EFTA01580170.pdf

Funds Transfer Request (Please Type instruction) J.P.Morgan Effective Date: 07/19/13 Reese enter current or lulure dale only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check O Domestic Wire O International Wire Principal: 310.272 45 'occrre Debit Account M. Debit Account Address 1: Receiving Bank ABA: 061000104 401 East Jackson Street Receiving Bank Name: Suntrust Bank Address 2: Beneficiary Account 9: MIN= Beneficiary Name: Kellerhals Ferguson Fletcher Krobli City: Tampa State: Ft. Zip Code: 33602 ea-i3i1 , S4giVis. -P, 4ataireeaWW,O.t).ni n.: -- Account Type: 0 DDA (US) O Swift O Other Intermldiary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/ Advice DescriptiorVAddenda) 07/19/13 76- 7A 1 Authorized By Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059444 EFTA01580170