT ONLY "'
DO Nor REMIT PAYMENT
.....
JANUSZ BANASIAR NOM°
i
.
WilippiejL 4
0022 - 6843
S
I
CARDHOLDER SUMMARY
Purchases Cash Total
And O118( DOWN is Asvancas - Credits - Aelkily 1
illital.
Cgullmlser Total $42.04 50 00 WOO $42.04
CARDHOLDER ACTIVITY
Post Train /mount
Dale pate Rellesioss Nunlr Transaction Desuiplion
MO& 4X NOTIC* MEMO ITEMS USTED snow
an oiseatmin
05-04. CLS-04 24286S76128 2060.9100823 LEGENDS #11 WEST PALM SEA FL m42.04
aci"wrgasmitax TOTAL AMOUNT OF MEmOJTEMM:
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1.500-221.5920 STATEMENT DATE
PURCHASES &
INTERNATIONAL 1.8081140.7700 05/16/00 OTHER CHARGES $42.04
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES TO; yck rvv‘ AN./Alhit- C Vett
EFTA00186207
%.• sivVt. .1..V • taV
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT CREDITS
DISPUTE RESOLUTION
PO BOX 1111 TOTAL ACTIVITY 54204
50.00
MADISON WI 53701-1111
Page 1 of 1
EFTA00186208
r.Ub
COLONIAL DANK
MEMO STATEMENT
PO BOX 1111
ACCOUNT Nyman
MADISON WI 53701-1111 STATEMENT DATE 04-17-08
TOTAL ACTIVITY 1472.19
a MEMO STATEMENT ONLY
00 NOT REMIT PAYMENT
klehliellavileileelleellIghielolell
JANUsZ BANASIAR NOOrre
-6843
CARDHOLDER SUMMARY
Purchases Cush Tom]
And Orhor Debts AdWasso - Credits AceseN
0472.12 60.00 50.00 6472.19
CaulhoIderTond
CARDHOLDER ACTIVITY
Post Trait
Date bale Reference Number TrossetIon Description Amount
leaSatasitna NOTICE MEMO ITEMS LISTED BELOW
03-17 03-17 24248516076207765400026 GREGS BODY AND PAINT 5616336626 FL M213.00
03-27 03-26 24275306086766763354654 BUDGET RENT-A-CAR WEST PALM BEA FL M198.07
76335455
04-11 04-10 24715426101641011093195 LEILA WEST PALM BCH FL M61.12
TOTAL mown - OF MEMO ITEM(SI' S472_19
ACCOUNT suusa
MN CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1-600-221-5920 STATEMENT DATE
PURCHASES &
04/17/06 OTHER CHARGES 5472.10
INTERNATIONAL 1-608-240-P00
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES To: "'AGM ATMImharc tccc nn
C* MUNN%
EFTA00186209
AUG- 16-2006 15:28 P .0T
•...kpl.`,
t•-• "... ' ChaL:-.`, Lids
.00
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT CREDITS
DISPUTE RESOLUTION
PO BOX 1111 TOTAL ACTNI1V 5472.19
MADISON WI 53701.1111 $0.00
Page 1 ol 1
EFTA00186210
AUG-16-200G 15:28 P CB
COLONIAL BANK
MEMO STATEMENT
PO BOX 1111
ACCOUNT NUMBER
MADISON W1 63701-1111 STATEMENT DATE 03-16-05
TOTAL ACTIVITY $243.83
a MEMO STATEMENT ONLY
DO NOT REMIT PAYMENT
NOOSO4
JANUS/ BANASIAR
•; SIM 1
Fl. 4
0ZZ - 6B43
CARDHOLDER SUMMARY
Purchases Pin Total
And Otter Cobb 4 Advances - Cradim Acsinty
$0.00 $0.00 $743.83
DeedeolderTnal S2Asad
CARDHOLDER ACTIVITY
Post Tran Amount
DOR DAL. Reference Number TharissolioN DeecnplIon
seasmemeh NOTICE MEMO rams
LISTED BELOW
M243.83
24798486071050874051769 ROGER DEAN CHEVROLET INC WEST PALM BCA3 Ft.
0340 03-10
TOTAL AMOUNT OF ITEMISE memo $24333
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LOSTI3TOLEN CARDS CALL
TOLL. FREE 1-800.221-5920 STATEMENT DATE
PURCHASES &
-808-240-7700 03/18/06 citHgR cHARGgs $243.83
INTERNATIONAL
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES TO: rACUAMffilklf - C=Ce rin
EFTA00186211
AUG- 16-2006 15:28 P . 09
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT Sggpfl
DISPUTE RESOLUTION
PO BOX 1111 $0.00 TOTAL ACTIVITY
MADISON WI W01-1111
Page 1 of 1
EFTA00186212
AUG- 16-2006 15:28 P . 10
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER
PO BOX 1111
MADISON WI 53701.1111 STATEMENT DATE 02-16-06
TOTAL ACTIVITY $637.37
I" MEMO STATEMENT ONLY ot
DO NOT REMIT PAYMENT
.....
JANUSZ BANASIAR MISS
FL 4
10022-68 43
IMPORTANTIBFORMATION
Your total finance charge DAS fat 2005 was WOO.
CARDHOLDER SUMMARY
d Esh
Purchases Cash Tool
An er Debt 4 Marcos - Cracks a Aetna,
inilill.
CantrokerToral $62797 10,00 $0.00 $537.37
CARDHOLDER ACTIVITY
Post Iran
Dale Dan Reference Number Transaction Descrioliel AiTIGUnt
NOTICE MEMO ITEMS LISTED BELOW
01-17 01-17 24928886017208144300558 GULF STREAM MOTORS 4076508363 FL M200.63
02-14 0244 24445008041137841803810 H-D OF PALM BEACH W PALM BEACH FL M354.74
02-15 02-14 241E407004897 47253960466 RACETRACKS 00005029W PALM BCH FL M74.00
awn TOTALAMOUNT Of MEMo rrEmisi! 1037.37
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL MN
TOLL. FREE 1.500-221-5820 STATEMENT DATE
PURCHASES &
1.808-240.7700 02/16/06 OTHER CHARQES 5637.37
INTERNATIONAL
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES To: cc einnM rAcIPAI rtrAlanat CCCe M
EFTA00186213
AUG-16-2006 15:20 P.11
----7 ----
lea.NIV.ww
ROciFir tglgt?ENTER azgpat .00
i CREDITDT PRIRI DISPUTED AMOUNT
PO BO 1111 TOTAL ACTIVITY $637.37
t 30.00
MADISON WIX53101-1111
i
1
Page 1 of 1
MN
EFTA00186214
AUG-16-2006 16:2B P.12
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER
PO BOX 1111
MADISON WI 53701-1111 STATEMENT DATE 01.16-00
TOTAL ACTIVITY 52,849.42
3
I" MEMO STATEMENT ONLY
DO NOT REMIT PAYMENT
JANUSZ BANASIAR
10022-68
EL 4 43
I
-
IMPORTANT INFORMATION
Your total numantraras paid far 2005 was EOM
CAIIDHOLDERSUMMAnY
Nothing Cash Tool
And Other Debits a Advanced - Credits • Activity
len
caltholoorTstal 92944342 10,00 50.00 $2.649.42
CARDHOLDER ACTIVITY
Post Tran AMM/M
Date D4$g Rattner Number Transaction bescritnion
, LOCISZPiArg NOTICE MEMO ITEMS LISTED BELOW wommtes""masnemIxim
12-10 12-19 24326665369200144100242 GULF STREAM MOTORS 407080/303 FL M311432
12-22 12.22 241083853-566424476•3853 DOLLAR RENT-A-CAR PBI000 WEST PALM BEA PL *saes'
HH1154845 M893.71
01-02 01-02 241053$8002642‘545S4076 DOLLAR RENT-A-CAR PBI000 WEST PALM BRA FL
H H1199311 M160.13
01-03 01-02 24402698003900600300673 BELLA BLU NEW YORK NY Mae4.14.
01-03 01.3 2489216600300022322a411 HAMMACHER SCHLEMMER 603-233-4600 OH MOM
01-08 01.06 24409898008900800901467 MEDITERRANEO NEW YORK NY ta45.52
01-09 01-07 24792626038207499700958 FOCACCIA FIORENTINA NYNEW NY M231-99
01-08 01-00 24593309009400002791030 !ABSINTHE RESTAURANT YORK NY
01-16 01-15 24692166016000939986660 SHELL OIL 20030305519 FORT LAUDERDA FL M74.03
TOTALAMOUNT of Mato rTiEt4101; Media_
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1.800.221-5920 STATEMENT DATE
PURCHASES
INTERNATIONAL 1.808-240.7700 01/16/00 OTHER CHARGES $24.10.42_,
CREDIT LIMIT CASH ADVANCES 40
SEND INQUIRIES TO: r /Am n rn imurn crnt on
EFTA00186215
AUCRG- 00
I6IT-2:2OC
15 9 6 SIERNG P. 13
MPOPR
ED
CA
DI
ADRE
SP
BO
W59 D
UT
11ISX70 CE
SO ES
NT
LU DI
TI AM
SP
ON OU
UT CR
NT
ED ED IT S.0
11ON1-1111S0.00 TOACTATILVI52TY49.42
I of4,•••••••••••J
.80
Pa1of1ge
EFTA00186216
AUU- 16-2006 15:29 P . 14
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER a
PO BOX 1111
MADISON WI 53701.1111 STATEMENT DATE 12-18-05
TOTAL ACT/VITT 51,66216
vx MEMO STATEMENT ONLY n
DO NOT REMIT PAYMENT
Inaba iiiktiihnitiitinininiiisiddinielikii
JANUSZ BANASIAR It00707
Sapil l FL 4
10022-6843
CARDHOLRR SUMMARY
Tao
Purchase* • Aclity
And Otto Delete • Advances - owns
Centmee(rotat 11.00116 . _stop 61.062.216
CARDHOLDER ACTIVITY
Post nun Amount
Owe Date Reference Number Transaction Description
.011000113 BELOW 1O°o'
1*.initeuXIMOIR NOTICE MEMO ITEMS LISTED
EXXONMOBIL.67 07834991 WEST PAL FL M66.01
11.17 11-16 24164046321837000006240 M28.39
11-21 11-21 24266575316206699100599 A480.70
11-23 11-22 24454775327452919200500 CITY CELLARWINE BAR& WEST PALM BCH FL
CAFE L' EUROPE PALM BEACH FL M193.99
11-25 11-24 24470975331900019100160 M966.16
11-25 11-27 24100365381642439400073 DOLLAR RENT-A-CAR PB1000 WEST PALM BEA FL
HH1120490 114500.00
12-02 12-01 24610436330010160028002 THE HOME DEPOT 6306 PINECREST FL 1.127.92
12-14 24266575349106009100700 LEGENDS #11 WEST PALM BEA FL
TOTAL AMOUNT OF MEMO ITEMS). 51,86,7.18
AccouNT NUMBER
FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY
LosT/STOLEN CARDS CALL
TOLL FREE 1.800-2214020 STATEMENT DATE
PURCHASES 8:
1-606.240.7700 imams OTHER CHARGES $1.062.10
INTERNATIONAL
CREDIT LIMIT CASH ADVANCE, ,00
SEND INQUIRIES TO: Ca eVV1 PACE A 11•InlarC CCCC An
EFTA00186217
AUG- 16-2006 15 : 29 P . 15
4..../thP•Ada.eV
.00
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT CREDITS
POE RESOLUTION
DISPUT
BOX 1111 TOTAL ACTIVITY 11,882.18
MADISON WI 63701.1111 $0.00
Page 1 of I MS
EFTA00186218
AUG-16-2006 15:29 P.16
COLONIAL BANK
MEMO STATEMENT
ACCOUNT HUMMER Iliataral
PO BOX 1111
MADISON WI 53701.1111 STATEMENT DATE 11-16-05
TOTAL ACTIVITY 51,62655
MEMO STATEMENT ONLY 'a
DO NOT REMIT PAYMENT
JANUSZ BANASTAR
FL 4
D022-6845
CAEDHOLDER SUMMARY
Pumhaseat Cash TONI
MINS And Other Debts J. Advances Creas
58.00
Acnirry
57.62655
Cattiwider Tone $1.62.6.60 MOM_
CARDHOLDER ACTIVITY
Pod Tron AMMON
NO Date Reetence NIHON- Transaction Description
altdutonses7dt NOTICE MEMO ITEMS USTEI) BELOW P3. 91" .a.an
10-18 10-17 24266575291208699100591 LEGENDS x/11 WEST PALM BEA FL M22.88
24288515294206699100929 LEGENDS i WEST PALM BEA FL %21.07
10-21 10-20 11292.13
1024 10-24 24248515297206399100011 ALLSTAT AIR CARGO INC FORKED RIVER NJ
DOLLAR RENT-A-CAR PB1000 WEST PALM BEA FL M877.24
10-31 1049 24108365302642431632393
HH10189044
WEST PALM BEA FL M18:9
ma5 44
10-31 10-29 24266575803206699100440 LEGENDS r
11-01 11-01 24266575906208690100669 LEGENDS 1 WEST PALM BEA FL M54.O8
11-03 11-02 24401766307318095920164 OKEECHO EE STEAK HOUSE WEST PAW BCH FL "
11.04 11-03 24164075308420052002673 CHU'S CR111030001107 WEST PALM BEA FL 1127.11
11-04 11-04 24792925309286499800414 CHINA FUN NY NY 1118.10
11-09 11-08 24156135313101912140045 SILVER STAR 212-2404250 NY M73.15
11-09 11.08 24403695313900631301259 MEDITERRANEO NEW YORK NY M14.4O
11.14 11-12 24410005318318240932309 CAFFE MED NEW YORK NY M1/.f5
11-la 11-13 24717055317733174359861 EAT HERE NOW NEW YORK NY mm 67
28.216O
M631
11-14 11-12 24323035317122241010657 PATSY'S Al' 69TH STREET NEW YORK NY
11-14 11-12 240710553179871271574905 TATANY 72 NEW YORK NY
11-16 11-15 24164055320837030008118 EXKONMOBIL87 07694991 WEST PAL FL
mar" Can. TOTAL AMOUNT OF MO rrizmisli
91.626.53
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1-800-221-5920 STATEMENT DATE
PURCHASES &
INTERNATIONAL 1-606-240-7700 11/16/05 OTHER CHARGES 11028.55
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES TO; to newt net rACMI ArtlIalthr= CaCe fl
EFTA00186219
AUG-16-2006 15:29 P.17
W.0,111 yam./
Vufed i,µYid
CREDIT CARD PROCESSING CENTER DISPUTED AmouNT CREDITS
DISPUTE RESOLUTION
PO BOX 1111 TOTAL ACTIVITY $1,82835
MADISON WI 5310$1111 $0.00
Page 1 of 7
EFTA00186220
AUG- 16-2006 15 : 29 P . 19
t
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER WWI
PO BOX 7111 10-17-05
MADISON WI 52701-1111 STATEMENT DATE
$14.90
TOTAL ACTIVITY
=
"21 MEmo STATEMENT ONLY
DO NOT REMIT PAYMENT
.....
N4 a
JANUSZ DANASTAR
10022-6843
CARDHOLDER SUMMARY
- Tot
P111011540 Cash MOM
And ODE Dean • Adman - Cadet
illeill. 114.00
_ 62.196.02 6000 62.161.12
CatulheelerTotal
CARDHOLDER ACTIVITY
Post Tran
Date NIG nth/vice Number TrensaotiOn Description
mem
NOTICE MEMO ITEMS USTED BELOW loon M2,151.12
09-20 09-20 24610435283072000003211 ABC CARPET & HOME DELRAY BEACH FL M2 161.12CR
09-21 09-21 74610436264072000002712 ABC CARPE T 81 HOME DELRAY BEACH FL M14.90
343
09-29 09-26 ,0• 201 1L221te
Sg21 m PIZZA ie..904Q09 W PALM BEACH FL
eciamOS
ncamDOMIN
09 $14.90
TOTAL AMOUNT OF MEMO ITEM(91:
EFTA00186221
AUG-16-2006 16:29 P . 19
SSING CENTER 2161.12_
i CREDIT CARD PROCE
RESOLUTION DISPUTED AMOUNT CREDITS
616.516
DISPUTEBX 1111 $0.00 TOTAL ACTIVITY
MADISON WI S3701-1111
Pope 1 of 1
I
1
•
EFTA00186222
AUG-16-2006 15:29 P . 20
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER =Ma
PO BOX 1111
MADISON WI 59701-1111 STATEMENT DATE 09-16-05
TOTAL ACTIVITY 5789,48
", MEMO STATEMENT ONLY ”I
DO NOT REMIT PAYMENT
JANUSZ BANASIAR
Mit FL 4
NEW YORK NY 10022-6843
CARDHOLDER &MUNN:IV
PurcPaces Csos TRW
And Other DOS + /Vivi/MIS • Credits 3 Act/4v
alliiiiiIM
Cardholder Toni £788 44 £0.00 50.00 _ $78946
CARDHOLDER ACTIVITY
Pest 'Iran Amount_
Dale Data Reterenct Number Transaction DescriD110h
700001Xel NOTICE MEMO ITEMS LISTED BELOW •aciatiououxamcc000nomme,
09-05 09-09 24403075247900524100285 IMPROV CITY PLACE 581-8331812 FL M107,85
M881.80
04-12 09-10 2.1,245515253934765900023 GRESS BODY AND PAINT WEST PALM BEA FL SMS.49
TOTALAtisapT OF MEMO ITEMS):
t
ACCOUNT NUMBER
FoR CUSTOMER SERVICE OR ACCOUNT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1-800-221-5920 STATEMENT DATE
PURCHASES & £780.48
INTERNATIONAL 1408-2A0-7700 09/16/05 OTHER CHARM
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES TO: co rAtM ArWAW-Cetni
EFTA00186223
AUG- 16- 2006 15 : 29 P . 21
iroirre.r.w.t i
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT CREDITS
RESOLUTION
TE x
POao
DISPU
1111 TOTAL ACTIVITY £769A8
MADISON WI 53701-1111 $o.00
I
I Page 1 of 1
t
EFTA00186224
AULi- lb - ZUU6 15:29 P . 22
COLONIAL BANK
1
MEMO STATEMENT
ACCOUNT NUMBER IN MUM
PO BOX 1111
MADISON WI S3701-1111 STATEMENT DATE 00-18-05
TOTAL ACTIVITY S2,297.97
Tat MEMO STATEMENT ONLY
Do NOT REMIT PAYMENT
88888
JANUSZ BANASIAR NCGO3
NES LLC
IMIRRIFIR FL 4
0022-6843
CARDHOLDER SUMMARY
Puminana Cash Total
And Cnnet Debits + Advances - Cleans = Acalvtry
IIIIIIIMIE
30.00 $2,287.97
CarthelarMg 12.297$7 * 1).°°
CARDHOLDER ACTIVITY
Post Iran Amount
Date Dab Reference Number Transaction Dcscriplion
ISSOkalraliCeiblalS100beta NOTICE MEMO ITEMS USTED BELOW
GULF STREAM MOTORS WEST PALM BCH FL M622.92
07-21 07-21 24328355202443144200497 M20.88
00.04 43-04 24792225217208489800813 CHINA FUN NY NY
INDIAN TANDOOR-OVEN RSTR NEW YORK NY M34.88
08-06 08.08 21246515219207399700086 M55.70
08-08 0B-07 24403896220900522000434 MEDITERRANEO NEW YORK NY
24810435221010101784855 THE HOME DEPOT 8330 WEST PALM BCH FL M1,563.78
043-09 00-08 32297/47
TOTAL AMOUNT OF MEMO ITEtdfSr
ACCOUNT NUMBER
FOR CUSTOMER SERVICE OR
ACCOUNT SUMMARY
LosTiSTOLEN CARDS CALL
TOLL FREE 1.800-221-5920 STATEMENT DATE
PURCHASES &
INTERNATIONAL 1-508-240-7700 00/10/05 OTHER CHARGES 32.297.37
CREDIT LIMIT CASH ADVANCES .00
SEND INQUIRIES To; H ANN NI rata., AM/Aunt nccc
EFTA00186225
IDSZU F.43
ati0-113-41JUb
CREDIT CARD PROCESSING CENTER DISPUTED AMOUNT CREDITS
DISPUTE RESOLUTION 52,297.97
PO BOX 111.1 WOO TOTAL Amway
MADISON WI 53701-1111
Page 1 of 1
I
1
1
EFTA00186226
AUG- 16-2006 16:30 P . 24
-- t.
1
I COLONIAL BANK
-r- MEMO STATEMENT
ACCOUNT NUMBER
PO BOX1111
MADISON 1M 53701.1111
101 MEMO STATEMENT ONLY n
DO NOT REMIT PAYMENT
AMA' ihriitheiliinlinitioltitiNhii
NOOnG
JANUSZ BANASIAR
{1002
I
2- 6843
CARDHOLDER ACTIVITY
post Wan AmolaU
Dais Dais Reit-mom NUinba- Transaction Description
a* NOTICE MEMO ITEMS IJ6TED BELOW M24.9.99
2471705.5178581780123371 014465 CINCINNATI OH
00-27 06-26 -27-OS
DEPARTURE DATE 06
RBI 1248.60
TOTAI AMOUNT OF MEMO ITEM/SY,
ACCOUNT HUMID"(
FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY
LoSYT/STOUDI CARDS CALL
TOLL FREE 1400-221, 5820 STATEMENT DATE
PURCHASES
07/18165 OTHER CHARGES 124198
INTERNATIONAL 1408-240-7700
CASH AWANCE8 .00
CREDIT LIMIT
SEND INQUIRIES TO: !A IVY. On cacti.. 6 n\/d rC CCEQ fin
EFTA00186227
AUG- 16-2006 15:30 P.25
•\1.0 • ^t \met I yra
CREDIT CARD PROCESSING CENTER DISPUTED ANOINT CREDITS
DISPUTE RESOLUTION
PO BOX 1111 TOTAL ACTIVITY E249.9.9
MADISON WI 53701.1111 $0.00
1
Page 1 of i Ell
c
EFTA00186228
AUG- 16 - 2006 15:30 P . 26
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER
PO BOX 1111
MADISON WI 53701-1111 C616-05
STATEMENT DATE
$1,71239
TOTAL ACTIVITY
a MEMO STATEMENT ONLY "
Do NOT REMIT PAYMENT
1111111111111.....
110.1412
JANUSZ BANASI AR
g li l e 0 L0Z1 6843
il li ali C F
am.
SARDHOLDE115111VIMARY
Toad
Purchase Cash ANNA,
And Omer Debits Adrancee - creels
$0.00 $1,71259
CsahoiderTme1 $1,71259 60.00
CARDHOLDER ACTIVITY
Peet Tram Amount
DAM DMA Retvrone, Number Tnmeaction oeseciation
MEMO ITEMS LI BELOW
M619.31
06-08 06-08 PALMEBEACH CYCLES WEST PALM BEA FL
24210735159018000010098 NOTIC miotsa
0603 06-11 24392006109142026883197 WALGREEN 00045930 WEST PALM BEA FL tuwasse2
241990051631420208 40810 WALGR EEN 00045930 WEST PALM BEA FL M622.77
06-13 0311 EEN 00044990 WEST PALM BEA FL
0813 08-11 243990 0516314202860926 1 WAU3R 1: 31_7t2.5P
anca" 444""" 44`, " TOTAL AMOUNT OF MEMO ITEMI6
ACCOUNT NUMBER
I FOR CUSTOMER SERVICE OR ACCQL)NT SUMMARY
LOST/STOLEN CARDS CALL
TOLL FREE 1-800-221-5920 STATEMENT DATE
PURCHASES 6.
1-60B-240-7703 06/16/D5 iamassamoz___sin_
INTERNATIONAL
CASH ADVANCES .00
CREDIT LIMIT
SEND INQUIRIES TO: r•SCS-1 ArtIMAirt =ft /41
to Ann An
EFTA00186229
AUU-16-2006 15:30 P . 27
CREDIT CARD PROCESSING CENTER CRE.WTS .00
DISPUTE RESOLUTION DISPUTED AMOUNT
PO BOX 1111 TOTAL ACTIVITY $1,712.59
$0.00
MADISON WI 59101.1111
Page 1 of 1
EFTA00186230
ADO- 16-200S 15:30 P.20
1
COLONIAL BANK
MEMO STATEMENT
ACCOUNT NUMBER SIN
PO BOX 1111
MADISON WI 53701-1111 STATEMENT DATE 05-16-0S
TOTAL ACTIVITY 11,676.31
I" MEMO STATEMENT ONLY a
DO NOT REMIT PAYMENT
I lullMIMI ILIdiu
ILLMiWlIL l i I
HMA..I LL_
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Amount $15,573.36
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Box No. 200
Batch 2000026
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Amount $15,573.36
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TOTAL P.52
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