EFTA01580169.pdf

Funds Transfer Request (Please Type Instructions) J.P.Morgan am\kalt.Itt*Aw 6.3M1 Effective Date: 07/19/13 Please enter current or future Otte only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check O Domestic Wire International Wire Principal: $24,847.87 Income: 1% 1WFyg T.4 • • SA.-44glv4YSZ:',X.I.C1a. Debit Account I: Debit Account Title: E Epstein FtP-9410ft Address 1: Receiving Bank ABA: Receiving Bank Name: Sabadell United Bank Address 2: Beneficiary Account 0: Beneficiary Name: City: L State: Zip Code: Account Type: O Oter Intermdiary Bank Account/Code: Inter•redinry Bark 'game: Payment Details (Reference/ Advice Description/Addenda) Invoice # 679 07/19/13 Authorized By( Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059443 EFTA01580169