EFTA01580144.pdf

Funds Transfer Request (Reaserypelnsitucuons) J.P. Morgan Effective Date: ON30/13 Please tinier current or Moreits only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check O Domestic Wire International Wire Principal: $5,958.85 Income: Address.1: Receiving Bank ABA: Receiving Bank Name: Gbraltar Private Bank & Trust Address 2: Beneficiary Account A: Beneficiary Name: 'he LS Law Firm, PA City: State: Zip Code: Account Type: O DDA (US) O Swift O Other Intermidiary Bank Account/Code: Intermediary Bank Name: Nd-Qi t r:A17, Payment Details (Reference/ Advice Description/Addenda) Invoice tl 327 & 346 07/30/13 Authorized By Date ID: 036307301067392 DATE• 07/30/2013 20:18:00 Page 4 of 6 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059408 EFTA01580144