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efta-efta01480378DOJ Data Set 10Correspondence

EFTA Document EFTA01480378

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DOJ Data Set 10
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efta-efta01480378
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Extracted Text (OCR)

EFTA Disclosure
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 I POWER OF ATTORNEY NAME PCwER OF ATTORNEY SIGNATURE X ADDRESS (Street and Number) CITY STATE ZIP CODE .1., BENEFICIARY INFORMATION ADDITIONAL ACCOUNT SIGNERS - (For Estate end Trust accounts, as needed) - Line out unused Signature boxes PRINT NAME TITLE SIGNATURE X X X VERIFICATION Pnmary Applicant: 10.1: DL ID# M623620855610 St FL Egg 01/01/2006 ID-2: PP IDS: 4278011 St Exp: 01130/2013 ChexSystems:Approved Codt:9500 SSN-ST:FL YR:2004 TU:Override CDE:B FPH: Override A royal B 44 11.1011 - Joint Applicant ID-1: IDS: St: Exp: ID-2: IC*: St Exp: CbexSysteres: Code: SSN-ST: YR: TU: CDE: FPH: NOTARY INFORMATION (For Worldwide Consumer Bank) STATE OF COUNTY OF SS.: before me personally came On tie day of known, known individual described he executed in. and who executed the foregoing Instrument. the same. b me and to me to be the and he acknowledged to me that THE ABOVE INFORMATION AND (NO.) SIGNATURE(S) (POA AND ADDITIONAL SIGNERS) WERE VERIFIED BY: Dr. WRY. No: Prbil POT* 'Nita!, 03-9415 (Stock Order #) FORM 113.DOC - 63 Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002518 SDNY_GM_00271716 EFTA01480378

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Phone4278011
SWIFT/BICBENEFICIARY

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