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efta-efta01075037DOJ Data Set 9Other

Fowler White Burnett

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DOJ Data Set 9
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efta-efta01075037
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2
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Fowler White Burnett ATTORNEYS AT LAW Mr. Jeffrey Epstein 301 East 66th Street Suite 10 B New York, NY 10065 Invoice Number STATEMENT OF ACCOUNT Invoice Date Original Invoice Amount Payments and Credits Invoice Balance Due Espirito Santo Ha Fourteenth Flo 1395 Brickell Avant Mi " 11 ai El.. r. . www.fowler-white.cot March 30, 2012 Client No. 23869 080743 - Jeffrey Epstein August Balance Brought Forward $20,000.00 465667 10/20/11 $82,822.50 S0.00 $82,822.50 465669 10/21/11 $3,815.13 $0.00 $3,815.13 469108 01/20/12 $36,393.75 $0.00 S36,393.75 469118 01/19/12 $1,880.14 $0.00 $1,880.14 470528 02/09/12 $74,747.50 $0.00 $74,747.50 470529 02/10/12 $1,152.91 $0.00 $1,152.91 471831 03/12/12 $81,318.75 $0.00. $81,318.75 471832 03/09/12 $5,495.42 $0.00 $5,495.42 472520 03/29/12 $39,670.00 $0.00 $39,670.00 472521 03/30/12 $667.41 $0.00 $667.41 Matter Total $347,963.51 Balance Due $347,963.51 TERMS: DUE UPON RECEIPT Please make checks payable to: FOWLER VVRITEI3URNETT Payments received after this statement date are not reflected. Please refer to the above Matter Number when making payment. This is a statement of your entire account which includes current and/or past due items. Please remit all items that are over 30 days as they are considered past due. lfyour records do not agree with ours, please •• able Coordinator, Jamal Mercado, at (305) 789-9265 or by e-mail: Thank you for your prompt attention to this matter. If you have already e your payment, you and please disregard this reminder. If not, please remit your payment immediately. For your convenience we accept American Express, Discover, MasterCard and Visa. If remitting by credit card, fill in the information below and sign where indicated before returning. FOWLER WHITE BURNETT P.A. EFTA01075037 rd Holder Name Address ty, fate Zip v.': -&wired) • u ze • rgnature Cern ° American Express CDiscover °MasterCard °Visa ccoun NUM r Expiration Date Sect, 4, ode ( rester qsa a • scover - ree digits 01 back of card— AMEX - four digits on the front of card) mount Date FOWLER WHITE BURNETT PA. EFTA01075038

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