EFTA00186795.pdf
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EFTA00186795
United States District Court
SOUTHERN DISTRICT OF FLORIDA
TO: Palm Beach National Bank & Trust Company
3931 RCA Blvd.
&lite 3102
Palm Beach Gardens, FL 33410
SUBPOENA TO TESTIFY
BEFORE GRAND JURY
FGJ 07-103(WPB)-Tues./No. OLY-29
SUBPOENA FOR:
n
PERSON
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 sub
d confirm the date and time , and location of
e with Special Agent
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
of the United States of Amen
• 11not applicahle, enter "none."
FORM ORD-227
JAN.86
DATE:
February 14, 2007
Name Address and P
U.S. Attorney
500 So. Australian Avenue, Suite 400
Wes
6235
Tel:
Fax:
To be wd a. be, of A01 IC
EFTA00186796
Palm Beach National Bank and Trust Company
3931 RCA Blvd.
Suite 3102
Palm Beach Gardens, FL 33410
ATTACHMENT TO GRAND JURY SUBPOENA
FGJ 07-103 OLY-29
For the period of 1/1/04 through 12/31/06
For the following individuals/entities:
NES, LLC
Jeffrey Epstein Household
Janusz Banasiak [or Banasiar]
JEGE, Inc.
Alfredo Rodriguez
(1) All account applications, account opening documents, signature cards, deposit slips,
correspondence, account statements; and canceled checks (front and back).
(2) For any and all credit cards, debit cards, lines of credit, mortgages, and/or loans, all
monthly billing statements, individual charge invoices, payment records disclosing the
dates, amounts, and method of payment, and checks used to make payments (front and
back).
This
to, the following VISA accounts:
EFTA00186797
U.S. Departm
of Justice
United States Attorney
Southern District of Florida
500 S. Australian Ave.. Suite 400
h, FL 3340h623$
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 Ce
•
and Inventory and immediately returning it with the records to Special Agent
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
EFTA00186798
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:
EFTA00186799
APPENDIX A
DOCUMENT INVENTORY
The documents submitted are as follows:
Signature of Records Custodian:
EFTA00186800
Washington, D.C. 20530
U.S. Department of Justice
Request for Financial Information (Authorization,
Purchase Order, Receiving Report)
This foci. Mar only be used when retro' ing financial math of iledividosh a partnerships of live or fewer individuals.
1 Purchase Order Number:
2 Date Order Prepared:
3 Case Number: (OpelonaO
2/14/2007
FG) 07-103(WPB) No. OLY-29
Section A - Authorization and Purchase Order
4 Name and Address of Financial Institution: Palm Beach National Bank & Trust Company, 3931 RCA Blvd., Suite 3102, Palm Beach
Gardens, a 33410
Dellva To: RA Special Agent
atEIM=
6 Ream Dam
3/6/2007
7 Remarks:
FOR REMBSEMINT PLEASE RETURN TIES FORM, THE RECORD OF
SERVICES, AND A COPY OF THE SUBPOENA.
8 Plane orli nester.
or Print
AUS
Section B - Financial Institution Invoice
t
0 Date of rowel:
2114/2007
No Payment SWIM Made Unless Expenses Are Itemized Below Or On Your Porta ToBe Attached.
II Service/rhumb, Records Provided:
Quantity
Unit Price
Cost
FOR PROMPT PAYMENT INCLUDE TAX ID. NUMBER.
Please note that reimbursement cannot be made for the records pertaining to
corporations or large partnerships of six or more. IMPORTANT: The OCIA
Mandates the use of EFT/DO. In order to receive payment complete the
attached EFT enrollment form.
Do not proceed with compliance: [feast will exceed $500 without prior approvalof
Budget Officer Laura Feliciano Fax any nomad to (305)530-7679
12 Signature of Financial Institution Oficial
113 Date Signet
Section C Receiving Report
14 I easily that the articles rind services listed were received:
IS Date Received:
0.25
11.00
17.00
Copy
Hour Clerical
Tech
Flour Manger
or
Supervisor
Total AmountClaimed
By Financial Instittaion
16 1Nsallowence
(See Arracher#
I7 Net to
Financial
Institution
0.00
IS Right toFinancial Privacy Act • Public Law 95630
(12 U.S.C. 3401-3422)Request Pursuant To: (Check One Only)
OBJECT
SECTION
CLASS
O
3404
Customer Authoriration
2540
o 3405
Administrative Subpoena or Summits
2541
El 3406
Search Warrant
2542
El 3407
Judicial Subpoena
2543
O
3408
Formal Written Request
2544
ID 3413 I
Grand Jury Subpoena
2545
O
3414
Special Procedures
2546
22 Remarks:
ID Funds Available
Date:
Budget Officer:
TNs loanwas eleetronicalir proclesel by Ude I towel hunk Inc
a
19 Ripsaws ((Approving Official:
20 Accounting Classification Code
EY FCI
2
3
PROJ
J
21 Schedule and Vouches Number.
DC4
I t
FORM OIO Y2 I I
APR 84
EFTA00186801
GENERAL
This is a multipurpose form designed to sent as an Authorization, Purchase Oder, Itemized Invoice, Receiving Report and Payment voucher in
conjunction with "requests for financial information," pursuant to the Right toFinancial Privacy Act of I978,P.L. 95-630, Title )U, 12 U.S.C. 3415.
NOTE:
Payments under this purchase order will be due on the 30th calendar day after I he date of actual receipt of a proper invoice in the omee designated to receive
the Invoice the date of the check Issued In payment shall be considered to be the dale payment is made.
'the Prompt Payment Act, Public Law 97-177,96 Stat 85 (31 US.0 180), is appl kabk 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 I - A Purchase Order Number will be preprint'd on each form This norther will be used for reference purposes on any correspondence relating to this specific
request for financial information.
ITEM 2 Self explanatory.
11181,4 - This block may be used to identify the specific ease for winch the financial information is ['squired. This block may be left blank.
•
SECTION A - AUTHORIZATION AND PURCHASE ORDER (To be completed by the requestingofficial).
ITEM 4 - Enter the name and mailing address of the financial institution bengrequested to furnish inancial information.
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 addiessof the
requesting official.
ITEM 6- Enter the date the financial information is required.
ITEM 7 - Include, if appropriate, any pertinent information related to the puahase order not provided for els:Mitre on the form.
ITEM 8,9 and 10 - Sdtexplanalory.
SECTION B • FINANCIAL INSTITUTION INVOICE (To be convicted by the financial inntution).
ITEM I I - Self-explanatory. Completion of this block constitutes an itemized till or invoice for reimbursement for the costs incurred inproviding the information
requested.
ITEM 12 and 13 - Self-explanalmy.
SECTION C- RECEIVING REPORT (To be completed by the requesting 0nkild, whenthe requested financial information has been delivered).
ITEM 14 and 15 - Self-explanaimy.
ITEM 16 - This block should be used to reflect any differences between the amotnt claimed by the financial invitation and the coll ect amount to be reimbursed
Differences may result from computation ems, or failure of the financial ins itution to deliver information requested.
ITEM 17 - Enter the amount certified to be proper for payment.
ITEM 18 - Chock the box which identifies the appropriate procedure authorized ty the Act, which necessitates the request for financial information.
ITEM 19 and 20 • These blocks must be signed and dated by an official of the oganization whose funds will be charged. Ills or her signature COllgituts a stacment that the
records to which the invoice refers cove required for official business and woe provided by the financial institution in scordance with the ordering insuuman.
ITEM 21 - The Schedule and Voucher Number will be eMerel by the office which Vitally schedules the approved amount for payment by the Treasury Department.
ITIEM 22 - Enter, if appropriate, my data not provided for elsewhere on the receiving repon.such as, reasons for any claim amounts disalbwed.
EFTA00186802
VENDOR ELECTRONIC FUNDS TRANSFER (EFT)
ENROLLMENT FORM
I
Please comply to this information if you have not done so already
I
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 & 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
Attention: Jocelyn Collazo
Fax Number: 305-530-7679
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 Claudia Castellanos, at 305-961-9254.
FORMOBD-2J I
APR. $1
Par 3 or]
EFTA00186803
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| Filename | EFTA00186795.pdf |
| File Size | 767.8 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 11,989 characters |
| Indexed | 2026-02-11T11:13:02.350095 |