EFTA01580217.pdf

Funds Transfer Request (PloaleTYP• botrurthrio; JP Morgan Effective Date: 06113/13 Roue solar current or future date airy Select Appropiate Payment Type and Fields will be Displayed O JPMC Trarsfer O ACH O Check IC,D Domestic Wire O International Wire Principal: $75.000.00 Income: Debit Account #: Debit Account Title Southern Trust Company, Inc Address 1: Receiving Bank ABA: P. 0. BOX 9146 Receiving Bank Name: FIRST BANK, PUERTO RICO I Address 2: Beneficlfry Account #: WI= 1519 Ponce De Leon Avenue Beneficiary Name: Southern Trust Company, Inc City: Santurce State: PR 'Zip Code: 00908 Account Type: 0 DDA (OS) O swift C) Other Intermediary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/Description/Addenda) Authorized By Ink/ Date AUe‘riZed By ID. DATE 06/13/2013 19 02 00 Page 4 of 9 DID INDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059506 EFTA01580217