DS9 Document EFTA00523729

STARK Credit Card Authorization Form I JEFFREY E. EPSTEIN , hereby authorize Stark Carpet Corp. to charge my card for the amount indicated below. I understand these charges are for the payment of goods and/or services by the above referenced merchant. Account #: Invoice/Order #: QUOTE # 253970 Amount to be charged: 17,587.60 Credit Card Type: Credit Card #: Credit Card Expiration Date: 12/20 CVY / Security Code: 8842 Amex It Visa O MasterCard O Company Name: Cardholder Name: JEFFREY E. EPSTEIN Billing Address: 9 EAST 71ST STREET City: NEW YORK State: NY Zip Code: 10021 Phone #: Email address for CC receipt: Terms & Conditions: The afro client agrees payment in full is and without any disputes or stop named client and be made when nista on t Please sign below agreeing to the above Cardholder Signature: Print Name: JEFFREY E. EP rstands and acknowledges the charges described above. The Ned in accordance with the standard policy of the issuing bank above credit card. and ea-Milan:: ,Ca0 m ,jam EFTA00523729