EFTA01221169Set 9
2016-08-263p625w
Nortrax, Inc.
3933 Martin Luther King Blvd
NORM-X Remit Payment to:
Nortrax, Inc.
West Palm Beach, FL 33404 Lockbox #24765
Phone: 561.848.6618 24765 Network Place
Fax: 561-848.7099 Chicago ... Tammy Grant
T .AK
il 111111110111111111
Credit Card Authorization for New Customers
To: Nortrax, Inc.
Re: Credit Card Number (Required Information)
Expiration Date 0) 1.20 (Required Information) CVV2# Required Information ... Required Information)
Billing Phone Number:
As this is a telephone order, this fax authorizes Nortrax to charge the above numbered
card in the amount of S 993.78 only.
Signature:
(Must
https://www.justice.gov/epstein/files/DataSet%209/EFTA01221169.pdf
EFTA00300096Set 9
2015-09-118p1,471w
Suite #111
Medley, Florida, USA, 33178
Pho
Fax:
IM
www.technorubberindustries.com
EFTA00300102
Nortrax, Inc.
4343 N.W. 77th Ave
t 'ORTPA
manna
Remit Payment to:
Nortrax, Inc.
Miami, FL 33166 Lockbox
https://www.justice.gov/epstein/files/DataSet%209/EFTA00300096.pdf