EFTA01580413.pdf

Funds Transfer Request (Please Type Instructions) J.P.Morgan -777. 5117V,ty„ tk '' Effective Date: 01/16/13 Please enter current or future One only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check O Domestic Wire O International Wire Principal: 560.000.00 InalMc!: r >.371 r 7F, Tis\WF izi71 ;•••••)0 rte. • 74l y777..t car 1...„;14‘. Debit Account 0: imm 4 Debit Account Title: ,,TIC-ravelMiratParefTifirrecy Jeffrey E. Epstein •-••'• ;;:c'evit..e.3 415 y,`i7 • reei ts-lt *v4tfiediaflkellEf.,;1 Ste/ay.:Th.. Y.4'4 Address 1: Receiving Bank ABA: 1519 Ponce de Leon Avenue Receiving Bank Name: FirstBank, Puerto Rico Address 2: Beneficiary Account 0: Beneficiary Name: LSJ Empluyees LW City: Santurce State: PR Zip Code: 00908 'SicLIVAf ay facta :g. ,,Wapitr.i. ear • Wr" 7T. Account Type: O DDA (US) O swat O Other Intermidiary Bank Account/Code: Intermediary Bank Name: ss Payment Details (Reference/ Advice Description/Addenda) 01/16/13 Authorized By Date ID. 036301169081728 DATE 01/1W013 16 50•00 Page 2 of 4 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059740 EFTA01580413