Case File
efta-efta00313620DOJ Data Set 9OtherGRANDIHYATT
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00313620
Pages
1
Persons
0
Integrity
No Hash Available
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
GRANDIHYATT
GRAND HYATT TOKYO BILLING AUTHORIZATION FORM
I
Jeffrey Epstein
(print full name) (Ste)
authorize Grand Hyatt Tokyo to charge:
alliliPiitizEPEPtitt-FZI.%. Meese wheal
etIltAt
Charges
SE
o SSC .9.-raft.at
O Rooms, Service Charge &Tax
O Sittig lOITI4Dinqfptit
O Others (please specify)
To the credit card listed below:
t —rsr,
Credit Card Type: American Express
t —Fit*
Credit Card Number:
06/21
71
Name on Credit Card:
Zane*
Phone Number.
Jeffrey E. Epstein
Z116
Signature:
craw
Billing Address of credit card holder:
9 East 71° Street, New York, NY 10021
an II
77'2.0.X0 -4
Fax Number:
K movit#1*** (Statement by mail not required)
K jimmattev( Statement by mail required)
Aft% (11211INLA5**CO;P:21EATtO.
Receiver's address(Fill in only if different from above)
iggiitc0845VI
Guest Name:
_
33675183
Expiration
Confirmations:
:rate
From (Arrival Date): Feb. 3,2017
Until (Departure Date): Feb. 25,. 2017
trt-Clitillt6ztittletnettAi. •
AMOOMMORIZI11.#1..."Cl*.
ss.:"Plal.‘kt:llt6)Yefi. 7*-Aftte<tiato.
MB personal information is limited to hotel-related purposes and for no other use. By submitting this form and at/summing
documents, I confirm that I have read and agreed to the use of the personal Information I am gMng you in accordance with
your Global Privacy Policy for Guns. which Is available at privacy.hvatt.com.
• Please mach a legible copy of the front IL back of the credit card.
EFTA00313620
Technical Artifacts (2)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
privacy.hvatt.comPhone
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