EFTA01580314.pdf

Funds Transfer Request (Pease Type kwruconst J.P Morgan USD Tidrs1;:.- Effective Date: 04/03/13 Pioace onto, current or future date only Se!ec: Appropiate. Payment Type and Pie!ds vii!. be Displayed 0 JPMC Transfer 0 ACH 0 Check 0 Domestic Wire International Wire Principal: s200.000.00 Income: Address 1 Receiving Bank ABA. Receiving Bank Name: JP Morgan Chase Address 2 Benet.ciary Account 4: Beneficiary Name: Darren K Indyke PL LC City: State: Zip Code: Pay Tiyo,i).; :it Fe,Liu4.4:":4 Account Type. DDA (US) 0 swift 0 Other intermidiary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) 04/03/13 Authorized By Date ID 036304034401065 DATE 04/03/2013 14.47 00 Page 2 of 2 DID: 8887316607 CSID: INDEX1- INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059622 EFTA01580314