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efta-efta00186795DOJ Data Set 9Other

EFTA00186795

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DOJ Data Set 9
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EFTA 00186795
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0 r4 ''N EFTA00186795 United States District Court SOUTHERN DISTRICT OF FLORIDA TO: Palm Beach National Bank & Trust Company 3931 RCA Blvd. &lite 3102 Palm Beach Gardens, FL 33410 SUBPOENA TO TESTIFY BEFORE GRAND JURY FGJ 07-103(WPB)-Tues./No. OLY-29 SUBPOENA FOR: n PERSON DOCUMENTS OR OBJECT(S) YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District" Court at the place, date and time specified below. PLACE: United States District Courthouse 701 Clematis Street West Palm Beach, Florida 33401 ROOM: Grand Jury Room DATE AND TIME: March 6, 2007 1:00 pm* YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): See attachments *Please coordinate your compliance with this sub d confirm the date and time , and location of e with Special Agent Federal Bureau of Investigation, Telephone: This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer actin

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EFTA Disclosure
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0 r4 ''N EFTA00186795 United States District Court SOUTHERN DISTRICT OF FLORIDA TO: Palm Beach National Bank & Trust Company 3931 RCA Blvd. &lite 3102 Palm Beach Gardens, FL 33410 SUBPOENA TO TESTIFY BEFORE GRAND JURY FGJ 07-103(WPB)-Tues./No. OLY-29 SUBPOENA FOR: n PERSON DOCUMENTS OR OBJECT(S) YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District" Court at the place, date and time specified below. PLACE: United States District Courthouse 701 Clematis Street West Palm Beach, Florida 33401 ROOM: Grand Jury Room DATE AND TIME: March 6, 2007 1:00 pm* YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): See attachments *Please coordinate your compliance with this sub d confirm the date and time , and location of e with Special Agent Federal Bureau of Investigation, Telephone: This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting on behalf of the court. CLERK (BY) DEPUTY CLERK This subpoena is issued upon application of the United States of Amen • 11not applicahle, enter "none." FORM ORD-227 JAN.86 DATE: February 14, 2007 Name Address and P U.S. Attorney 500 So. Australian Avenue, Suite 400 Wes 6235 Tel: Fax: To be wd a. be, of A01 IC EFTA00186796 Palm Beach National Bank and Trust Company 3931 RCA Blvd. Suite 3102 Palm Beach Gardens, FL 33410 ATTACHMENT TO GRAND JURY SUBPOENA FGJ 07-103 OLY-29 For the period of 1/1/04 through 12/31/06 For the following individuals/entities: NES, LLC Jeffrey Epstein Household Janusz Banasiak [or Banasiar] JEGE, Inc. Alfredo Rodriguez (1) All account applications, account opening documents, signature cards, deposit slips, correspondence, account statements; and canceled checks (front and back). (2) For any and all credit cards, debit cards, lines of credit, mortgages, and/or loans, all monthly billing statements, individual charge invoices, payment records disclosing the dates, amounts, and method of payment, and checks used to make payments (front and back). This to, the following VISA accounts: EFTA00186797 U.S. Departm of Justice United States Attorney Southern District of Florida 500 S. Australian Ave.. Suite 400 h, FL 3340h623$ APPEARANCE NOTICE The attached subpoena requires the production of the records specified to a Federal Grand Jury/Trial in the Southern District of Florida. A new provision of the Federal Rules of Evidence provides that routine business records may be admitted at trial through the declaration of a custodian, if they are provided sufficiently in advance of trial to allow an opportunity for any challenges to their authenticity. Therefore, you may be able to avoid appearing personally at the grand jury/trial at the time and place specified by completely filling out the attached Ce and Inventory and immediately returning it with the records to Special Agent FBI at the following address: Federal Bureau of Investigation 505 South Flagler Drive, Ste. 500 West Palm Beach, Florida 33401-5923 EARLY VOLUNTARY TURNOVER Please note that we are requesting an early voluntary turnover of the materials subpoenaed. The early voluntary turnover date is prior to March 6, 2007. BY: Sincerely, R. ALEXANDER ACOSTA UNITED STATES ATTORNEY ASSISTANT UNITED STATES ATTORNEY EFTA00186798 CERTIFICATION OF BUSINESS RECORDS I, the undersigned , declare that I am: employed by/associated with in the position of and by reason of my position am authorized and qualified to make this declaration. In my employment with the above-named bank/company I am familiar with the business records it maintains. The above-named bank/company maintains records of its business which are: 1. made at or near the time of the occurrence of the matters set forth therein, by, or from information transmitted by, a person with knowledge of those matters; 2. kept in the course of regularly conducted business activity; and 3. made by the regularly conducted activity as a regular practice. Among the records so maintained are the attached records itemized in Appendix A, Inventory of Documents. I declare under penalty of perjury that the foregoing is true and correct. Date of execution: Place of execution: Signature: EFTA00186799 APPENDIX A DOCUMENT INVENTORY The documents submitted are as follows: Signature of Records Custodian: EFTA00186800 Washington, D.C. 20530 U.S. Department of Justice Request for Financial Information (Authorization, Purchase Order, Receiving Report) This foci. Mar only be used when retro' ing financial math of iledividosh a partnerships of live or fewer individuals. 1 Purchase Order Number: 2 Date Order Prepared: 3 Case Number: (OpelonaO 2/14/2007 FG) 07-103(WPB) No. OLY-29 Section A - Authorization and Purchase Order 4 Name and Address of Financial Institution: Palm Beach National Bank & Trust Company, 3931 RCA Blvd., Suite 3102, Palm Beach Gardens, a 33410 Dellva To: RA Special Agent atEIM= 6 Ream Dam 3/6/2007 7 Remarks: FOR REMBSEMINT PLEASE RETURN TIES FORM, THE RECORD OF SERVICES, AND A COPY OF THE SUBPOENA. 8 Plane orli nester. or Print AUS Section B - Financial Institution Invoice t 0 Date of rowel: 2114/2007 No Payment SWIM Made Unless Expenses Are Itemized Below Or On Your Porta ToBe Attached. II Service/rhumb, Records Provided: Quantity Unit Price Cost FOR PROMPT PAYMENT INCLUDE TAX ID. NUMBER. Please note that reimbursement cannot be made for the records pertaining to corporations or large partnerships of six or more. IMPORTANT: The OCIA Mandates the use of EFT/DO. In order to receive payment complete the attached EFT enrollment form. Do not proceed with compliance: [feast will exceed $500 without prior approvalof Budget Officer Laura Feliciano Fax any nomad to (305)530-7679 12 Signature of Financial Institution Oficial 113 Date Signet Section C Receiving Report 14 I easily that the articles rind services listed were received: IS Date Received: 0.25 11.00 17.00 Copy Hour Clerical Tech Flour Manger or Supervisor Total AmountClaimed By Financial Instittaion 16 1Nsallowence (See Arracher# I7 Net to Financial Institution 0.00 IS Right toFinancial Privacy Act • Public Law 95630 (12 U.S.C. 3401-3422)Request Pursuant To: (Check One Only) OBJECT SECTION CLASS O 3404 Customer Authoriration 2540 o 3405 Administrative Subpoena or Summits 2541 El 3406 Search Warrant 2542 El 3407 Judicial Subpoena 2543 O 3408 Formal Written Request 2544 ID 3413 I Grand Jury Subpoena 2545 O 3414 Special Procedures 2546 22 Remarks: ID Funds Available Date: Budget Officer: TNs loanwas eleetronicalir proclesel by Ude I towel hunk Inc a 19 Ripsaws ((Approving Official: 20 Accounting Classification Code EY FCI 2 3 PROJ J 21 Schedule and Vouches Number. DC4 I t FORM OIO Y2 I I APR 84 EFTA00186801 GENERAL This is a multipurpose form designed to sent as an Authorization, Purchase Oder, Itemized Invoice, Receiving Report and Payment voucher in conjunction with "requests for financial information," pursuant to the Right toFinancial Privacy Act of I978,P.L. 95-630, Title )U, 12 U.S.C. 3415. NOTE: Payments under this purchase order will be due on the 30th calendar day after I he date of actual receipt of a proper invoice in the omee designated to receive the Invoice the date of the check Issued In payment shall be considered to be the dale payment is made. 'the Prompt Payment Act, Public Law 97-177,96 Stat 85 (31 US.0 180), is appl kabk to payments under this purchase order and requires the payment to contractors of interest or overdue payments and improperly taken discounts. Determination of interest due will be made in accordance with the provisions of the Prompt Payment Act and the Office of Management and Budget Circular A-I25. PREPARATION INSTRUCTIONS ITEM I - A Purchase Order Number will be preprint'd on each form This norther will be used for reference purposes on any correspondence relating to this specific request for financial information. ITEM 2 Self explanatory. 11181,4 - This block may be used to identify the specific ease for winch the financial information is ['squired. This block may be left blank. SECTION A - AUTHORIZATION AND PURCHASE ORDER (To be completed by the requestingofficial). ITEM 4 - Enter the name and mailing address of the financial institution bengrequested to furnish inancial information. ITEM 5 - Enter the name and address to which the financial information is to besent by the financial institution. This will normally be the name and addiessof the requesting official. ITEM 6- Enter the date the financial information is required. ITEM 7 - Include, if appropriate, any pertinent information related to the puahase order not provided for els:Mitre on the form. ITEM 8,9 and 10 - Sdtexplanalory. SECTION B • FINANCIAL INSTITUTION INVOICE (To be convicted by the financial inntution). ITEM I I - Self-explanatory. Completion of this block constitutes an itemized till or invoice for reimbursement for the costs incurred inproviding the information requested. ITEM 12 and 13 - Self-explanalmy. SECTION C- RECEIVING REPORT (To be completed by the requesting 0nkild, whenthe requested financial information has been delivered). ITEM 14 and 15 - Self-explanaimy. ITEM 16 - This block should be used to reflect any differences between the amotnt claimed by the financial invitation and the coll ect amount to be reimbursed Differences may result from computation ems, or failure of the financial ins itution to deliver information requested. ITEM 17 - Enter the amount certified to be proper for payment. ITEM 18 - Chock the box which identifies the appropriate procedure authorized ty the Act, which necessitates the request for financial information. ITEM 19 and 20 • These blocks must be signed and dated by an official of the oganization whose funds will be charged. Ills or her signature COllgituts a stacment that the records to which the invoice refers cove required for official business and woe provided by the financial institution in scordance with the ordering insuuman. ITEM 21 - The Schedule and Voucher Number will be eMerel by the office which Vitally schedules the approved amount for payment by the Treasury Department. ITIEM 22 - Enter, if appropriate, my data not provided for elsewhere on the receiving repon.such as, reasons for any claim amounts disalbwed. EFTA00186802 VENDOR ELECTRONIC FUNDS TRANSFER (EFT) ENROLLMENT FORM I Please comply to this information if you have not done so already I PAYEE/COMPANY INFORMATION: Vendor Company Name: Address: Taxpayer ID Number Contact Person Name Telephone Number E-mail Address (If you would like to be notified via e-mail) FINANCIAL INSTITUTION INFORMATION: Bank Name Bank Address Bank Phone Number Nine Digit ABA Routing Transit Number Type of Account (Checking or Saving) Depositor Account Number Signature of Vendors Authorizing Official . Name & Title of Authorizing Official Please Return or Fax to: U.S. Attorney's Office Southern District of Florida 99 NE 4 street, Suite 200 Miami, FL. 33132 Attention: Jocelyn Collazo Fax Number: 305-530-7679 The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government, including vendor payments, must be made by electronic funds transfer (EFT). A benefit of receiving payments by EFT is that your funds are directly deposited to your account at a financial institution and are available to you on the date of payment. If you have questions regarding the delivery of the remittance information, please contact the financial institution where your account is held. If you have any questions on the completion of this form, please contact Claudia Castellanos, at 305-961-9254. FORMOBD-2J I APR. $1 Par 3 or] EFTA00186803

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