## Declaration of Custodian of Records

Pursuant to 28 U.S.C. § 1746, I, the undersigned, hereby declare:

My name is <empty>.
(name of declarant)

I am a United States citizen and I am over eighteen years of age. I am the custodian of records of the business named below, or lam otherwise qualified as a result of my position with the business named below to make this declaration.

I am in receipt of a Grand Jury Subpoena, dated January 23, 2010, and signed by Assistant United States Attorney requesting specified records of the business named below. Pursuant to Rules 902(11) and 803(6) of the Federal Rules of Evidence, I hereby certify that the records provided herewith and in response to the Subpoena:

(I) were made at or near the time of the occurrence of the matters set forth in the records, by, or from information transmitted by, a person with knowledge of those matters;

(2) were kept in the course ofregularly conducted business activity; and

(3) were made by the regularly conducted business activity as a regular practice.

l declare under penalty of perjury that the foregoing is true and correct.

Executed on April 8, 2020 (date)
(signature of declarant): <signature>
(name and title of declarant): Paralegal Specialist
(name of business): Delta Air Lines, Inc.
(business address): 1030 Delta Blvd., Atlanta, GA 30320

## Definitions of terms used above: Definitions of terms used above:

As defined in Fed. R. Evid. 803(6), "record" includes a memorandum, report, record, or data As defined in Fed. R. Evid. 803(6), "record" includes a memorandum, report, record, or data compilation, in any form, ofacts, events, conditions, opinions, or diagnoses. The term, "business" as used in Fed. IL Evid. 803(6) and the above declaration includes business, institution, association, profession, occupation, and calling of every kind, whether or not conducted for profit.

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Ticket Viewer
house
Ticket Viewer

Primary Ticket: 0062415200393
Select View : Ticket Main
(Prod) Version 1.0 Wed, 08 Apr 2020 04:47:44 PM

Ticket Number: 0062415200393
Issue Date: 2020-01-18
Sq Nb: 1
Inactive Ind: N
Ticket Sources Received: T - 18 Jan 2020 09:20:40 PM CN - 20 Jan 2020 03:50:15 PM
FOP Type Code: CC
Point of Sale ID: B - LAXWEB - US T - LAXWEB - US
Orig Iss POS ID: B - <empty> T - LAXWEB - US

Pax Name: <empty>
Pax Info Txt: Tour Code Text:
Rptg Sys Prvdr Nb: 0066
Base Fare Amt: 259.53 USD
Equvt Fare Paid: 259.53 USD
Taxes/Charges:
AY 11.20 USD
US 19.47 USD
XF 9.00 USD
ZP 8.60 USD

Prny Tkt Ind: Y
Excg Ind: N
Total Tickets: 1
Nb Of Cpsns: 2
Medium Type: E
Transaction Type: TKT
Skeletal Indicator: N
Dome/Intl Ind: D
Ticketing Carrier: DL
ET Status Code: C
Infant Ind: <empty>
TPF TrEtv Typ: EVST
Last Update Gts: 2020-01-20 15:52:30
Award Tkt Ind: N

Commission: N 0.00
Rss Typ Cd: <empty>
Rev Rdtn Ind: N

Itinerary Information Coupon State:S Carrier Role:Marketed

Row 1:
Ticket Nb: 0062415200393
Cpn Nb: 1
Cpn Img: 1
Usg: <empty>
Orig Str: LAX
Dest Str: LAS
Crr: DL
Fit Nbr: 4120
COS: Q
Compt: Y
Brand ID: MAIN
Fit Dprt Dt: 17 Apr 2020 11:19:00 AM
Fit Arr Dt: 17 Apr 2020 12:43:00 PM
FBC/TD Txt: GAUNAOMC
Surf Sect: N
Ofcl Std Prd Amt wth YQ/YR: 110.70
Prtn Meth: SIF
Ofcl Std Prd Amt: 110.70
YQ/YR Fees: 0.00

Row 2:
Ticket Nb: 0062415200393
Cpn Nb: 2
Cpn Img: 2
Usg: <empty>
Orig Str: LAS
Dest Str: LAX
Crr: DL
Fit Nbr: 1174
COS: H
Compt: Y
Brand ID: MAIN
Fit Dprt Dt: 19 Apr 2020 11:00:00 AM
Fit Arr Dt: 19 Apr 2020 12:14:00 PM
FBC/TD Txt: HRONADMA
Surf Sect: N
Ofcl Std Prd Amt wth YQ/YR: 148.83
Prtn Meth: SIF
Ofcl Std Prd Amt: 148.83
YQ/YR Fees: 0.00

Itinerary Information Coupon State:U Carrier Role:Marketed

| Ticket Nb   | Cpn Nb   | Cpn<br />Img   | Usg   | Orig<br />Stn   | Dest<br />Stn   | Crr   | Fit Nb   | COS   | Cmpt   | Brand ID   | Fit Dprt Dt   | Fit Arr Dt   | FBC/TD Txt   | Surf<br />Sect   | Ofcl Std<br />Prd Amt<br />wth<br />YQ/YR   | Prtn<br />Meth   | Ofcl Std<br />Prd Amt   | YQYR<br />Fees   |
|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|

No Data Available

http://tktviewr.delta.com/tktviewer/action/searchTicket?ticketNumberPrimary-0062415200393&tktDocNb-0062415200393&tic... 4/8/2020

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## Fare Calculation

| Fare Calc<br />Typ   | Fare Calc<br />Mode   | Rfmd<br />FrCn Ind Fare Calc Txt   | Rfmd<br />FrCn Ind Fare Calc Txt                                                     |
|-|-|-|-|
| A                    | 6                     | N                                  | LAX DL LAS110.70QAUNAOMC DL LAX148.83HRONAOMA USD259.53END ZP LAXLAS XF LAX4.5LAS4.5 |
| R                    | 6                     | N                                  | LAX DL LAS110.70QAUNAOMC DL LAX148.83HRONAOMA USD259.53END ZP LAXLAS XF LAX4.5LAS4.5 |

Confidential Data-Member of Delta Passport Group: Confidential

Copyright 2017 Delta Air Lines. All rights reserved. Proprietary and Confidential to Delta Air Lines. Contents of this document may not be reproduced, published, or disclosed without express authorization of Delta Air Lines

http://tktviewr.delta.com/tktviewer/action/searchTicket?ticketNumberPrimary-0062415200393&tktDocNb-0062415200393&tic... 4/8/2020

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Here's the extracted data:

| Field             | Value           |
| ----------------- | --------------- |
| Ticket Number     | 0062415200393   |
| Issue Date        | 2020-01-18      |
| Sq Nb             | 1               |
| DL Pax Type       | A               |
| Pax Full Name | [REDACTED] |
| Date | Wed, 08 Apr 2020 04:47:55 PM |

## Coupon Frequent Flyer Information

Tkt-Cpn Nb: 393-1
Frequent Flyer Carrier:<empty>
Frequent Flyer Number:<empty>
Cust Acc Typ Cd: TR

Tkt-Cpn Nb: 393-2
Frequent Flyer Carrier:<empty>
Frequent Flyer Number:<empty>
Cust Acc Typ Cd: TR

## Geographic Address Information

Nb: 1
Address Line 1: <empty>
Address Line 2: <empty>
Address Line 3: CRAWFORDVILLE FL 32327-3317
Address Line 4: <empty>
Address Line 5: <empty>
Pstl Area Cd: <empty>

## Electronic Address Information

Nb | Electronic Address | Cur Ind
No Data Available

## Phone Address Information

Nb: 1
Ctry Phone Nb: <empty>
Ctry Cd: <empty>
Cur Ind: U
Dry Chnl Typ: <empty>
Area Cd: <empty>
Phone Number: <empty>
Ext: <empty>

Confidential Data-Member of Deita Passport Group: confidential Copyright 2017 Delta Air Lines. All rights reserved, Proprietary and Confidential to Delta Air Lines. Contents of this document may not be reproduced, published, or disclosed without express authorization of Delta Air Lines

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Ticket Viewer home Ticket Viewer
prim: U062415200393 (18 Jan 2020 ,1)
Select View : Payment
(Prod) Version 1.0 Wed, 08 Apr 2020 04:48:05 PM
Ticket Number: 0062415200393
Base Fare Amt: 259.53 USD
Customer Paid Amt: 0.00 USD
Issue Date: 2020-01-18
Equivalent Fare Amt: 259.53 USD
Rptd Base Amt: 259.53 USD
Sq Nb: 1
Tkt Doc Total Amt: 307.80 USD
Rptd Tot Amt: 307.80 USD
Collection Nbr: 1
Base Coltn Amt: 259.53 USD
Crr Agy Slt Amt: 0.00 USD
Collection Type: O
Total Coltn Amt: 307.80 USD
Excg Indicator: N
Rdmd Non Cash Miles Cnt:
Award Tkt Ind: N
Tkt Doc Net Miles Cnt:
Tkt Doc Total Miles Cnt:

## Payment Information

Nb: 1
Pmt Amt: 307.80
Pmt Amt Curr Cd: USD
Signd For Amt:<empty>
Signd For Curr Cd:<empty>
FOP Stt Cd: 3
FOP Ref Nb:<empty>
FOP Type: CC
FOP Trans ID:<empty>
FOP Vndr Cd:<empty>
D/CC Acct Nb: <empty>
D/CC Exp Date: 72020
D/CC Type: VI
D/CC Apvl ID: 00337B
GTR Acct ID:<empty>

Original Ticket Information

Nbr Orig Tkt Nb Orig Tkt Iss Date
No Data Available

## Exchanged Ticket Number Summa

New Tkt Nb: No Data Available
New Tkt Iss Date: No Data Available
New Tkt Sq Nb: No Data Available
New Tkt Trxns Typ: No Data Available
New Tkt Excg Val Typ: No Data Available
Excgd Tkt Doc Nb: No Data Available
Excgd Tkt Iss Dt: No Data Available
Excgd Tkt Sq Nb: No Data Available
Excgd Tkt Trxns Typ: No Data Available
Excgd Tkt Skill Ind: No Data Available

Event Waiver Information

Evt Wavr Cd:<empty>
Evt Wavr Short Name:<empty>
Evt Wavr Description:<empty>
Evt Wavr Amt:<empty>
Evt Wavr Curr Cd:<empty>
Evt Wavr Std Amt:<empty>
Evt Wavr Issuing Agent Security Id:<empty>
Tkt Doc Pricing Src Response ID:ITA
Tkt Doc Pricing Src Response GTs:<empty>
Reprice Process Code:<empty>

Agent Waiver Information

Agt Wavr Cd:<empty>
Agt Wavr Amt:<empty>
Agt Wavr Curr Cd:<empty>
Agt Wavr Std Amt:<empty>
Agt Wavr Issg Chnl Id: DC
Agt Wavr CrCv GTs:<empty>
Tkt Doc Pricing Src Response ID: ITA
Tkt Doc Pricing Src Response GTs:<empty>
Reprice Process Cd:<empty>

Ticket Document Waiver Information

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EFTA00023862

PCI Token Manager Page 1 of 2

PPR # 096625200

Logout

ADELTA



# PCI Token Decode Form

## PCI Token
Manager Forms

<table><tr><th>Credit Card Lookup</th><th></th><th></th><th></th></tr><tr><td>Token Decode
Instructions</td><td></td><td></td><td></td></tr><tr><td colspan="4">• Type or Paste space- or carriage-return-delimited list of tokens into Items list.
• Select Clear to clear contents from the Item list.
• Select Submit to retrieve list of associated credit card numbers that will appear in the Results list.</td></tr><tr><td>Items to Decode:</td><td>Results:</td><td>St-Rsn Cd:</td><td>Status/Reason Text:</td></tr><tr><td></td><td></td><td>200-250</td><td>succeeded</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td>CLEAR</td><td></td><td></td><td>SUBMIT</td></tr><tr><td colspan="4">2018 Delta Air Lines, Inc. | Information Technology. All rights reserved.</td></tr></table>

https://twp.delta.com/TokenWebPortal/decodeToken.action

4/8/2020

EFTA00023863