S TA R K 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 #: mz QUOTE # 253970 17,587.60 Invoice/Order #: Amount to be charged: Credit Card Type: Amex @ Visa 0 MasterCard C2 Credit Card #: _—— lll Cs Credit Card Expiration Date: 12/20 CW/ Security Code: 8842 Company Name: Cardholder Name: JEFFREY E. EPSTEIN Billing Address; 9 EAST 71ST STREET City, NEW YORK State: NY Zip Code: 10021 Phone #: fr Email address for CC receipt: | Terms & Conditions: The abov¢ named client undgrstands and acknowledges the charges described above, The Please sign below agreeing to the above Cardholder Signature: — ee Prin Name; JEFFREY E.EPSTEIN” pate, 12/5/2018 your 40%) ZB ovouy yoyueg EFTA00523729