EFTA01579495.pdf

Funds Transfer Request ri•ase nye h... J.P. Morgan 8-oesdazz Effective Date: 09/10/13 Meese enter current a future dale OfIfry Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer O ACH O Check O Domestic Wire O International Wire Principal: 58,498.02 Income: 5ci:Izpria • ce,s,,..;114? • Debit Account a: 4 78110245 Debit Account Title: Southern Trust Company, Inc. q`APPMTIAMtriyil kiiikadsfiittiSIVTIM Address 1: Receiving Bank ABA: 021000089 Receiving Bank Name: Citbank Address 2: Beneficiary Account it: Beneficiary Name: David Tallow & Co. CPA, PC City: State: Zip Code: 19,4 4 1 • . OV Account Type: DDA (US) 0 Swift C) Other Intermidiary Bank Account/Code: Intermediary Bank Name: :•' #11O1ffir Payment Details (Reference/ Advice Description/Addenda) Invoices: 1000006011 , 09/10/13 „Authorized B Date ID: 036309123066090 DATE 09112/2013 16:39:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00058662 EFTA01579495