# Profoundd archive — Epstein Files
# Bates number: EFTA00521213
# Title:        CREDIT CARD INFORMATION FORM
# Dataset:      9
# Pages:        1
# Tags:         epstein, doj, dataset-9
# Source PDF:   https://profoundd.com/epstein-docs/EFTA00521213/download
# Doc viewer:   https://profoundd.com/epstein-docs/EFTA00521213
#
# Text below is what Profoundd has extracted from the source PDF.
# 'ocr-enriched' tag means OCR was applied to scan-only pages.
# Image descriptions are AI-generated factual captions (llava:13b).
#----------------------------------------------------------------------

=== SUMMARY ===
CREDIT CARD INFORMATION FORM IR I S 'I' I C 'I' I 14 I', 150 EAST 58TH STREET • NEW YORK, N.Y. 10573 PH ( • FAX Salesperson: Firm / Company: Phone Number : Sales Order Number: Amount to charge: Credit Card Type: Visa Credit Card # MC Amex Card Holder Name: Expiration Date: Statement Mailing Address CVV2 Code: Street address or PO Box City State 8. Zip This form is the solely to provide Artistic Tile, Inc. with your credit card information. A signed copy of every charge placed is required to comp


=== EXTRACTED TEXT ===
CREDIT CARD INFORMATION FORM 
IR I S 'I' I C 'I' I 14 I', 
150 EAST 58TH STREET • NEW YORK, N.Y. 10573 
PH ( • FAX
Salesperson: 
Firm / Company: 
Phone Number : 
Sales Order Number: 
Amount to charge: 
Credit Card Type: Visa 
Credit Card # MC Amex 
Card Holder Name: 
Expiration Date: 
Statement Mailing Address CVV2 Code: 
Street address or PO Box 
City State 8. Zip 
This form is the solely to provide Artistic Tile, Inc. with your credit card 
information. A signed copy of every charge placed is required to complete any 
transaction. 
Email address or fax number to send your receipt for signature: 
EFTA00521213