EFTA01589186.pdf

Oct-12-2010 02:00 PM JPMorgan Chase 1/ 1 Sweep Deadline (circle one) PB Funds Transfer Form/Input Guide 11:30 1:30 4:30 N/A EST JP Morgan 8:30 10:30 1:30 N/A PST Today's Date Execution Date Amount 1 ITime0/12/2010 1:58 PM $1,000.00 Debit Account Number: Debit Account Title: MAX FOUNDATION Debit Account Type Cusotody Principal • Custody Income 0 DDA CI Trust Principal 0 Trust Income u MMIA Advisory Principal 0 Advisory Income 0 WIVI Funds 0 Asset Allocation(PAAS) 0 Offshore Fund Li Payment Information (Select One) 1.) Internal Transferfillateasion-Related) Credit Account Number: \--- Principal** **Check Swee Deadline Account Title: MAX FOUNDATION Income u EFTA01589186 2.) Money Transfer Wire uBook u FX 0 Payee Bank ABA: Interbank ABA: Payee Seek Natne: Interbank Name: For Account Number: For Account Name: 3.) Treasurer's Checic/FX Draft Print Check In : J NY u DE Payee Name: Payee Address: For Account Of: ..?.;..-..o.r., Reference/Advice Description/- Comments: -"'< §K066syhott-recit406011 ;,.,$25Kr (Iii7OsIV•0011bae EFTA01589187 Payment Instructions Originator Method of Communication (If Not Morgan Initiated) Morgan initiated II Written Request 0 Telephone Request Client Initiated pl. Fax Request E Email Request** . **Callbacks must still be done Initiator's Name & Ext Stamp Initiator's Signature Authorizer's Name & Ext Stamp Authorizer's Signature Client/Caller Nam • ke Client Telephone: Call Back Name: Janet hung Call Back Signature: Ext: Call Back Date: 10/12/1f I dime: 1:58 p.m. CMS/Global Hold Approve" Obtained: N/A DDA Overdraft Approval: Obtained: LI N/A ID: ■ DATE: 10/12/2010 18:02:00 Page 1 of 1 DID: CSID: INDEX1: INDEX2: EFTA01589188