EFTA01582668.pdf

Posting Date: 2012-08-07 Account Number: Amount: $1,586.40 Bank Number: 802 Capture Source: PV Check/Serial #: 000000025294 DB/CR: Debit Routing Transit Number: 02100002 Sequence Number: 5070182412 Trancode: 000000 UDK: 802120807005070182412 Missing Image: 5 Application Code: 1 Item Type: Paper Item IRD: PE Indicator: Entry Number: 0000002341 BOFD: 000000000 Cost Center: Teller Number: Teller Sequence Processing Date: 2012-08-07 Number: JPMORGAN PRIVATE BANK NES, Lie NEWARK, DE 9 EAST 71ST STREET ' ;:' NEW YORK, NY 10021 1-2/21O PAY TO THE ORDER OF $ ..1,586.40 Aetna Health Inc. Ittr* ******* *******.****** ***** --One-Thousand-Eive_Hundrecl_Eighty.Six_ancl_40/100 DOLLARS Aetna Health Inc. PO Box 0824 Carol Stream, IL 60132-0824 MEMO: L AUTyIOPoZED SIGNATURE 2 Account "0252940 I:021,000021cl 'woo L 58 6 40, - P x z cit 0 O DO NOT WRITE / SIGN / STAMP BELOW THIS LINE C) 2 M31A 01373NV NV IV G701-1 O S O rn 0 O O -< P 08521417 FOR >0311013209< - DEPOSIT CITIBANK., N. A. n 1.4! k.) NFL! r.re.::T! rn' 98249266 066 080512 09824 15 --11 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00082228 EFTA01582668