Pow wBnAvg worses) pry 00:20:11. SLOZML/E UD PeArs>al SUA J Jo F aed eR SLL AUG-19-2019 11:10 US ATTORNEY SDNY 2126372616 P.007/007 U.S. Department of Justice Request for Financial Information Under the Right to Financial Privacy Act (RFPA) Washington, D.C. 20530 (Authorization, Purchase Order and Receiving Report) eye de smmeesseee eee! Tie en a ee eg eel ace of nih a cu of ver Re ivan te RFA Section A - Authorization and Purchase Order Nome Adress of Financial Institution: ‘ ond * "Retail Bank Operations Punding Certification & ‘Segnature us ry Dae TD Bank NA, PO Box 1377 ‘Authorimlioa! 8 54-6123 ———_—_—_______Lewiston ME.04243.4377 _—_ Ama GGT panes |, Be $ Deliver Records To: ie Completed USA 3 & Invoice Ta: | 6 Retwrn Date’ See attached subpoena for delivery Instructions es Fond Unk Foot Now York,NY 10007 | See attached 7 Remarks: Do not proceed with compliunce ifthe (oval cost {wil exceed $500.00 without prior approval. To obtuin spprovul, call the requestor listed in Item 8. Ifinvoicing for hose services ix expected to exceed 120 days, please notity the United States Atiomey's Office immediately to ensure funds remain available for payment, Plons¢ sce the attached lsnportari Notice for additional information on involving and other requirements for reimbursement, oo oe 10 Date of request: 8/19/2019 "Section B = Financial Institution Invoice 428451574 Ref 172806 No Payment Shall Bo Made Unless Expenses Are itemized Below Or Set Forth On Your Attached invoice, TTA Invoice Number: "| HIB Tax 1D Number: MIC Service(sRecords Provided: A. Searching and processing costs (clerical or technical personnel) B. Searching and provesying costs (managemont/suporvisory personnel) C, Searching and processing couts (computer suppoct specialist) D, Reproduction Costs (Photocopying) - **Note: Copy charges will be disallowed if the information is stored electronically, unless the US Attorney's Office requests paper. E. Reproduction Costs (Paper Copies of Microfiche; provide justification) F. Reproduction Costs (Duplicate Migrofighe: provide justification) G, Storage Media Cost (e.¢., Compact Disc, DVD, cte., at Actual Cost) H. Transportation Costs (Direct Costs Only) Tn Trem #12, 1 ocrtitly thut the servious invoiced above were not performed relutive 10 any corponwt accounts ark pérlain only t% accounts of individuals and of five or fewer individuals. 12 Signature of Financial Institution Ofte! Tora! Amount Claimed By Financial Institution $33.75 Section C - Receiving Report 14 I certitly thut the uelicles and serviogs listed were received: 18 Right to Financlul Privacy Act - Public Law 95-620 (12 U.S.C. 3401-3422) Request Pursuant To; (Cheek One Only) SECTION CLASS _ [" 3404 Customer Authorization ass f" 340s Administrative Subpoena or Summons 2845 fr" 3406 Search Warrant 2845 TT 3407 Judicial Subpoens 2545 TT 3408 Format Written Request 2545 21 Other Accounting/¥und information: f" 3ai3 Grand Jury Subpoena Progenm Code: N/A Project Code: N/A 7 344 Special Procedures YRLODOC: $4-8113 22 Remarks: . ~ Call Number (if eppticubie): OBL Month (YRMO): ‘Tax ID Number: ‘To the best of my knowledya, the fiiancin eocords received, fr which we ore byny billed, aw howe af a individual or partnerahip of five or Rewer Individuals — FORM USA-2It Signeture of United Staios Artomey's Office Representative Dae FEB, 2014 TOTAL P.007 EFTA00125007