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This is an FBI investigation document from the Epstein Files collection (FBI VOL00009). Text has been machine-extracted from the original PDF file. Search more documents →

FBI VOL00009

EFTA01075176

162 pages
Pages 61–80 / 162
Page 61 / 162
VENDOR ELECTRONIC FUNDS TRANSFER (EFT) 
ENROLLMENT FORM 
Please comply to this information if you have not done so already 
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 & Titie of Authorizing 
Official 
Please Return or Fax to: 
U.S. Attorney's Office 
Southem District of Florida 
99 NE 4 street, Suite 200 
Miami, FL. 33132 
Attention: 
Fax Number. 
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' 
• 
b6 
b7C 
FORM OBD-21I 
APR. 84 
Pap 3 off 
EFTA01075236
Page 62 / 162
United States District ourt 
SOUTHERN DISTRICT OF FLORIDA 
TO: 
SUBPOENA TO TESTIFY 
BEFORE GRAND JURY 
b3 
FGJ 07-103(WPB)-Tues./No. OLY-28 
• 
SUBPOENA FOR:  
I 
I PERSON 
X 
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 subpoena and confirm the date and time , and location of 
your appearance with Special Agent' 
Federal Bureau of Investigation, Telephone: 
b6 
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting 
b7C 
on behalf of the court. 
This subpoena is issued upon application 
of tl,a T Ta:taA CI 
• 
*If not applicable, enter "none." 
DATE: 
February 14, 2007 
Name, Address and Phone Number of Assistant U.S. Attorney 
 
'Assistant U.S. Attorney 
500 So. Australian Avenue, Suite 400 
West Palm Beach FL 33401-6235 
Tel: 
Fax: 
To be used Is lieu of A0110 
FORM ORD-227 
JAN.86 
3/C- (Am -10OP2-ficalf-Eq
EFTA01075237
Page 63 / 162
0' 
RETURN OF SERVICE, 
IP 
RECEIVED 
BY SERVER 
DATOEW 240-7 
PLACE 
UP 13 
4P(-- 
- 
SERVED 
DATE 
+1 
PLACE 
- V 
) 
I k ilk's 
6 
SERVED ON (NAME) 
4 
b3 
SERVED I 
TITLE 
Th
l 5A 
. 
OF SERVICE FEES 
STATEMENT 
TRAVEL 
SERVICES 
b6 
TOTAL 
b7C 
DECLARATION OF SERVICE 
I declare 
Statement 
Executed 
under penalty of perjury under 
of Service Fees is true and 
on 
the laws of the United States 
correct. 
of America that the foregoing information contained in the Return of Service and 
• 
DA E 
UFB 
it
( 
SC's 
S. Pr. 
c_ •‘•-•x-
Address of Server 
I
‘../ 
ADDITIONAL INFORMATION 
• 
1As to who may serve a subpoena and the manner of Its service see Rule 17(d). Federal Rules of Criminal Procedure, or 
Rule 45(c), Federal Rules of Civil Procedure. 
2."Fees and mileage need not be tendered to the witness upon service of a subpoena Issued on behalf of the United 
States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure; Rule 17(d), Federal Rules of Criminal 
Procedure) or on behalf of certain Indigent parties and criminal defendants who are unable to pay such costs (28 USC 
1825, Rule 17(b) Federal Rules of Criminal Procedure)" 
EFTA01075238
Page 64 / 162
I 
ATTACHMENT TO GRAND JURY SUBPOENA 
FGJ 07-103 OLY-28 
b3 
-• 
• 
EFTA01075239
Page 65 / 162
U.S. Departlet of Justice 
United States Attorney.
Southern District of Florida 
500 S Australian Ave., Suite 400 
West Palm Beath, FL 33401-6235 
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 Certification 
and Inventory and immediately returning it with the records to Special 
 
I 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 
 
I
ASSISTANT UNITED STATES ATTORN Y 
b6 
b7C 
EFTA01075240
Page 66 / 162
• 
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: 
EFTA01075241
Page 67 / 162
• 
APPENDIX A 
DOCUMENT INVENTORY 
The documents submitted are as follows: 
Signature of Records Custodian: 
EFTA01075242
Page 68 / 162
U.S. Department of Justice 
Washington, D.C. 20530 
Request for Financial Information (Authorization, 
Purchase Order, Receiving Report) 
This form shall arty be used when requesting financial records of individuals ad partnerships of free w fewer individuals. 
I Purchase Order Number 
2 Date Order Prepared: 
2/14/2007 
3 Case Number: (Optional) 
FGJ 07-103(WPB) No. OLY-28 
Section A - Authorization and Purchase Order 
4 Name and Address of Financial Institution: 
5 Deliver To: FBI Special Agen 
6 Return Date: 
3/6/2007 
7 Remarks: 
FOR REIMBURSEMENT PLEASE RETURN THIS FORM, THE RECORD OF 
SERVICES, ANP A COPY OF THE SUBPOENA. 
8 Name of Requester: (Type or Prim) 
AUSil 
9 TelcohoncNumberi
Section B - Financial Institution Invoice 
10 Date of request: 
2/14/2007 
No Payment Shall Be Made Unless Expenses Are Itemized Below Or On Your Form To Be Attached. 
II Senticeffiinancial Records Provided: 
Quantity 
Unit Price 
Amount 
Cost 
Per 
FOR PROMPT PAYMENT INCLUDE TAX I.D. NUMBER. 
Please note that reimbursement cannot be made for the records pertaining to 
corporations or large partnerships of six or more. IMPORTANT: The DCIA 
Mandates the use of EFT/DD. In order to receive payment complete the 
attached EFT enrollment form. 
• 
Do not nrocel with compliance: If cost will exceed $501 without prior approval of 
0.25 
11.00 
17.00 
Copy 
Hour Clerical 
Tech 
Hour Manger 
or 
Supervisor 
Budget Office 
1 Fax any request to (305)530-7679 
12 Signature of Financial Institution Official: 
13 Date Signed: 
Total Amou tffiaimed 
By Financial Institution 
0.00 
Section C - Receiving Report 
16 Disallowance 
(See Attached) 
14 I certify that the articles and services listed were received: 
IS Date Received: 
17 Net to 
Financial 
Institution 
IS Right to Financil Privacy Act - Public Law 954530 
(12 U.S.C.34014422)Request PursuantTo: (Check One Only) 
OBJECT 
SECTION 
CLASS 
O 
3404 
Customer Authorisation 
2540 
O 
3405 
Administrative Subpoena or Summons 
2541 
O 
3406 
Search Warrant 
• 
2542 
O 
3407 
Judicial Subpoena 
2543 
19 Signature of Approving Official: 
20 Accounting Classification Code 
FY FC 
2 
I 
3 
4 
I 
5 
PROD 
I. 
/
I
I
'
l
l
l 
I 
2I Schedule and Voucher Number: 
Q 3413 .1 
Omnd Jury Subpoena 
2545 
O 
3414 
Special Procedures 
2546 
DCN 
22 Remarks: 
El Funds Available 
Date: 
Budget Officer: 
• 
IP 
FORM 090.2 I I 
APR. 84 
b3 
b6 
b7C 
T is tomiwas Mocuonicalb produced by SAO Fedora, Fenn. Inc. 
EFTA01075243
Page 69 / 162
• 
GENERAL 
This is a multi-purpose form designed to sere as an Authorization, Purchase Oder, Itemized Invoice, Receiving Report and Payment voucher in 
conjunction with 'requests for fimacial information," pursuant to the Right toFinancial Privacy Act of 1978, P.L. 95630,Ti0e XI, 12 U.S.C. 3415. 
NOTE: 
Payments under this purchase order will be due on the 30th calendar day after the date of actual receipt of a proper Invoke In the office designated to receive 
the Invoke the date of the check issued in payment shall be considered to be the date payment is made. 
The Prompt Payment Act, Public Law 97-177,96 Stat 85 (31 U.S.0 180), is applicable 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 1- A Purchase Order Number will be preprinted oneach form This number will be used for reference purposes on any correspondence relating to this spedlic 
request for financial infomntion. 
ITEM 2 - Sd fexplanausy. 
ITEM 3 - This block may be used to idanify the specific case for which the Nuncio] information is required. This block may be left blank. 
SECTION A -AUTHORIZATION AND PURCHASE ORDER (To be completed by the requestingoMcial). 
ITEM 4 - Enter the name and mailing address of the financial institution bengrequested to furnish financial infonmtion. 
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 addressor the 
requesting official. 
ITEM 6- Enter the date the financial information is required. 
ITEM 7 - Include, if appropriate, any pertinent information related to the purchase order not provided for elsewhere on the form. 
ITEM 8.9 and l0 - Sdttexplanotory. 
SECTION Et - FINANCIAL INSTITUTION INVOICE (To be completed by the financial initution). 
ITEM I I - Self-explanatory. Completion of this block constitutes an itemized till or invoice for reimbursement for the cost inured in providing the information 
requested. 
ITEM 12 and 13 - Self-explanatory. 
SECTION C- RECEIVING REPORT(To be completed by the requesting official, whcnthe requested financial information has been delivered). 
ITEM 14 and IS-Self-explanatory. 
ITEM 16- This block should be used to reflect any differences between the amoint claimed by the financial instiution and the correct amount to be reimbursed 
Differences may result from computation errors, or failure of the financial insitution to deliver information requested. 
ITEM 17 - Enter the amount certified to be proper for payment. 
ITEM 18 - Check the box which identifies theappropriate procedure authorized by the Act, which necessitates the request for financial information. 
ITEM 19 and 20- These blocks read be signed and dated by an official of the oganization whose funds will be charged. His or her signature coalman a sutement that the 
records to which the invoice refers were required kr official business and wee provided by the financial institution in rccordance with the ordering instilment. 
ITEM 21 - The Schedule and Voucher Number will be entered by the office which studly schedules the oppressed amount for pcgment by the Treasury Department. 
ITEM 22 • Enter, if appropriate, my data not provided for elsewhere on the receiving report,such as, reasons for any claim amounts disalbwed. 
EFTA01075244
Page 70 / 162
VENDOR ELECTRONIC FUNDS TRANSFER (EFT) 
ENROLLMENT FORM 
Please comply to this information if you have not done so already 
PAYEE/COMPANY INFORMATION: 
Vendor Company Name:
Address: 
Taxpayer ID Number 
Contact Person Name 
I 
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 
I 
Nine Digit ABA Routing Transit Number 
Type of Account (Checking or Saving) 
Depositor Account Number 
Signature of Vendor's 
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 
Attentiont
Fax Number. 
The Debt Collection Improvement Act of 19% 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 
FORM OBD-211 
APR. M 
Page 3 of 3 
b6 
b7C 
EFTA01075245
Page 71 / 162
FD-448 (Rev. 6-2.97) 
FBI FACSIMILE 
COVER SHEET 
PRECEDENCE 
K Immediate 
K Priority 
• 
Routine 
To: 
Name of Office 
CLASSIFICATION 
K Top Secret 
El Secret 
K Confidential 
K Sensitive 
K Unclassified 
Time Transmitted: 
Sender's Initials: 
t rs 
Number of Pages: 
(including cover sheet) 
Facsimile Number:
Attn: J 
1 
Telephone 
Name 
From: 
FBI 
Room 
Name of Office 
Subject:  Grand Jury Subpoena 
Special Handling Instructions: 
b3 
Date: 03/05/2007 
1,6 
b7C 
Originator's Name: SA r 
Originator's Facsimile Number: 
Approved:  
Brief Description of Communication Faxed:  
( 
Telephone:
J
WARNING 
Information attached to the cover sheet is U.S. Government Property. If you are not the intended recipient of this 
information, disclosure, reproduction, distribution, or use of this information is prohibited (18.USC, § 641). Please notify the 
originator or the local FBI Office immediately to arrange for proper disposition. 
EFTA01075246
Page 72 / 162
United States District Court 
SOUTHERN DISTRICT OF FLORIDA 
TO: 
SUBPOENA TO TESTIFY 
BEFORE GRAND JURY 
FGJ 05-02(WPB)-FriJNo. OLY-19 
SUBPOENA FOR: 
b3 
PERSON 
r xi 
DOCUMENTS OR OBJECT[S] 
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury ofthe United States District 
Court at the place, date and time specified below. 
PLACE: 
Palm Beach County Courthouse 
Juvenile Courts Building 
205 N. Dixie Highway 
West Palm Beach, Florida 33401 
(Temporary location for the United States District Courthouse, West Palm Beach) 
ROOM: 
Room 4-A 
DATE AND TIME: 
September 29, 2006 
9:00am 
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): 
Please coordinate your compliance of this subpoena and confirm the date and time of your 
appearance with Special Agent 
 Federal Bureau of Investigation, 
Telephone: 
b3 
b6 
b7C 
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 
DATE: 
September 21, 2006 
This subpoena is issued upon application 
nf f6e T Tnitorl Ctsitoe nf A merit" 
Name, Address and Phone Number of Assistant U.S. Attorney 
 
]Assistant U.S. Attorney 
500 So. Australian Avenue, Suite 400 
West Palm Beach, FL 33401-6235
Tel: 
Fax: 
*If not applicable, enter "none." 
Tote usedie lieu 0(.40110 
FORM ORD-227 
IAN 86 IA\
v3 / 6 -  
/Of 
64, 
EFTA01075247
Page 73 / 162
U.S. DepartmlOof Justice 
United States Attorney 
Southern District of Florida 
SOO S. Australian Ave, Suite 400 
West Palm Beach, FL 334014235 
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 Certification 
and Inventory and immediately returning it with the records to Special Agent' 
 
I 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 September 29, 2006. 
BY: 
Sincerely, 
R. ALEXANDER ACOSTA 
UNITED STATES ATTORNEY 
ASSISTANT UNITED STATES ATTORNEY 
b6 
b7C 
EFTA01075248
Page 74 / 162
• 
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: 
EFTA01075249
Page 75 / 162
r. 
APPENDIX A 
DOCUMENT INVENTORY 
The documents submitted are as follows: 
Signature of Records Custodian: 
EFTA01075250
Page 76 / 162
Untied States District tart 
SOUTHERNDISTRICT OF FLORIDA 
TO: 
SUBPOENA TO TESTIFY 
BEFORE GRAND JURY 
b3 
FGJ 07-103(WPB)-Tues JNo. OLY-30 
SUBPOENA FOR:  4" 
• 
' 
' 
PERSON 
X 
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. 
a2_ 
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 subpoena and confirm the date and time , and location of 
your annearant with Special Agent' 
j 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 
. 
_ 
DATE: 
b6 
b7C 
February 14, 2007 
Name, Address and Phone Number of Assistant U.S. Attorney 
 'Assistant U.S. Attorney 
500 So. Australian Avenue, Suite 400 
West Palm Bcach. FL 33401-6235 
Tel: 
Fax: 
'If not applicable, enter "none." 
To be used ire lieu ;5040110 
FORM ORD-227 
JAN.86 
f ,31 
3te.-
EFTA01075251
Page 77 / 162
• 
RETURN OF SERVICE' 
RECEIVED 
BY SERVER ' 
DATEozb oicri
PLACE ea% 
R
.
SERVED 
DATE 
z il os7
girl
•PLACE 
v 
. 
M 
ess-
tA
 
1.
SERVED ON itIAME1 
b3 
SERVED BY 
TITLE 
F13 1 Sil 
OF SERVICE FEES 
STATEMENT 
TRAVEL 
SERVICES 
b6 
TOTAL 
b7C 
DECLARATION OF SERVICE' 
I declare under 
Statement of Service 
Executed on 
penalty of perjury under 
Fees is true and correct. 
olziln 
the laws of the United Stales of America that the foregoing information contained In the Return of Service and 
DA 
S
drum or ow inn 
Address of Server 
ADDITIONAL INFORMATION 
1.As to who may serve a subpoena and the manner of Its service see Rule 17(d). Federal Rules of Criminal Procedure, or 
Rule 45(c), Federal Rules of Civil Procedure. 
2.-Fees and mileage need not be tendered to the witness upon service of a subpoena issued on behalf of the United 
States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure; Rule 17(d), Federal Rules of Criminal 
Procedure) or on behalf of certain indigent parties and criminal defendants who are unable to pay such costs (28 USC 
1825, Rule 17(b) Federal Rules of Criminal Procedure)" 
EFTA01075252
Page 78 / 162
• 
• 
b3 
ATTACHMENT TO GRAND JURY SUBPOENA 
FGJ 07-103 OLY-30 
EFTA01075253
Page 79 / 162
• 
U.S. Depart 
of Justice 
United States Attorney 
Southern District of Florida 
500 S Australian Ave., Suite 400 
Irest Palm Beach, FL 33401.6235 
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 Certification 
and Inventory and immediately returning it with the records to Special Agent 
 
I 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 
• ; 1,6 
b7C 
EFTA01075254
Page 80 / 162
• 
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 famil(ar 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: 
EFTA01075255
Pages 61–80 / 162