EFTA00125007.pdf

AUG- 19-201 9 I I: 1 0 US ATTORNEY SDNY 2126372616 P.007/007 if 3 1 U.S. Department Gnostic° Washington, D.C. 20530 Request for Financial Information Under tho Right to Financial Privacy Act (RFPA) (Authorization, Purchase Order and Receiving Report) mil +in. Am Se ...a ressi mquestim Intonli moms of iodividloolo painictshin of dm or Aura Imlivichnls meat the UP& I Tracking Number! 2 Dele onfet Prepuce: m • Section A- Authorization and Purchase Order 4 Name and Address of rintsiCA31 lmtiIudore Retail Bank Operations TD Bank N.A. PO Box 1377 I ....vision MI nAnite177 3 Deliver Records In: See attached subpoena for delivery instructions Funding Certification & Authorisation: A theism Ofbaai patens Swam Aesthete Dye 54 - 5113 eirdiaa5N.4_, Swine I 6 Return Ude tWA Sal Completed (3SA-2 ran fib Invoice Ten U.S Memo'. Offloc• &Asa/ Elsol Unit 84 gumbo, Soca. 3A1 floor New York, NY 10007 I See attached 7 Remarks: Do not proceed with compliance if the total cost will exceed S 500.00 without prior approval. To obtain approval. call the requester listed in Item 8. If invoicing for these semen te expected to exceed 120 days. plow &my the United Swim Attorney's Office immediately to ensue fun,* remain available for payment. Plasm see the attached Important Notice for additional information on invoicing and other requirements for reimbursement S Noma of AUS 9 The no Number 10 Date of tequen: 8/19/2019 Section B. Financial Institution Invoke 4284513574 Ref 172806 No Payment Shall So Made Unitas Expenses Are Iternrad Below Or Set Forth On Your Mulched Invoice. I A Invoice Numbem I IB Tax ID Number: 11C ServiceftYReccette Provided: A. Searching mid processing costs (clerical or technical personnel) 13. Searching and processing coal (rnantigementisupervisory personnel) C. Searching and processing costs (computer Support specialist) 1). Reproduction Costs (PhOtOttipying)- **Nutt: Copy charges will be disallowed if the infonnadon is stored electronically, Unless the US Attorney's Office requests paper. L Reproduction Costs (Paper Copies of Microfiche; movide jusli Deaden) P. Reproduction Costs (Duplicate Microfiche: providejustification) 0. Storage Media Cost (e.g., Compact Disc, DVD, etc., at Actual Cost) H. Transportation Costs (Direct Casts Only) Cowley $22.00 $30.00 $30.00 $0.25 $0.25 I 50.50 I I I In Item NI Z 1 eatISS• stmt the envious invoiced above were not performed relative to any corporate account. end pertain only to *mono of individuals and • rthershi or nos or fewer Ndlviduua 12 Signature et Finemial Insdiution OfYk 13 Date Slimed: Section C - !Untying Report 08/27/19 Unit Price *3.75 Toed Amount Claimed By Financial Institution How Hour Hour Page Amount $33.00 Frame L 14kirofiche f 5075 S33.75 14 t certify that the urtielee AMIttruvleus listed Were received: IA Right to Finenelet Priory AOI -Publk Law 93.630 (12 I /At'. 3401.3422) Rogues Pursuant To: (Check One Os(v) Seel' ION r 3401 Customer Authorization 254$ r 34° 5 Administrative Subpoena or Summon 254$ r 3420 Search Warrant 2545 r 3407 Judklal Subpoena 254$ r, 3408 Format Written Request 254.3 r 3413 Grand Jury Subpoena 2545 r 3414 Special Procedures 254$ 22 Remarks: IS Dote Received: 0903.41% (See Attacked) 17 Hello Firsancal Institution OBACT CLASS 19 Signature of Approving Officio : 20 Funding Source Accounting Code Program 21 Cellar Accounting/Fund information, Proesam Co& WA Project Code: N/A YRIXDOC: 54.1113 Can Humber Of menorah): OOL Month (YRMO): Tre ID Number. To IM eon of.y lino tie fanned records retched. for whieh we m hdna Mind. an non of an Shit& Of parental; of #W or freer WW1/me. Sivtawe of united Sums Anew/ Office RcpcsnAttm Dye FORM USA:211 FEB. 2014 TOTAL P.007 EFTA00125007