Posting Date: 2012-08-01 Account Number: Amount: $25.00 Bank Number: 802 Capture Source: BY Check/Serial #: 000000003023 DB/CR: Debit Routing Transit Number: 02100002 Sequence Number: 6480367261 Trancode: 000000 UDK: 802120801006480367261 Missing Image: 5 Application Code: 1 Item Type: Paper Item IRD: PE Indicator: P Entry Number: 0000004083 BOFD: 074909962 Cost Center: 217 Teller Number: 11 Teller Sequence 124 Processing Date: 2012-08-01 Number: THE C.O.U.Q. FOUNDATION, INC. 250 S AUSTRALIAN AVE., STE 14O4 WEST PALM BEACH, FL 33401 JPMORGAN CHASE BANK, N.A. NEW YORK, NEW YORK 10017 WWW.CHASE.COM (;ARYD TO THE N LQ yoRIc Deeldpv,41-- (4„) ..---- toe-17_, rtve-- MEMO s-2D -rift- e , 910, C o F o,f5-c 217/2.„,_ OOO 30 30 -1 Ito 3023 1-2-210 DOLLARS 1 I m O Ox SPlYtertaertUkErseBeo-tkiKi (4,_iet240076102 • 0 co to =:+ t` zrn r- •. r 4..• • 4... C, Conkfanlial Treal mem Requested by JPMorgan Chase JP1A-SDNY-00062318 EFTA01582755