EFTA00216826.pdf

Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 Page: 1 of 3 reclEx Tax ID: 71-0427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone. 622.1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fedex.com Invoice Summary Jun 11, 2004 FedEx Express Services Transponation Charges 30.00 Base Discounl -11.10 Special Handing Charges 1.13 Total Charges 20.09 TOTAL THIS INVOICE.- _...111SD $ 20.03 You saved $11.10 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in Ihis invoice have been transferred and &carped lo. are owned by. and we payable to FedEx Express. To ensure prwer crwli. woos* worn Ws POiliTI Vigh yow Komori to For.. Please do A0111400 a lob. Please rfAk0 your Nock payable to Ebb. O For dingo of Stow. chock Wee trd carobs, loon on !env:es* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Jun 26. 2004 1.846.39927 2292-0750-4 USD 520.03 229207501846399275800000200325 SP 01000001 97702 A 1ASNGLP l,,,11,1,1,,,I,1,1,1,11,,,I,,,I,I..I.II II.II 11.1.11 NYSG LLC FedEx 457 MADISON AVE P.O. Box 371461 NEW YORK NY 10022-6843 Pittsburgh PA 15250-7461 EFTA00216826  Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No.:Airbill No. Reason Code Explanation {¢FORE YOU FAX REASON CODE KEY Reason Please kiclude detailed explanation for each adjustment request. Code Description DUP Duplicate Eking Remember to include recipient's account number or third party's PND Shipment Never Sent account number if applicable. RATE Incorrect Rates or Pieces RRA Rebill Recipient - Include Recipient's Account No. From: RSA Rebill Sender RTA Rebill Thit Party - Include Third Part's Account No. Name Date SUR Incorrect Surcharge - Please Explain OTHR Other - Please Explain Business Phone Business Fax This form cannot be used to request Invoice Adjustments due to Service Failures or lack of a POD. To request adjustments I or Service Failures or lack of a POD. please call 1-800-622-1147. visit our internet site at www.ledex.com or register for FIO. Fedtz Federal Express Please Indicate change in address for the account a listed below: ❑ Physical Address ❑ Billing Address ❑ Mailing Address Account Number: 2292-07SO-4 Name: Address: Apt. t Suite: City: State. Zp Phone ( Fax: ( Autheliding &gamin: EFTA00216827  Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jun 03. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surdwrge FedEx has applied a fuel surcharge of 6.00% to this shipment. Tracking ID 825962197370 Sender Recipient Service Type FedEx Intl Priority LAUREN KWINTNER ALLY Dili Package Type FedEx Envelope NVSG LLC MARTARIANES Zone 0 457 MADISON AVE Orig./Desk main NEW YORK NY 10022-6843 US Packages 1 Weight 0.1 Ds Transportation Charge 30.00 Delivered Jun 07. 2034 08:54 Fue4 &recharge 1.13 Signed by D.RYAN Discount -11.10 Total Transportation Charges USD S 20.03 Customs Entry Dale Jun04. 2034 FedEx Use G0993.MS010/ Shipment Detail Subtotal _USD 3 20.03 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216828