EFTA01580356.pdf

Funds Transfer Request (Please - yes instructons) J.P. Morgan JIB Effective Date: 03/07/13 Masse sow current or future date only Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer 0 ACH 0 Check O Domestic Wire O International Wire Principal: S100,000.00 Income: Originator Information DebIf Account b Debit Account Title: Southern Trust Company, Inc kiiiel614parinati:on, Address 1: Receiving Bank ABA: P. O. BOX 9146 Receiving Bank Name: FIRST BANK, PUERTO RICO Address 2: Beneficiary Account #: 1519 Ponce De Leon Avenue Beneficiary Name; Southern Trust Company, Inc City: Santurce State: PR Zip Code: Pay ThroUgh/Intorrnodiary. Party (If Required) Account Type: 0 Other Intermediary Bank Account/Code: Intermediary Bank Name: Payne-it Details (Reference/Description/Addenda) POLigoll 4/C Aut • ed By 3/Eha3 Date Authoriz ID: 036303083106544DATE:03/08/201318 04:00Page 2 of 4 DID: ...7316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059666 EFTA01580356