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EFTA00186795
United States District Court
SOUTHERN DISTRICT OF FLORIDA
TO: Palm Beach National Bank & Trust Company
3931 RCA Blvd.
SUBPOENA TO TESTIFY
&lite 3102 BEFORE GRAND JURY
Palm Beach Gardens, FL 33410 FGJ 07-103(WPB)-Tues./No. OLY-29
SUBPOENA FOR:
n PERSON DOCUMENTS OR OBJECT(S)
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District"
Court at the place, date and time specified below.
PLACE: ROOM:
United States District Courthouse Grand Jury Room
701 Clematis Street
West Palm Beach, Florida 33401 DATE AND TIME:
March 6, 2007
1:00 pm*
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
See attachments
*Please coordinate your compliance with this sub d confirm the date and time , and location of
e with Special Agent Federal Bureau of Investigation, Telephone:
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting
on behalf of the court.
CLERK
DATE:
(BY) DEPUTY CLERK February 14, 2007
This subpoena is issued upon application Name Address and P
of the United States of Amen U.S. Attorney
500 So. Australian Avenue, Suite 400
Wes 6235
Tel:
Fax:
• 11not applicahle, enter "none."
To be wd a. be, of A01IC
FORM ORD-227
JAN.86
EFTA00186796
Palm Beach National Bank and Trust Company
3931 RCA Blvd.
Suite 3102
Palm Beach Gardens, FL 33410
ATTACHMENT TO GRAND JURY SUBPOENA
FGJ 07-103 OLY-29
For the period of 1/1/04 through 12/31/06
For the following individuals/entities:
NES, LLC
Jeffrey Epstein Household
Janusz Banasiak [or Banasiar]
JEGE, Inc.
Alfredo Rodriguez
(1) All account applications, account opening documents, signature cards, deposit slips,
correspondence, account statements; and canceled checks (front and back).
(2) For any and all credit cards, debit cards, lines of credit, mortgages, and/or loans, all
monthly billing statements, individual charge invoices, payment records disclosing the
dates, amounts, and method of payment, and checks used to make payments (front and
back).
This to, the following VISA accounts:
EFTA00186797
U.S. Departm of Justice
United States Attorney
Southern District of Florida
500 S. Australian Ave.. Suite 400
h, FL 3340h623$
APPEARANCE NOTICE
The attached subpoena requires the production of the records specified to a Federal
Grand Jury/Trial in the Southern District of Florida.
A new provision of the Federal Rules of Evidence provides that routine business
records may be admitted at trial through the declaration of a custodian, if they are provided
sufficiently in advance of trial to allow an opportunity for any challenges to their
authenticity. Therefore, you may be able to avoid appearing personally at the grand
jury/trial at the time and place specified by completely filling out the attached Ce •
and Inventory and immediately returning it with the records to Special Agent
FBI at the following address:
Federal Bureau of Investigation
505 South Flagler Drive, Ste. 500
West Palm Beach, Florida 33401-5923
EARLY VOLUNTARY TURNOVER
Please note that we are requesting an early voluntary turnover of the materials
subpoenaed. The early voluntary turnover date is prior to March 6, 2007.
Sincerely,
R. ALEXANDER ACOSTA
UNITED STATES ATTORNEY
BY:
ASSISTANT UNITED STATES ATTORNEY
EFTA00186798
CERTIFICATION OF BUSINESS RECORDS
I, the undersigned , declare that I am:
employed by/associated with in the
position of and by reason of my
position am authorized and qualified to make this declaration.
In my employment with the above-named bank/company I am familiar with the
business records it maintains. The above-named bank/company maintains records of its
business which are:
1. made at or near the time of the occurrence of the matters set forth therein, by,
or from information transmitted by, a person with knowledge of those matters;
2. kept in the course of regularly conducted business activity; and
3. made by the regularly conducted activity as a regular practice.
Among the records so maintained are the attached records itemized in Appendix A,
Inventory of Documents.
I declare under penalty of perjury that the foregoing is true and correct.
Date of execution:
Place of execution:
Signature:
EFTA00186799
APPENDIX A
DOCUMENT INVENTORY
The documents submitted are as follows:
Signature of Records Custodian:
EFTA00186800
U.S. Department of Justice Request for Financial Information (Authorization,
Washington, D.C. 20530 Purchase Order, Receiving Report)
This foci. Mar only be used when retro' ing financial math of iledividosh a partnerships of live or fewer
individuals.
1 Purchase Order Number: 2 Date Order Prepared: 3 Case Number: (OpelonaO
2/14/2007 FG) 07-103(WPB) No. OLY-29
Section A - Authorization and Purchase Order
4 Name and Address ofFinancial Institution:
Palm Beach National Bank & Trust Company, 3931 RCA Blvd., Suite 3102, Palm Beach
Gardens, a
33410
Dellva To:
RA Special Agent atEIM= 6 Ream Dam
3/6/2007
7 Remarks:
FOR REMBSEMINT PLEASE RETURN TIES FORM, THE RECORD OF
SERVICES, AND A COPY OF THE SUBPOENA.
8 Plane orli nester. or Print
AUS
Section B - Financial Institution Invoice
t 0 Date ofrowel:
2114/2007
No Payment SWIM Made Unless Expenses Are Itemized Below Or On Your Porta ToBe Attached.
II Service/rhumb, Records Provided: Unit Price
Quantity
Cost
FOR PROMPT PAYMENT INCLUDE TAX ID. NUMBER.
Please note that reimbursement cannot be made for the records pertaining to
corporations or large partnerships of six or more. IMPORTANT: The OCIA
Mandates the use of EFT/DO. In order to receive payment complete the 0.25 Copy
attached EFT enrollment form.
11.00 Hour Clerical
Tech
17.00 Flour Manger
or
Supervisor
Do not proceed with compliance: [feast will exceed $500 without prior approvalof
Budget Officer Laura Feliciano Fax any nomad to (305)530-7679
12 Signature of Financial Institution Oficial 113 Date Signet Total AmountClaimed
By Financial Instittaion 0.00
Section C Receiving Report 16 1Nsallowence
(See Arracher#
14 I easily that the articles rind services listed were received: IS Date Received: I7 Net to
Financial
Institution
IS Right toFinancial Privacy Act • Public Law 95630
19 Ripsaws ((Approving Official:
(12 U.S.C. 3401-3422)Request Pursuant To: (Check One Only)
OBJECT
SECTION CLASS
O 3404 Customer Authoriration
2540 20 Accounting Classification Code
o 3405
El 3406
Administrative Subpoena or Summits
Search Warrant
2541 EY FCI 2 3 PROJ
2542
El 3407
O 3408
ID 3413 I
Judicial Subpoena
Formal Written Request
Grand Jury Subpoena
2543
2544
J
21 Schedule and Vouches Number.
It
2545
O 3414 Special Procedures DC4
2546
22 Remarks:
ID Funds Available
a
Date:
Budget Officer:
TNs loanwas eleetronicalir proclesel by Ude I towel hunk Inc FORM OIO Y2 I I
APR 84
EFTA00186801
GENERAL
This is a multipurpose form designed to sent as an Authorization, Purchase Oder, Itemized Invoice, Receiving Report and Payment
voucher in
conjunction with "requests for financial information," pursuant to the Right toFinancial Privacy Act of I978,P.L. 95-630, Title )U, 12
U.S.C. 3415.
NOTE:
Payments under this purchase order will be due on the 30th calendar day after I he date of actual receipt of a proper
invoice in the omee designated to receive
the Invoice the date of the check Issued In payment shall be considered to be the dale payment is made.
'the Prompt Payment Act, Public Law 97-177,96 Stat 85 (31US.0 180), is appl kabk to payments under this purchase
order and requires the payment to
contractors of interest or overdue payments and improperly taken discounts. Determination of interest due will be
made in accordance with the provisions of
the Prompt Payment Act and the Office of Management and Budget Circular A-I25.
PREPARATION INSTRUCTIONS
ITEM I - A Purchase Order Number will be preprint'd on each form This norther will be used for reference
purposes on any correspondence relating to this specific
request for financial information.
ITEM 2 Self explanatory.
11181,4 - This block may be used to identify the specific ease for winch the financial information is ['squired.
This block may be left blank. •
SECTION A - AUTHORIZATION AND PURCHASE ORDER (To be completed by the requestingofficial).
ITEM 4 - Enter the name and mailing address of the financial institution bengrequested to furnish inancial information.
ITEM 5 - Enter the name and address to which the financial information is to besent by the financial institution. This will
normally be the name and addiessof the
requesting official.
ITEM 6- Enter the date the financial information is required.
ITEM 7 - Include, if appropriate, any pertinent information related to the puahase order not provided for els:Mitre
on the form.
ITEM 8,9 and 10 - Sdtexplanalory.
SECTION B • FINANCIAL INSTITUTION INVOICE (To be convicted by the financial inntution).
ITEM I I - Self-explanatory. Completion of this block constitutes an itemized till or invoice for reimbursement for the costs incurred inproviding the information
requested.
ITEM 12 and 13 - Self-explanalmy.
SECTION C- RECEIVING REPORT (To be completed by the requesting 0nkild, whenthe requested financial
information has been delivered).
ITEM 14 and 15 - Self-explanaimy.
ITEM 16 - This block should be used to reflect any differences between the amotnt claimed by the
financial invitation and the coll ect amount to be reimbursed
Differences may result from computation ems, or failure of the financial ins itution to deliver information
requested.
ITEM 17 - Enter the amount certified to be proper for payment.
ITEM 18 - Chock the box which identifies the appropriate procedure authorized ty the Act, which
necessitates the request for financial information.
ITEM 19 and 20 • These blocks must be signed and dated by an official of the oganization whose
funds will be charged. Ills or her signature COllgituts a stacment that the
records to which the invoice refers cove required for official business and woe provided by the financial
institution in scordance with the ordering insuuman.
ITEM 21 - The Schedule and Voucher Number will be eMerelby the office which Vitally schedules
the approved amount for payment by the Treasury Department.
ITIEM 22 - Enter, if appropriate, my data not provided for elsewhere on the receiving repon.such
as, reasons for any claim amounts disalbwed.
EFTA00186802
VENDOR ELECTRONIC FUNDS TRANSFER (EFT)
ENROLLMENT FORM
I Please comply to this information if you have not done so already
I
PAYEE/COMPANY INFORMATION:
Vendor Company Name:
Address:
Taxpayer ID Number
Contact Person Name
Telephone Number
E-mail Address (If you would
like to be notified via e-mail)
FINANCIAL INSTITUTION INFORMATION:
Bank Name
Bank Address
Bank Phone Number
Nine Digit ABA Routing Transit Number
Type of Account (Checking or Saving)
Depositor Account Number
Signature of Vendors .
Authorizing Official
Name & Title of Authorizing
Official
Please Return or Fax to:
U.S. Attorney's Office
Southern District of Florida
99 NE 4 street, Suite 200
Miami, FL. 33132
Attention: Jocelyn Collazo
Fax Number: 305-530-7679
The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government, including vendor
payments, must be made by electronic funds transfer (EFT). A benefit of receiving payments by EFT is that your
funds
are directly deposited to your account at a financial institution and are available to you on the date of payment.
If you have questions regarding the delivery of the remittance information, please contact the financial institution
where
your account is held.
If you have any questions on the completion of this form, please contact Claudia Castellanos, at 305-961-9254
.
FORMOBD-2J I
APR. $1
Par 3 or]
EFTA00186803
ℹ️ Document Details
SHA-256
b9ba129e66cbf077028d77609e466d2f38bf0624878cc7802cc759fc33425130
Bates Number
EFTA00186795
Dataset
DataSet-9
Type
document
Pages
9
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