EFTA Document EFTA01590118

cont. of Page 2 Check J. P. Morgan Funds Transfer Request (Please Type Instructions) USD Transfer Infcrmation Effective Date: 12/20/12 Please enter current or future date only Select Appropiate Payment Typeond Fields be Displayed JPMC Transfer 0 ACH 0 Domestic Wire 0 International Wire Principal: $305.40 Income: Onginator lnfariiiatton Debit Account #: 739110438 Account Title: Receiving Party Inlorrration Address 1: Receiving Bank ABA: Receiving Bank Name: Chase Address 2: Beneficiary Account 11: Jeffrey E. Epstein 021000021 JPMorgan 946328564 Debit EFTA01590118 Beneficiary Name: City: State: Zip Code: Pay Through/inlormod,-:ry Pary (If Required) Account Type: DDA (US) Swift intermidiary Bank Account/Code: Intermediary Bank Name: 0 0 Other Payment Details (Reference/ Advice DescriptionfAddends) Reimbursement for taxis Sep-Nov 2012 11/27/12 By of 1 DID 30ao 1NDEX1: INDEX2: Authorized Date ID: 036212208367690 DATE: 12/20/2012 16:2421Epaglell 6 ;14:1 PAGE 2 OF 2 EFTA01590119