EFTA00125007.pdf

AUG- 19-2019 I I: 1 0 US ATTORNEY SDNY 2126372616 P.007/007 U.S. Department Gnostic° Request for Financial Information Under tho Right to Financial Privacy Act (RFPA) Washington, D.C. 20530 (Authorization, Purchase Order and Receiving Report) if mil +in. Am Se ...a ressi mquestim Intonli moms of iodividloolo painictshin of dm or Aura Imlivichnls meat the UP& I Tracking Number! 2 Dele onfet Prepuce: m • Section A- Authorization and Purchase Order tWA 4 Name and Address of rintsiCA31 lmtiIudore A Retail Bank Operations Funding Certification & theism Ofbaai patens Swam Aesthete Dye TD Bank N.A. PO Box 1377 I ....vision MI nAnite177 Authorisation: 54 - 5113 eirdiaa5N.4_, Swine 3 3 Deliver Records In: Sal Completed (3SA-2 ran fib Invoice Ten U.S Memo'. Offloc• &Asa/ Elsol Unit I 6 Return Ude See attached subpoena for delivery instructions 84 gumbo, Soca. 3A1 floor New York, NY 10007 I See attached 7 Remarks: Do not proceed with compliance if the total cost will exceed S 500.00 without prior approval. To obtain approval. call the requester listed in Item 8. If invoicing for these semen te expected to exceed 120 days. plow &my the United Swim Attorney's Office immediately to ensue fun,* remain available for payment. Plasm see the attached Important Notice for additional information on invoicing and other requirements for reimbursement S Noma of 9 The no Number 10 Date of tequen: AUS 8/19/2019 Section B. Financial Institution Invoke 4284513574 Ref 172806 No Payment Shall So Made Unitas Expenses Are Iternrad Below Or Set Forth On Your Mulched Invoice. 1 I A Invoice Numbem Unit Price Cowley Amount I IB Tax ID Number: 11C ServiceftYReccette Provided: A. Searching mid processing costs (clerical or technical personnel) $22.00 How $33.00 13. Searching and processing coal (rnantigementisupervisory personnel) $30.00 Hour C. Searching and processing costs (computer Support specialist) $30.00 Hour 1). Reproduction Costs (PhOtOttipying)- **Nutt: Copy charges will be disallowed if $0.25 Page the infonnadon is stored electronically, Unless the US Attorney's Office requests paper. L Reproduction Costs (Paper Copies of Microfiche; movide jusliDeaden) $0.25 Frame L P. Reproduction Costs (Duplicate Microfiche: providejustification) I 50.50 14kirofiche 0. Storage Media Cost (e.g., Compact Disc, DVD, etc., at Actual Cost) I I I *3.75 f 5075 H. Transportation Costs (Direct Casts Only) In Item NI Z 1eatISS• stmt the envious invoiced above were not performed relative to any corporate account. end pertain only to *mono of individuals and • rthershi or nos or fewer Ndlviduua 12 Signature et Finemial Insdiution OfYk 13 Date Slimed: Toed Amount Claimed 08/27/19 By Financial Institution S33.75 0903.41% Section C - !UntyingReport (See Attacked) 14 t certify that the urtielee AMIttruvleus listed Were received: IS Dote Received: 17 Hello Firsancal Institution IA Right to Finenelet Priory AOI -Publk Law 93.630 19 Signature of Approving Officio : (12 I /At'. 3401.3422) Rogues Pursuant To: (Check One Os(v) OBACT Seel'ION CLASS r 3401 Customer Authorization 254$ 20 Funding Source r 34° 5 Administrative Subpoena or Summon 254$ Accounting Code r 3420 Search Warrant 2545 Program r 3407 Judklal Subpoena 254$ r, 3408 Format Written Request 254.3 21 Cellar Accounting/Fund information, r 3413 Grand Jury Subpoena 2545 Proesam Co& WA Project Code: N/A r 3414 Special Procedures 254$ YRIXDOC: 54.1113 Can Humber Ofmenorah): 22 Remarks: OOL Month (YRMO): Tre ID Number. To IM eon of.y lino tie fanned records retched. for whieh we m hdna Mind. an non ofan Shit& Of parental; of#W or freer WW1/me. FORM USA:211 Sivtawe of united Sums Anew/ Office RcpcsnAttm Dye FEB. 2014 TOTAL P.007 EFTA00125007