iettuappoo fuewieau paisanba8 Aq uethondr °sego Wdr - ANCIS - l9965000 L0991£L DSO IX3ONI ZX3ONI I l/£0 UNA Ol £5 00 ;68d I to ti 010 1 laP9Mergan Instniceon$ Type Moue Request Transfer Funds Information Transfer USD 03/10/13 Date: Effective only date fume or current enter Please Displayed be will Fields and Type Payment Appropiate Select Transfer JPMC O Principal: Wire Domestic O Check 0 ACH O Income: Wire International O $3,977.11 Information CrIgif.afor Epstein E Jeffrey Title: Account Debit #: Account Debit Information Party Receiving 1: Address ABA: Bank Receiving Name: Bank Receiving #: Account Beneficiary 2: Address Bank Wachovia City: Company Export American Name: Beneficiary Code: Zip State: Rcou.reel (If Party gthilatcrrneatary A hrot i Pay Other O Swift O (US) DOA O Type: Account Bank Intermidiary Account/Code: Name: Bank Intermediary Other Description/Addenda) (Reference/Advice Details Payment R1302121 # Inv By Authoriz 03/10/13 Date EFTA01580351
