EFTA01587204.pdf

May-2 4-2 010 0 2:4 3 PM JPMorgan ChasE 5 1/ 1 Sweep Deadline {circle one) PB Funds Transfer Form/Input Guide 11:30 1:30 4:30 N/A EST 8:30 10:30 1:30 N/A PST JP Morgan Today's Date 5/24/2010 Time :38 PM Execution Date 5/24/2010 Amount 27,94115 Debit Account Number: Debit Account Title: Jeffrey Epstein Debit Account Type Cusotody Principal Custody Income DDA Trust Principal Trust Income E.1 MMIA Advisory Principal Advisory Income 0 JPM Funds 111 Asset Allocation(PAAS) 0 Offshore Fund Payment Information (Select One) I .) Internal Transfer (Related, Non-Relate) Credit Account Number: Principal** 0 **Check Sweep Deadline Account Title: Income 0 2.) Money Transfer Wire 0 Book 10. FX 0 EFTA01587204  Payee Bank ABA: 021 000 021 f-CC- NC -4 :. 8101 Payee Bank Name: JP Morgan Chase Bank N.A. :i---Tc— Mc. 1,larre-: LSJ LLC For Account Number: For Account Name: Chase VISA 3.) Treasurer's Cheek/FX Draft Print Check.In 111 NY 0 DE Payee Name: Payee Address: For Account Of: • , 11 Reference/Advice Description/- Comments: • • • • • • 1 • 6 ' does ficitt6h itea..:0110:eic LSJ LLC Credit Card Payment 51<r0:g(iireS1:4011ba0 Payment Instructions Originator Method of Communication EFTA01587205  (If Not Morgan Initiated) „-- • _,:'....F.-4r,..t.o.a Morgan Initiated Ej Written Request Telephone Request 4 Client Initiated El Fax Request • Email Request** "Callbacks must still be done Initiator's Name & Ext Stamp Initiator's Si nature Bill Doherty III Authorizer's Name & Ext Stamp Authoriz ri'Signature Client/Caller Name: Harr Beller Client Telephone Cali Back Name: Bill Dohert Call Back Signature: Ext: Call Back Date: 5/24/10 Time: 2:35pm CMS/Global Hold Approval: Obtained: II N/A El DDA Overdraft Approval; Obtained: 0 N/A u ID 4 DATE: 05/24/2010 06:45:00 PM DID CSID: Page 1 of 1 EFTA01587206