EFTA01580441.pdf

cont. of Page 2 Funds Transfer Request :Please Type Instructions) FY 1 iferinati 16$ Effective Dare 12/20112 Please erne' current or knee date only Select Aporopiale Payment Type and Fiekta will be Displayed O JPMC Transfer O ACH O Chock 0 Domestic Wire O Intornational Wiro Principal: Debit Account it: Debit Account Title. Jeffrey E. Epstein Address 1: Receiving Bank ABA: Receiving Bank Name: JPMorgan Chase Address 2: Beneficiary Account S: Beneficiary Name: City: State: Zip Code: Account Type: O DDA (US) O Swift O mar Intermidiary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) Reimbursement for taxis Sep-Nov 2012 11/27112 Authorised By . Date ID: 036212208367690 DATE: 1220/2012 16:21WPagN1 of 1 aoffsegeggAnepoEm: INDEX2 PAGE 2 OF 2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059773 EFTA01580441