Sara Gross

gsasl@rmichivan goy> Please see attached. Thanks, Ehysse xxxEND_PAGE:deq19_b13_1016_1232_169

ead Fielek, se DSEP L. (Treasury) <FIE Hi Joe, Please approve the attached wire request to the City of Hint. The wire is in regards to the article below. Let me kriow if you have questions, bttoel /www ol Thanks, Elysse

Joe, FYI, DEQ will be requesting a non-repetitive wire transfer to the City of Flint for $2.0 million, today. We are assisting them in completing the wire transfer documents. In regards to this article. Hips www rolive corm nwe ff de P2015 state od int should fave be hind We will have the paperwork to you shortly. sara Sara Gross Banking and Disbursement Manager Office of Financial Services Department of Treasury Ph: 517-636-535 xxxEND_PAGE:deq19_b13_1016_1232_171 Michigan Department of Treasury Form 3703 (Rev, 01-11) Repetitive Wire or Non-Repetitive Wire Transfer Payment Request or Update PART A: ACTION REQUESTED (check only one) PART B: AGENCY CONTACT INFORMATION : 4. Agency Contact 2. Telephone Number Repettive iis - Jennifer Dingman (617) 335-2508 cI} Request to send payment via Repetitive wire transfer 3 Fexhumber 7. Pages Faxed (817) 373-6525 %. Date Faxed 10/19/15 6. Recelpls Processing Division Contacts | oO Add new repetitive payrnent (See note below} [| Change existing repetitive payment Cl Delete existing repetitive payment Telephone: (617)-636-5384 or (517) 636-6400 Non-Ropetitive Wire {one-time payment) Fax: (617) 636-5401 ; Request to send payment via Non-repelitive wire transfer PART C: PAYMENT Repalitive Payment - complete Parts Ct-14; Add, Change cr Delete payment— complete C1, C6-14 and Dt; Non-Repotitive Payment ~ Complete C1-14 and D1, 7. MAIN FACS Dac Agency (3 digits) 2. MAIN FAGS Document Numbar (8 characters) 2, MAIN FACS Payment Number for Wire Transfer (9 digits) 761 . x : 4, Seillement Date 6, Transfer Amount 10/19/15 $2,000,060.00 6. Receiving Bank Name ‘Receiving Bank Rouling Transit Number JPMorganGhase PPI; @. Boneficlary's Bank (80K) Name (If different from recelving bark} $, Baneficlary information (BNF} (name on ‘eccounl} City of Filnt Commercial Account i 71. Payment Dalails — Originator to Benelictary Information (OBI) and Bank to Bank information {BEI} 413, Date 44, Request wite confirmation 1019/15 R]ves [uo | Deputy Treasurers or Finandal Services Bureayy Director, required for Add, Change ar Defatton petitive ee? As (of Treasury cerilfies the payment was inllated as follows: 7. Approval of Treasury's e of repetilive payment informaiton or requesting Signature: 2, Transaclion Number Entered by s s on at amdp.m, Released by on at am/p.m, PART E: DMB CERTIFICATION OF FUNDS (f unable to sucessfully enter and post MAIN FACS document) Along ‘with this form, submit PCHL 1800 (Direct Voucher Header Entry) screen from ADPIGS or 520 (View a Balch) screen from ReSTARS to your Agettcy Accountant Lialson for OMB certification of funds. Signature | To submit payment request fo Treasury: Fax completed form, with seraen print of MAIN FACS header seraon (ADPICS Screen PCHL 4800 of R*STARS screen 520, aller approved and posted If timing altows) {o; Receipis Processing Diston, as shovm In Section 86 above. xxxEND_PAGE:deq19_b13_1016_1232_172