Posting Date: 2012-08-06 Account Number: 739474340
Amount: $26,570.90 Bank Number: 802
Capture Source: PV Check/Serial #: 000000001406
DB/CR: Debit Routing Transit Number: 02100002
Sequence Number: 6370589005 Trancode: 000000
UDK: 802120806006370589005 Missing Image: 5
Application Code: 1 Item Type: Paper Item
IRD: PE Indicator: P
Entry Number: 0000004829 BOFD: 000000000
Cost Center: Teller Number:
Teller Sequence Processing Date: 2012-08-06
Number:
JEGE INC JPMORGAN CHASE BANK 1406
6100 RED HOOK QUARTERS 6 #3 JPMORGAN CHASE BANK, N.A.
NEW YORK, NEW YORK
ST THOMAS, VI 00802 1-2/210
7/31/2012
PAY TO THE
ORDER OF United HealthCare I $ - 26,570.90
Twenty-Six 1housand Five Hundred Seventy and 90/100"*****—******** ***************************************** DOLLARS
'43
United HealthCare
Insurance Company
Dept.CH 10151
Palatine, IL 60055-0151
MEMO
Account # 433403
OOO LIL406ile I:0 2 /0000 2 Li: 739t,7434OO
00000 0010151 00293 0018
08-06-2012 " BNYMELLON
CRED TO PAYEE
ABS END GUAR
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062297
EFTA01582734