Case File
efta-01480380DOJ Data Set 10OtherEFTA01480380
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01480380
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
POWER OF ATTORNEY INFORMATION
DATE POWER OF ATTORNEY RECEIVED
/
I
POWER OF ATTORNEY NAME
POWER OF ATTORNEY SIGNATURE
X
ADDRESS (Street and Number)
CITY
STATE
ZIP CODE
BENEFICIARY INFORMATION r----
am
ADDITIONAL ACCOUNT SIGNERS • (For Estate and Trust accounts, a needed) • Line out unused Signature boxes
PRINT NAME
TITLE
SIGNATURE
7
X
X
,,
X
VERIFICATION
2 ---
Primary Applicant:
ID-I: DL
IDX.
St. FL Exp: OI/01/2006
ID-2: PP
IDI/:
St Exp: 01/30/201
ChexSystems:Approved Code:950D SSN -ST:FL YR:2004
TU:Override
CDE:8 FPH:
Override Approval By:
,ir
:700 1
Joint Applicant:
ID-I:
IDS:
St Exp:
ID-2:
ID":
St Eigx
ChexSystems:
Code: SSN-ST: YR:
TU:
CDE: FPH:
NOTARY INFORMATION (For Worldwide Consumer Bank)
STATE OF
COUNT' OF
SS.:
before me personally came
On the day of
to me known. and known to me to be the individual described and
he
acknowledged to me that
he
executed ir2atn&WCexecuted the foregoing instrument me.
THE
INFORMATION AND (P40 y
SIGNATURE(S) (POA AND ADOITIONAL SIGNERS) WERE VERIFIED BY:
Not ituTR. No.:
I
Pot Nemo wawa
03.9415 (Stock Order*)
Fen'
Confidential Treatment Requested by
JPMorgan Chase
CONFIDENTIAL
JPM-SDNY-00002526
SDNY_GM_00271724
EFTA01480380
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