EFTA02099086

To: Undisclosed recipients:MI From: LFE Portal Sent Wed 8/20/2014 3:14:11 PM Subject Site Survey Receipt i Leisure Fitness Equipment Site Survey Receipt - Form Submitted on 08/2012014 11:14 AM I LFE Portal created by Nat Oennace created on 08/20/2014 CUSTOMER INFORMATION Jeffrey Epstein 9 East 71st Street Between 5th and Madison Manhattan, NY 10021 NEAREST MAJOR INTERSECTION 5th and Madison IS YOUR LOCATION CONSIDERED A NEW DEVELOPMENT? No ORDER NUMBER 260430 STORE PURCHASED Paramus, NJ (26) DELIVERY PROVIDER Fitness Transport PURCHASE DATE 08/20/2014 PROOF OF PURCHASE Click here to view current attachment. IS THIS A COMMERCIAL TREADMILL? No NAME OF ROOM EFTA_R1_00703943 EFTA02099086 Spare Room FLOOR Ground NUMBER OF FLIGHTS 0 SPIRAL STAIRCASE No WIDTH OF NARROWEST DOOR 34 ARE THERE OBSTACLES OR OBSTRUCTIONS (INCLUDING FURNITURE) THAT WILL GET IN THE WAY OF THE DELIVERY? No FURTHER EXPLANATION DO YOU REQUIRE REMOVAL AND DISPOSAL OF OLD EQUIPMENT FROM THE PREMISES? No FURTHER EXPLANATION 2 SPECIAL INSTRUCTIONS Delivery and Installation of new Precor EFX 447. The contact numbers provided reach Merwin: the first is his Cell, the second is the office line. Please schedule ASAP. EFTA_R1_00703944 EFTA02099087