Funds Transfer Request (Please Type hsvoctiono
J.P.Moraan
f. "ali st;P inn
ilaWS
Effective Date: 07/19113
Pleas* eider current a ht..tre date onty
Select Aopropiate Payment Type and Fields will be Displayed
O JPMC Transfer O ACH O Check O Domestic Wire O International Wire
Principal:
ti
$10,250.00 :flea e:
P
art;,4,4t
Debit Account it Debit Account Title:
Address 1:
Receiv'ng Bank ABA:
Receiving Bank Name: Welts Fargo Bank Address 2:
Beneficiary Account*:
Beneficiary Name: LMT International City:
State; Tip Code:
Szeia
Account Type: 0 DOA (US)
IntermIdiary Bank
AccounUCode:
Intermediary Bank Name:
tp.
Payment Details (Reference/ Advice Description/Addenda)
LSJE LLC - Inv it 289
07/19/13
Authon
11.zcd By Date
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059439
EFTA01580166