Nov -01.2010 0128 PM JPMorgan Chase 302.634-5955
Sweep Deadline (circle one)
PB Funds Transfer Form/Input Guide 11:30 1:30 4:30 N/A EST
JPMorgan
8:30 10:30 1:30 N/A PST
Time Execution Date Amount
ThiaIsDak 11/01/10 $115,000.00
Debit Account Number. Debit Account Talc
739110438 Jeffrey Epstein
Debit Account Type
Cusotody Principal Custody Income
DDA X Tryst Principal ❑ Trust Income
MMIA 0 Advisory Principal C3 Advisory Income
IPN1 Funds ❑ Asset Allocation(PAAS) 0 Offshore Fund
Payment information (Select One)
I.) Internal Transfer (Related. Non-Related)
Credit Account Number Principal*" "O**SY/cep Deadline
Amami Tide: Income ❑
21MpavLiTaggfa
Wire ❑ Book X FX ❑
Payee Bank ABA: 021000021 Interbank ABA:
Payee Bank Name. JPMorgan Chase Bank Interbank Name:
For Account Number.
A-/LIP 429 ko -es\ s
For Account Name Chase Visa (i I C. pJ L S -3; L L C.
3) Treasurer's Chec1c/FX Dmft
Pint Check In ❑ NY O DE
Payee Rant
Payee Address:
For Account Of:
Reference/Advist Description/Cominentic cum -,:ogipapk:.
•:„:*eir... 4).sociiitoi4ite 40 •
xA
raicaraumeoon Method orennimunication (If Not Morgan Initiated)
Morgan Initiated ❑ Written Request ❑ Telephone Request X
Client Initiated X En Rainiest ❑ Email Request** ❑
"Callbacks must stil be done
Initiator's Name & Ext Stamp Initiator's Signature
Authorizer's Name & Ext Stamp Authorizer's Signature
Client/Caller Name: Bela Klein Initiated-Flan y Bella confirmed
Client Telephone:
Cat Back Name: Jata t Young
Call Back Signature: Ext: 4-3(44
Call Back Dale: Janet Y stn Tune: 1:O5 p.m.
CMS/Global Hold Approval: Obtained: 0 N/A 1:1
ODA Overdraft Approval: Obtained: O N/A ❑
ID: 036011011967394 DATE: 11/01/2010 1730:00 Page 1 of I DID: 8687316607 CSID: 302-634-5955 INDEXI: INDEX2:
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00060896
EFTA01581501