EFTA01579551.pdf

Funds Transfer Request (Please Type In*POWS) J.P Morgan Effective Date: 09//0113 measo ram eurrom or inn dale only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check Domestic Wire O International Wire Principal 55,629.20 Income: Debit Account 0: Debit Account The: 'Jeffrey E. Epstein ±.kWaihtig.. Address 1: Receiving Bank ABA: Receiving Bank Name: JPMorgan Chase Address 2: Beneficiary Account #: Beneficiary Name: Ronald Rogers City: State. Zip Code: , vArtZ ft1,4A-tOrZeJe nitaTtial Account Type: O DDA (US) O Other Intermidiary Bank Account/Code: Intermediary Bank Name: ;k1;;:ict4 Payment Details (Reference! Advice Description/Addenda) Fee 8 Reimbursement of Expenses - LSJE 09/10/13 Date ID. 036309102935214 DATE 09/10/2013 15 54:00 Page 4 of 4 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00058723 EFTA01579551