Funds Transfer Request (Please Type Insts.cdoney
J.1'.Morgan
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Effective Date: 07/02/13
Please enter current or future date only
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O JPMC Transfer O ACH O Check 0 Domestic Wire O International Wire
Principal: 31,015.00 tricorns:
MOnator4
Debit Account 9: Debit Account Title Jeffrey E. Epstein
Address I:
Receiving Bank ABA:
Receiving Bank Name: Bar* of America Address 2.
Beneficiary Account N:
Beneficiary Name: Terra Luna Yachting Ire.
State: Zip Code:
Intermidiary Bank
Account/Code:
Intermediary Bank Name:
Payment Details (Reference/Advice Description/Addenda)
Reimbursement of Sep 2013 Health Insurance Premium
07/02/13
Authorized Date
ID: 036307028825609 DATE 07/02/2013 21 00 00 Page 0 of 4 DID: 8887316607 CSID: INDEX/: INDEX?
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059472
EFTA01580193