Funcs Transfer Request !Please ly oe InstructiOn-)
J.P.Morgan
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Effective Date:
104103/13
Pleven Otte current or future date only
Select Appropiate Payment Type and Fields will be Displayed
O JPMC Transfer O ACH O Check 0 Domestic wire O International Wire
Principal: $4,9139.32 Income:
Originator .nformation
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Debit Account 4: Debit Account Title: 'Jeffrey E Epstein
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Address 1:
Receiving Bank ABA:
Receiving Bank Name: Wens Fargo Bank Address 2:
Beneficiary Account 6:
Beneficiary Name: City:
State: Zip Code:
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Sy711O{ 9ruir tettn 'itttL/ (II Required)
Account Type: 0 DDA (US) O SIAN °Ogler
Intemtidiary Bank
Account/Code:
Intermediary Bank Name:
•
Payment Details (Reference/Advice Description/Addenda)
Exp. reimbursement Jan - July 2012
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Authorized By
104/03/13
Date
ID: 036304034115233 DATE 0/473201317:11:00 Page 2 of 2 DID: 8867316607 C$ID: INDEX1: INDEX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059627
EFTA01580319